uworld form 2 block 2

Question 1

Paget disease MOA

Answer 1

disorganized bone remodeling

Question 2

Paget disease tx

Answer 2

bisphosphonates

Question 3

Classic triad for hemochromatosis

Answer 3

cirrhosis, DM, skin pigmentation.

Question 4

other sx of hemochromatosis besides classic triad

Answer 4

fatigue
arthopathy
hypogonadism
hypothyroid
cardiomyopathy 
increased infection from listeria, vibrio vulnerability. and yersinia enterocolitica

Question 5

pre-e greater than or equal to 37 weeks tx

Answer 5

induce delivery

Question 6

regular contractions no cervical change <34 weeks test

Answer 6

FFN, if + give bethamethasone

Question 7

Dementia with Lewy bodies clinical picture

Answer 7

fluctuating cog/attention, well-formed visual hallucinations, and motor manifestations of Parkinson’s (rigidity, bradykinesia, postural instability) memory is usually affected later in disease course

Question 8

delivery before 37 weeks unknown GBS status

Answer 8

Penicillin

Question 9

EKG for Ventricular aneurysm

Answer 9

persistant ST elevation after recent MI with deep Q waves in same lead, look for limb ischemia

Question 10

scurvy sx

Answer 10

petechial and perifolicular hemorrhages, mucosal bleeding, pridontal disease.

Question 11

Thiamine B1 deficiency sx

Answer 11

beriberi, peripheral neuropathy, high output ❤️ failure, , confusion, ataxia, oculomotor abnormalities, memory impairment

Question 12

B3 deficiency

Answer 12

pellagra:
dermatitis
dementia
Diarrhea

Question 13

pyelonephritis in preg complication

Answer 13

ARDS
preterm labor
low birth weight

Question 14

lab value abnormality antiphospholipid

Answer 14

prolonged ptt

Question 15

mixing study for antiphospholipid

Answer 15

will NOT be corrected

Question 16

mixing study for factor deficiency

Answer 16

Corrected

Question 17

good prognostic factors schizophrenia

Answer 17

later onset
female
acute onset 
\+sx
No family history
short duration of active sx

Question 18

Type 1 chemo

induced cardio toxicity ft

Answer 18

Anthracyclines(doxorubicin)-
myocyte necrosis causes fibrous replacement.
progression to overt ❤️ failure
less likely to be reversible

Question 19

Type 2 chemo

induced cardio toxicity ft

Answer 19

trastuzumab- myocardial stunning/hibernation without destruction
asymptomatic lv dysfunction
more likely reversible