uworld form 2 block 1

Question 1

Why does a progesterone challenge not produce bleeding in functional hypothalmic amenorrhea?

Answer 1

low endogenous estrogen results in an endometrial lining that will not shed.

Question 2

Bile leak post procedure
Clinical Signs
Lab Values
U/S findings

Answer 2

Clinical ft:low grade fever, RUQ tenderness, nausea, vomiting
Labs: obstructive (⬆️ bili and alk phos)
U/S:normal appearing biliary ducts

Question 3

Ishchemic hepatitis
Clinical Signs
Lab Values

Answer 3

Clinical ft: RUQ tenderness, nausea, vomiting

Labs: Transaminases 20-30X normal

Question 4

Neuro sx of lyme disease

Answer 4

meningitis, cranial nerve palsy (BILATERAL FACIAL NERVE PALSY), radiculoneuritits.

Question 5

first line therapies for bulimia

Answer 5

Fluoxetine and CBT

Question 6

Rett syndrome clinical picture

Answer 6

female, normal growth to 6 months, declaration of head growth, loss of cognitive and motor skills, stereotypical movements

Question 7

cariogenic shock, left sided values preload, CO, after load

Answer 7

preload:⬆️
CO:⬇️
Afterload:⬇️

Question 8

species that most commonly causes interitigo

Answer 8

Candida: look for psudohyphae with budding yeast

Question 9

how does tine appear on KOH

Answer 9

septet hyphae

Question 10

Neonatel CMV findings

Answer 10

Jaundice
hepatosplenomegaly
microcephaly
periventricular calcifications

Question 11

rubella neronatal manifestations

Answer 11

blueberry muffin rats
cataracts
❤️ defects
sensorineural hearing loss

Question 12

Acute gout meds

Answer 12

1st line indomethacin, naproxen
2nd line
colchicine

Question 13

contraindications for NSAIDS gout

Answer 13

patient on anticoagulation

Question 14

Diagnostic requirements for acute liver failure

Answer 14

1. AST.ALT increased
2. signs of hepatic encephalopathy
3. INR >1.5 = synthetic dysfunction (look at PT)

Question 15

how do anti epileptic drugs cause neural tube defects

Answer 15

they lower folic acid levels in the mom

Question 16

where do hypertensive hemorrhages most commonly occur

Answer 16

basal ganglia- can cause uncalled herniation

Question 17

signs of uncal herniaton

Answer 17

dilated non reactive pupil ipsilateral pupil, contralateral extensor posturing, and respirator compromise

Question 18

Tramadol + anti depressant can cause

Answer 18

serotonin syndrome

Question 19

serotonin syndrom triad

Answer 19

Mental status change( anxiety, restless, agitated delirium)
Autonomic dysregulation( diaphoresis, tachycardia, hyperthermia)
neuromuscular hyperactivity(hyper reflex, rigidity, clonus , babinski)
-sometimes diarrhea

Question 20

Wiskott-ALdrich triad

Answer 20

eczema, microthrombocytopenia, and recurrent infections

Question 21

what is burger disease and what is the treatment

Answer 21

Thromboangitis obliterates is a non atherosclerotic inflammatory, vaso-occlusive disorder of small and medium sized vessels leading to ischemic ulcers and gangrene. Usually seen in heavy smokers, more common in men, complete smoking cessation is the only tx

Question 22

Allergic bronchopulmonary aspergillosis risk factors and tx

Answer 22

CF/Asthma.

Long term steroids and itraconazole

Question 23

first step in symptomatic hyper CA2+

Answer 23

.9 % saline

may add in bisphosphonate for long term therapy