uworld wrong 2

Question 1

what is the most comon complication for a sickle trait person

Answer 1

painless hematuria is the most common complication

Question 2

presentaion of acute lymphoblastic leukemia

Answer 2

bone pain 
lymphadenopaht 
hepatosplenomalgly 
pallor 
petechia
 (greter than 25% blast ina bone maoor means leukemia)

Question 3

how to differentiate between infectious and non infectious etiolgy ?

Answer 3

tender lymphadenopahty for infectious causes

Question 4

what re the oercentages of HbF insomeone taking hydroxyurea compared to someone not taking hydroxyurea

Answer 4

on hydroxy urea hbF is >15%

ottherwise its around 5-15 in sickled pateint not taing hydroxyurea

Question 5

lyme disease can cause bell palsy –>explain symtpoms

Answer 5

dropping of the face but puppilary and sympathetics are not effected

Question 6

What component of cows milk interfere with iron absorption

Answer 6

Caseinphosphopeptide and calcium

Question 7

How does a plastic crises present (what does rbc look like)

Answer 7

Normocytic anemia that lasts less than 2 weeks

Question 8

beta thellesemia more common in?

Answer 8

medditerrenean descent

Question 9

alpha thalesemiam more common in?

Answer 9

asian and african descent

Question 10

beta thelessemia is mostly due to what dysfunction ?

Answer 10

point mutation in beta promoter gene

Question 11

hb bart

Answer 11

all alpha chains are deleted

Question 12

describe symptoms of juvenile idiopathic arthritis

Answer 12

chronic joint pain and inflammation and rarely effects the hips

Question 13

differentiate between septic arthirits and transient tensinovitis

Answer 13

septi arthritis presents with - high fever, elevted makers , non weigh berain on efefcted side ultrasound shows effusin

transient tensinovitis - low grade fever and able to bear weight

Question 14

what complicationa re you worried about in a patient with juvenile idiopathic arthiritis

Answer 14

uveitis

Question 15

describe feature of idiopathic juvenile arthritis

Answer 15

arthritis greater than 1 djoint for >6weeks
fever that spikes int he morning followed by a rsh
organomegaly and anemia

Question 16

malaria fevr pattern ?rash ?

Answer 16

malaria has intermittent fever and fatigue and joint pain but no rash associated with it

Question 17

how to treat nursemaids elbow

Answer 17

hyperpronation of forearm or

supination of forearm and flexion of elbow

Question 18

does greensstickfracure lead to avascular necrosis

Answer 18

NO

Question 19

Symptoms of toxoplasmosis

Answer 19

Macrocephaky and diffuse calcifications

Question 20

Symptoms of hsv congentiak

Answer 20

Microcephaly, periventricular calcification

Question 21

Most common pneumonia causing organism in adults ? children?

Answer 21

Adults = staph aureus

Children pseudomonas

Question 22

Ludwig angina

Answer 22

Fatal cellulitis that spreads via dental abscess, submandibular

Question 23

Majority or rabies cases in the US is caused by ?

Answer 23

Bats

Question 24

Hypothermia, lethargy, low WBC and left shift is concerning for ?

Answer 24

Neonatal sepsis

Question 25

Two disease caused by cocksackie

Answer 25

Heperngina but gets bones

Handd foot and mouth disease

Question 26

Common causes of osteomyelitis in patients with sickle cell diseas

Answer 26

Salmonella and Staph aurues

Question 27

y does cystic fibrosis patient have loose stools or constipation? Why?

Answer 27

Loose stools since cystic fibrosis pancreatic insufficiency causes loose stool
Also nasal shiny polyps

Question 28

Seizures, gastroenteritis, fever, mucus stools, young child

Answer 28

Shigella

Question 29

how doyou tret orbitsl cellulitis

Answer 29

give intravenous antibiotics

Question 30

how do you treat nonbullous impetigo? wha tis a complication associated with it

Answer 30

mupirocin

glomerulonephritis

Question 31

what sinuses are present at birth

Answer 31

maxillary and ethmoid

paransl develops after

Question 32

causes of cute bacterial rhinosinucitis

Answer 32

Hib, streptococcus pneumonia and mraxella catarrhalis

Question 33

most common cause of osteomylitis inchildren

Answer 33

staphlococcus aureus

Question 34

causes of menengitis in children less than one month

Answer 34

group b strep
e coli
listeria monocytogenes
herpes simplex

Question 35

causes of meningitis in children greater than one month

Answer 35

streptococcus pneumonia

nessira

Question 36

children with cyanotic congenital cyanotic heart disease are at increased risk for ?

Answer 36

brain abscess