UWORLD 2/4/15

Question 1

What is the mech of varenicline (Chantix) for smoking cessation?

Answer 1

partial agonist of nicotinic ACh receptor

Question 2

What is a contraindication for varenicline?

Answer 2

Hx of unstable psych Sx or suicidal ideation

Question 3

Name a common cause of pancreatitis other than alcohol and gallstones.

Answer 3

hypertriglyceridemia

Question 4

Is Phalen’s test hyperflexion or hyperextension of the wrist?

Answer 4

hyperFLEXION

Question 5

What dangersou condition should be suspected in any pt w/ celiac sprue who has new-onset GI Sx despite adherence to diet?

Answer 5

intestinal T-cell lymphoma

Question 6

Which PFT parameter is used to DIAGNOSE obstructive lung dz?

Answer 6

FEV1/FVC

Question 7

Which PFT parameter indicates the SEVERITY of obstructive lung dz?

Answer 7

FEV1

Question 8

What FEV1/FVC is diagnostic of obstructive lung dz?

Answer 8

<70% predicted

Question 9

What FEV1 constitutes “moderate” COPD by the GOLD criteria?

Answer 9

50-80%

Question 10

What FEV1 constitutes “severe” COPD by the GOLD criteria?

Answer 10

30-50%

Question 11

What FEV1 constitutes “very severe” COPD by the GOLD criteria?

Answer 11

<30%

Question 12

What parts of the body are affected by hereditary angioedema?

Answer 12

throat, lips, tongue, and intestinal mucosa (abd pain)

Question 13

What is the first step in Tx of chronic urticaria?

Answer 13

daily second-gen H1-blocker

Question 14

Do you give steroids to pts w/ Sx of epidural abscess?

Answer 14

NO!

Question 15

What is “Plan-B”, which works up to 72 hrs after intercourse?

Answer 15

levonorgestrel

Question 16

What emergency contraceptive pill works up to 5 days after sex and is more effective than levonorgestrel?

Answer 16

Ulipristal (Ella)

Question 17

What is the most effective overall type of emergency contraception?

Answer 17

copper IUD

Question 18

child w/ subcutaneous nodules, hypopigmented spots, and schwannomas

Answer 18

neurofibromatosis type 2