Uworld 3

Question 1

What type of flu shot does HIV patient get

Answer 1

inactivated

Question 2

HA worse leaning forward,JVD, facial and upper extremity swelling, conjunctival congestion

Answer 2

superior vena caca syndrome

Question 3

polymyositis clinical features and how to dx

Answer 3

proximal muscle weakness, low/nopain
increased ck
ANA and ANti jo +
endomysia infiltrate 
patchy necrosis

Question 4

Right heart pressure PE

Answer 4

⬆️

Question 5

Polyarthritis rheumatisch frs, age,dx,tx

Answer 5

50 +
systemic signs and symptoms
stiffness>pain
associated with giant cell arteritis
⬆️ ESR and c reactive protein
tx steroids

Question 6

focal seizure with impaired awareness

Answer 6

temporal lobe epilepsy, automatisms, 30-120 sec

Question 7

1st trimester maternal hyperglycemia complications

Answer 7

heart dz
neural tube defect
small left colon syndrome
spontaneous abortion

Question 8

2nd-3rd trimester maternal hyperglycemia complications

Answer 8

polycythemia
organomegaly 
neonatal hypoglycemia
brachioplexy
clavicle fracture
asphyxia, impaired pneumocytes

Question 9

primary hyperaldosteronism dx and tx

Answer 9

-HTN , hypo k, alkalosis, muscle weakness, paresthesia
increased Aldo, decreased renin
tx Aldo antagonists

Question 10

Hyper calcemia from primary vs malignancy

Answer 10

malignant gets high super fast= neuroscience sx

Question 11

surg that increases risk for gallstones

Answer 11

Roux en y

Question 12

2ndary hypoparathyroid with renal failure labs

Answer 12

⬆️ phos

⬇️ calcium

Question 13

Prognostic factors glioma

Answer 13

age
functional status
grade/atypia
mitosis

Question 14

CLL signs

Answer 14

multifocal lymphadenopathy
splenomegally
mild anemia and thrombocytopenia
lymphoblastic predominent leukocytosis
smudge cells
CD20 meds

Question 15

CML leukocytosis and tx

Answer 15

neutrophil

BRC-ABl-tx = imantinib

Question 16

Epithelial ovarian carcinoma sx

Answer 16

abdominal discomfort
bloating
urinary urgency

Question 17

Nerve injury humeral midshaft fracture

Answer 17

Radial

Question 18

Supercondylar fracture nerve injury humerus

Answer 18

median

Question 19

multiple myeloma kidney damage cause

Answer 19

Renal tubular cast nephropathy

Question 20

Fragile x most common comorbid psych

Answer 20

autism, adhd is second

Question 21

Amidoderone SE

cardio, Pulm, endo, GI, Ocular,derm, neuro,

Answer 21

CArdio: sinus brady, heart blcok, qt prolongation, tosades
Pulm:intersitial pneumonitis
Endo: hypothyroidism
GI= increased transaminases
Ocular = corneal microdeposits,optic neuropathy
Derm: blue grey skin
neuro:peripheral neuropathy

Question 22

overflow incontinence med

Answer 22

bethanacol

Question 23

URGE incontinence tx

Answer 23

musk antagonist, b agonist

Question 24

Acute Fe toxicity

Answer 24

abdominal pain, hematemises, diarrhea,shock liver necrosis Anion gap metabolic acidosis pills on xray
tx = deferoxamine , maybe whole bowel irrigation