uworld5

Question 1

which eye dz: neovascularization on fundoscope, with vitreous hemorrhage and macular edema

Answer 1

diabetic retinopathy

Question 2

which eye dz: painless, blurring of central vision, central scotoma, abnl vessels in retina

Answer 2

exudative macular degeneration

Question 3

what is this: recurrent chest pain that wakes up at night, no risk factors for CAD, ST elevation during episodes

Answer 3

vasospastic angina (prinzmetal)

Question 4

what blood labs abnl in juvenille idiopathic arthritis

Answer 4

anemia, thrombocytosis

Question 5

how to differentiate CF meconium ileus from hirschrprung

Answer 5

meconium:
CF- viscous, thick
Hirsch: normal

level of obstruction:
CF: ileus
Hirsch: rectosigmoid

Question 6

hirschrprung most related to what disease

Answer 6

down syndrome

Question 7

is RDW elevated or decreased with iron def anemia

Answer 7

increased

Question 8

if asx 2 day old gets bunch of blanchy rashes on body (spares hands, soles), what should you do?

Answer 8

reassure it’s normal- erythema toxicum neonatorum- resolves within 2 weeks

Question 9

DKA management

Answer 9

normal saline
infusion of regular insulin

potassium if K between 3.3-5.2
bicarb if pH<6.9
phos if under <1

Question 10

should you do a straight cath in patients with prostatitis?

Answer 10

no!! if urinary retention, do a suprapubic cath

Question 11

how does chronic prednisone affect cortisol levels

Answer 11

decreases

Question 12

can you get botulism from dust?

Answer 12

yes apparently spores

Question 13

what infection looks like epiglottitis but is in adults?

Answer 13

ludwig angina- cellulitis of submandibular space- from dental infections

do CT and IV abx

Question 14

first line for pituitary adenomas causing prolactinemia

Answer 14

dopamine agonists- cabergoline, bromocriptine

Question 15

management of acute sciatica

Answer 15

NSAIDS- most will resolve

Question 16

HSV/VZV vs CMV retinal dz in HIV patient

Answer 16

HSV/VZV: pain, keratitis, uveitis, pale lesions and central retinal necrosis

CMV: painless, hemorrhages and fluffy lesions

Question 17

congenital muscular torticollis presentation

Answer 17

SCM mass, does not transilluminate

ipsi head tilt, contra chin deviation

Question 18

diagnosis of leprosy

Answer 18

skin biopsy

Question 19

reactive attachment disorder

Answer 19

response to early childhood abuse

emotional and social withdrawal

Question 20

alcoholic hallucinosis

Answer 20

withdrawal 12-24 start, till 48 hrs after

vital signs stable, but hallucinations

Question 21

arsenic toxicity

Answer 21

painful polyneuropathy

skin lesions- hyper/hypopigmented

panctyopenia

mild AST/ALT elevation

Question 22

lead toxicity

Answer 22

neuropathy

GI complaints

anemia

Question 23

open angle glaucoma presentation

Answer 23

african american

asx initially

loss of peripheral vision

cupping optic disc

Question 24

angle closure glaucoma presentation

Answer 24

blurred vision

severe eye pain

N/V

Question 25

cataract

Answer 25

thickening of lens–> blurred vision, glare

Question 26

infective endocarditis due to dental cavities, which bacteria

Answer 26

strep viridans