UWorld 9/25/14

Question 1

What is the single-item alcohol abuse screen that should be used before CAGE?

Answer 1

“How many times in the past year have you had >/= 5 drinks (4 for women) in the last year?”

Question 2

What does CAGE stand for?

Answer 2

Cut-down (ever tried?)
Annoyed by ppl criticizing your drinking
Guilty
Eye-opener (to calm nerves)

Question 3

What are the two main causes of hypocalcemia following parathyroidectomy?

Answer 3

relative hypoparathyroidism and hungry bone syndrome

Question 4

Briefly describe relative hypoparathyroidism following parathyroidectomy.

Answer 4

Normal parathyroid tissue that remains is suppressed temporarily from prolonged hypercalcemia.

Question 5

Briefly describe hungry bone syndrome.

Answer 5

Large influx of calcium to bones depletes serum Ca++.

Question 6

Which sickle cell patients should take hydroxyurea?

Answer 6

those w/ recurrent vaso-occlusive crises

Question 7

what is the drug of choice for prevention of cluster headaches?

Answer 7

verapimil

Question 8

What is the drug of choice for abortion of cluster headaches?

Answer 8

Sumatriptan

Question 9

Acute mgmt of cluster headaches begins with _______.

Answer 9

100% oxygen inhalation

Question 10

Which cause of brain lesions in AIDS pts appears on MRI as non-enhancing demyelinating lesions without mass effect?

Answer 10

progressive multifocal leukoencephalopathy (PML – JC virus)

Question 11

Which is the most common bacterial pathogen in necrotizing fasciiitis?

Answer 11

Group A Strep (S. pyogenes)

Question 12

What is the appropriate empriric antibiotic treatment for necrotizing fasciitis (שלושה דברים)?

Answer 12

1. Zosyn or a carbapenem (GAS & anaerobes)
2. Vanc (MRSA)
3. Clindamycin (inhibit strep/staph toxins)

Question 13

What is an effect on thyroid function shared by amid atone and propranolol?

Answer 13

Decreased conversion of T4 to T3.

Question 14

What is an easy and inexpensive test that can be performed on a or suspected of diabetic neuropathy?

Answer 14

Tuning fork test (vibratory sense)

Question 15

What class of drug is Duloxetine?

Answer 15

SNRI

Question 16

What are the first line drugs for the treatment of the pain of diabetic neuropathy (other than for glycemic control)?

Answer 16

Duloxetine, pregabalin, and TCAs

Question 17

Screening test for primary hyperaldosteronism (Conn’s syndrome)

Answer 17

Aldosterone to renin activity ratio

Question 18

Patients with untreated acromegaly have increased mortality, mainly due to _______.

Answer 18

Cardiovascular disease