UWorld 12/7/14

Question 1

Infant with nasal congestion, cough, wheezing/crackles, and respi distress in winter.

Answer 1

Bronciolitis

Question 2

What is the most common cause of bronchiolitis?

Answer 2

RSV

Question 3

Hematuria, pyuria, and proteinuria (+ increasded BUN and Cr) in a long-term user of analgesics.

Answer 3

Analgesic nepropathy

Question 4

Acute renal colic w/ hematuria in a pt w/ long-term analgesic use.

Answer 4

Acute papillary necrosis (2/2 analgesic nephropathy)

Question 5

What are the 3 C’s of measles?

Answer 5

cough, coryza, and conjunctivitis

Question 6

What typical physical exam finding precedes the rash in measles?

Answer 6

Koplik’s spots

Question 7

What are the appropriate therapeutic options for actinic keratosis?

Answer 7

Cryotherapy, surgical excision, curettage, or 5-FU cream.

Question 8

3 causes of hypercalcemia in malignancy

Answer 8

Conversion of Vit D to active form (lymphoma, sarcoid); bone mets; PTHrP

Question 9

Tx for hypercalcemia

Answer 9

Fluids; zolendronate; lasix

Question 10

Hi Ca++, hi PTH –> next test?

Answer 10

24-hr ursine Ca++ (& 24-hr urine Cr to ensure

Question 11

2 main causes of diaphragmatic paralysis in the infant

Answer 11

birth trauma or cardiothoracic surgery (injuring phrneic nerve)

Question 12

What brachial plexus injury is classically associated with the “waiter’s tip” position of the arm?

Answer 12

Erb’s palsy

Question 13

At what age do you stop Pap smears if the pt is low -risk?

Answer 13

65

Question 14

Cervical Ca. screening for women 21-29 with avg risk?

Answer 14

Pap smear q3 yrs

Question 15

Cervical Ca. screening for women 30-65 with avg risk?

Answer 15

Pap smear q3 yrs OR Pap smear + HPV testing q5 yrs

Question 16

What is the effect of mitral regurg on EF (in pts w/ normal LV function)?

Answer 16

increase

Question 17

Why does mitral regurg increase EF?

Answer 17

LV volume overload (and increased contractility - Starling forces)

Question 18

What is the significance of a normal EF in a pt w/ severe mitral regurg?

Answer 18

significant LV dysfunction

Question 19

So what is a normal EF in a pt w/ severe mitral regurgitation?

Answer 19

> 60%

Question 20

What are the indications for surgery in pts w/ severe mitral regurg?

Answer 20

LVEF <60% or symptoms of HF

Question 21

What is the effect of aortic regurg on EF?

Answer 21

no effect