UWorld

Question 1

Why would a pt w/ hereditary spherocytosis have cholecystitis?

Answer 1

pigmented gallstones from hemolysis

Question 2

What is the Tx for hereditary spherocytosis?

Answer 2

folate supplementation and splenectomy

Question 3

What are the 2 malignant forms of gestational trophoblastic disease?

Answer 3

invasive gestational trophoblastic neoplasia (GTN) and choriocarcinoma

Question 4

What is the main difference between GTN and choriocarcinoma?

Answer 4

GTN is locally invasive while choriocarcinoma is metastatic

Question 5

What is the most common site of metastasis of choriocarcinoma?

Answer 5

lungs

Question 6

STEMI pt has PVCs on EKG and then dies. What was the most likely mechanism of death?

Answer 6

reeentrant ventricular arrhythmia (ventricular fibrillation)

Question 7

What could cause the onset of sharp, mainly unilateral, upper cranial headaches with a fever, a gaze palsy, and periorbital edema?

Answer 7

cavernous sinus thrombosis

Question 8

What is the basic differential of infectious causes of a rash including the palms and soles?

Answer 8

Rickettsial disease, syphillis, toxic shock syndrome, disseminated gonococcal disease, Kawasaki.

Question 9

What is the causative agent in aseptic meningitis? Tx?

Answer 9

an echovirus; supportive

Question 10

What Dx should be suspected in a young woman w/ bilateral trigeminal neuralgia?

Answer 10

MS