uworld17

Question 1

paget disease of bone sxs

Answer 1

most asx

bone pain/deformity:

• skull (HA, hearing loss)
• spine (stenosis, radiculopathy)
• long bones (bowing, fracture, arthritis)

Question 2

paget dz of bone labs- Ca, Phos, alk phos, urine hydroxyproline

Answer 2

Ca and Phos nl

Alk phos & urine hydroxyroline (collagen breakdown) high

Question 3

does diagnosis of CAP require CXR?

Answer 3

actually yes!

Question 4

recurrent hexagonal crystal nephrolithiasis and positive cyanide nitroprusside test is positive for …

Answer 4

cystinuria- cystine stones

Question 5

ideal location of endotracheal tube (for intubation)

Answer 5

2-6 cm above carina

Question 6

what happens when endotracheal tube pressed too far?

Answer 6

overinflation of right lung, underinflation of left

—>decreased breath sounds on left, asymmetric lung expansion

Question 7

procedure for pneumothorax vs life threatening tension pneumothorax?

Answer 7

regular: chest tube
tension: needle thoracostomy

Question 8

what should you think with shoulder pain, limited ROM, and tenderenss to palpation at tendon insertion sites (enthesitis)

Answer 8

anklyosing spondylitis and other spondylarthropathies

Question 9

small fiber injury sxs vs large fiber in diabetic neuropathy

Answer 9

small: positive sxs- pain, paresthesias, allodynia
large: negative- numb, loss of proprio/vib, diminished reflexes

Question 10

whats first drug to give someone who has MI?

Answer 10

aspirin

Question 11

dactylitis, think…

Answer 11

psoriatic arthritis

Question 12

should you anticoagulate patients with likely PE in moderate-severe distress?

Answer 12

yes!

Question 13

amyloidosis sxs

Answer 13

nephrotic syn

cardiomyopathy

HSM

sensory, periph, autonomic neuropathy

bleeding

waxy easy bruising skin

Question 14

dx and tx of amyloidosis

Answer 14

dx: abdominal fat pad biopsy
tx: colchicine

Question 15

CPPD typically happens after

Answer 15

surgery
overuse
illness

Question 16

autoimmune hemolytic anemia and hereditary spherocytosis are intravascular or extravascular hemolysis?

Answer 16

extravascular

Question 17

how to differentiate AIHA and HS on coombs?

Answer 17

AIHA: coombs pos

HS: coombs neg

Question 18

biggest risk factor for aortic dissection

Answer 18

HTN

Question 19

thyroid storm sxs

Answer 19

tachycardia, hypertension
arrythmias
high fever
tremor
lid lag
AMS

Question 20

someone with PV and painful toe likely has

Answer 20

gout! high cell turn over

Question 21

is gout pos or negatively bifringent

Answer 21

negative (CPPD is positive)

Question 22

which abx to use for human bite?

Answer 22

augmentin (amox-clavulanate)

cover gram pos, GNR, anaerobes

Question 23

cyclophosphamide can lead to

Answer 23

bladder cancer

Question 24

hydroxychloroquine side effect

Answer 24

optic neuritis, visual disturbances
GI distress
G6PD def

Question 25

which RA drug can cause macrocytic anemia

Answer 25

methotrexate

Question 26

radiation given for recurrence of prostate cancer is considered _____ therapy

Answer 26

salvage

Question 27

neoadjuvant vs adjuvant therapy

Answer 27

neo: before standard therapy
adjuvant: in addition to standard therapy

Question 28

management of first degree heart block with no QRS findings

Answer 28

observe

Question 29

2nd degree block: Mobitz type 1 vs 2- location of block

Answer 29

I: AV node

II: below AV node

Question 30

Mobitz 1 vs 2: EKG

Answer 30

I: progressive prolonged PR leads to dropped qrs

II: constant PR with intermittent dropped qrs

Question 31

mobtiz 1 vs 2: which has high risk of complete heart block

Answer 31

II

Question 32

exercise, atropine improves which mobitz?

Answer 32

improves I, worsens II

Question 33

vagal maneuvers worsens and improves which mobitz

Answer 33

worsens I, improves II