UWorld

Question 1

A pt who just had an anterior MI now has a cold, pulseless leg. What likely happened?

Answer 1

Thrombus in LV embolized to leg

Question 2

What is the next best test for the pt with lower extremity arterial occlusion post anterior MI?

Answer 2

Echo lev

Question 3

What structure is likely to be injured in a supracondylar fracture of the humerus? How must you check for it?

Answer 3

brachial artery; radial pulse before and after reduction

Question 4

How is a psoas abscess treated?

Answer 4

Abx and percutaneous drainage

Question 5

What is the most common offending pathogen in abscesses and osteomyelitis from hematogenous spread of skin infections?

Answer 5

S. aureus

Question 6

What is the first step in mgmt of a pt w/ DVT in the leg?

Answer 6

anticoagulation w/ Heparin

Question 7

In which cases of DVT might you use directed thrombolytic therapy?

Answer 7

in some cases of upper extremity DVT

Question 8

Adjustment disorder may be dxed if emotional/behavioral Sx develop within ___ months of an identifiable stressor.

Answer 8

3

Question 9

A young boy with recurrent bacterial infections and low B-cell counts likely suffers from what?

Answer 9

Bruton’s agammaglobulinemia (X-linked agammaglobulinemia)

Question 10

What electrolyte abnormality is commonly seen as a result of subarachnoid hemorrhage?

Answer 10

hyponatremia “cerebral salt wasting”

Question 11

What 2 substances are secreted to cause “cerebral salt wasting syndrome” following subarachnoid hemorrhage?

Answer 11

ADH and ANP/BNP

Question 12

What vaccination should be given to a neonate at birth?

Answer 12

Hep B

Question 13

What vaccinations should be given to an infant at 2 months (8)?

Answer 13

Hep B (2nd dose); rotavirus; Diphtheria, Tetanus, and acellular Pertussis (DTaP); HiB; pneumococcal; and inactivated polio