uworld8

Question 1

TCA OD signs

Answer 1

CNS depression
hypotension
anticholinergic- dilated pupils, hyperthermia,
constipation

Question 2

schizophrenia on neuroimaging

Answer 2

enlargement of lateral cerebral ventricles

Question 3

langerhans cell histiocytosis presentation

Answer 3

lytic bone lesions

skin lesions (purple papules, eczema rash)

LAD, HSM

pulm nodules

central diabetes insipidus

Question 4

langherhans cell histiocytosis dx and tx

Answer 4

dx: bone/skin biopsy
tx: desmopressin for DI

Question 5

side effects of methimazole

Answer 5

agranulocytosis

Question 6

side effect of PTU

Answer 6

hepatic failure

ANCA vasculitis

Question 7

kid has a cold/cough then gets hallucinations. what happened?

Answer 7

med side effect

antihistamines- anti-cholinergic
cough suppressants- opioids
alpha agonists: sympathomimeitc

Question 8

hematuria, varicocele, fever/fatigue, polycythemia and thrombocytosis

Answer 8

renal cell carcinoma

Question 9

management of post-vaccine MMR of patient who gets fever, rash…

Answer 9

reassurance- mild form- avoid immunocompromised

Question 10

radioiodine therapy for graves vs toxic nodular goiter

Answer 10

graves: diffuse so can lead to hyothyroidism

nodule/adenoma: iodine only taken up by autonomous nodule so normal levels

Question 11

most common form of sepsis for sickle cell patients

Answer 11

strep pneumo

Question 12

which benzo preferred for etoh withdrawal

Answer 12

lorazepam- intermediate acting

Question 13

which benzos long acting

Answer 13

diazepam

chlordizepoxide

Question 14

persone over >50 with history of chronic neck pain and limited neck rotation and lateral bending consistent with

Answer 14

cervical spondylosis

Question 15

spondylosis on imaging

Answer 15

bony spurs and sclerotic facet joints

Question 16

if peripheral lines cant be placed in kids, what’s next?

Answer 16

interosseus access

Question 17

dacryocystitis

Answer 17

infection of lacrimal sac-medial canthal region of eye

pain and purulence

Question 18

milk alkali syndrome

Answer 18

hypercalecmia
–> N/V, constipation, polyuria, polydipsia, neuropsych

metabolic alkalosis

AKI