uworld6

Question 1

acute intermittent porphyria sxs

Answer 1

abdominal pain- neuropathic

psych

Question 2

jejunal atresia is due to

Answer 2

vascular accident in utero- like cocaine

look for triple bubble

Question 3

webbed neck, horseshoe kidney, nail dysplasia. think…

Answer 3

turner syndrome

Question 4

why is there swelling in turner syndrome?

Answer 4

congential lymphedema- dysgenesis of lymphatic system

Question 5

earliest renal abnormality in DM

Answer 5

glomerular hyperfiltration

Question 6

patient with past CABG develops eosinophilia, purple mottled feet, N, abdominal pain

Answer 6

cholesterol embolism

Question 7

which bacteria develops infective endocarditis from UTis?

Answer 7

enterococci

Question 8

how to differentiate gonococcal arthritis from reactive arthritis

Answer 8

both have urethritis and may have neg gram stain

look for conjuctivitis, mouth ulcers, achilles tendon pain, in reactive

look for fever in gonococcal

Question 9

how to evaluate for fetal growth restriction

Answer 9

1. placenta histopath eval for infection/infarction

2. karyotype, urine tox screen, serology

Question 10

myotonic muscular dystrophy genetic pattern

Answer 10

aut dom

Question 11

myotonic muscular dystrophy presentation

Answer 11

age 12-30

facial weakness, hand grip weakness, dysphagia,

testicular atrophy

Question 12

neuroblastoma presenting in paravertebral sympathetic chain can present as

Answer 12

horner syndrome

Question 13

morning sickness weeks

Answer 13

4-7 start, resolves at 16

Question 14

first line for pseudotumor cerebri

Answer 14

acetozolamide +/- furosemide

Question 15

why is normal PaCo2 concerning in asthma exacerbation?

Answer 15

because normally low due to hyperventilation, and if normal, it means there’s a resp collapse

Question 16

post-exposure varicella ppx

Answer 16

got vaccinated: reassure

nonvaccinated, immunocompetent: vaccine

nonvaccinated, immunocompromised: VZIG

Question 17

cardiac complication of marfan syn

Answer 17

aortic dissection–> aortic regurg (diastolic rumble)

Question 18

which increased anion gap etiology causes vision loss

Answer 18

methanol

Question 19

which imaging to do for spinal mets

Answer 19

x-ray

Question 20

pernicous anemia long-term complication

Answer 20

gastric cancer

Question 21

which type of shock is mixed venous O2 increased

Answer 21

septic shock (other shocks-decreased)

Question 22

which types of shock has low SVR

Answer 22

septic shock,

distributive shock (neurogenic, adrenal insufficiency)