uworld10

Question 1

pathophys of gestational DM

Answer 1

physiologic changes in pregnancy: increased hPL in 3rd trimester –> increased peripheral insulin resistance and increased beta cell hyperplasia–>insulin

Question 2

protein gap (protein-albumin >4) seen where

Answer 2

nonalbumin protein in serum!

multiple myeloma, waldrenstrom
infection, connective tissue dz

Question 3

pleural fluid with high triglycerides

Answer 3

chlyothorax

Question 4

arthritis with chondrocalcinosis and hepatomegaly. think

Answer 4

hemochromatosis

Question 5

calcified rimmed mass in gallbladder

Answer 5

porcelain gallbladder- ass. chronic cholecystitis

Question 6

porcelain gallbladder has increased risk of what

Answer 6

gallbladder adenocarcinoma

Question 7

treating slipped capital femoral epi

Answer 7

surgical pinning to prevent avascular necrosis

Question 8

kids with HSP at increased risk of

Answer 8

intussception- due to intestinal edema/bleeding

Question 9

fibromuscular dysplasia affects which arteries most commonly

Answer 9

renal and internal carotid

Question 10

people with RA have increased of what bone disorder

Answer 10

osteoporosis (from excess cytokines, prednisone)

Question 11

treatment for performance type social anxiety

Answer 11

beta blockers, benzos

Question 12

3 month old with umbilical hernia, abdominal bloating, and hypotonia

Answer 12

congenital hypothyroidism

Question 13

HSP pathophys

Answer 13

IgA mediated vasculitis

Question 14

thinning and splitting of glomerular basement membrane

Answer 14

alport syndrome

Question 15

thickening of glomerular bm

Answer 15

membranous nephropathy

Question 16

linear deposition of IgG in basement membrane

Answer 16

Goodpasture

Question 17

flattening of podocytes

Answer 17

minimal change dz

Question 18

wiskott aldrich syndrome is a defect in

Answer 18

cytoskeleton remodeling of cell signaling

Question 19

central retinal artery occlusion treatment

Answer 19

emergently: ocular massage and high-flow oxygen

Question 20

lung cancer + muscle weakness + rash

Answer 20

dermatomyositis

Question 21

lambert eaton distinguished from dermatomyositis

Answer 21

no rash

has absent deep tendon reflexes and has autonomic dysfunction

Question 22

MDMA toxicity presentation

Answer 22

amphetamine: HTN, tachycardia, hyperthermia

serotonin syn: autonomic dysregulation, high fever, seizures, hyponatremia

Question 23

what drugs dont show up on tox screens?

Answer 23

amphetamines, MDMA, bath salts

Question 24

bacteria involved in epididymitis depending on age <35 and >35

Answer 24

<35: gonorrhea, chlamydia

> 35: E coli

Question 25

delayed sleep-wake phase disorder

Answer 25

night owl circadian rhythm style- makes traditional bedtimes difficult