UWSA1

Question 1

tx for afib w/ RVR

Answer 1

BB vs CCB

Question 2

old person w/ tense bullae

Answer 2

bullous pemphigoid (hemidesmosomes, linear IgG at BM)

Question 3

tx for juvenile myoclonic epilepsy

Answer 3

valproic acid - see bilateral polyspike + slow wave activity on EEG

Question 4

CKD causes: Ca, Phos

Answer 4

low Ca, high Phos -> high PTH (dec vit D, dec phos filtration)

Question 5

pleural effusion w/ v elevation protein (>4), lymphocytes, low glu

Answer 5

TB (exudative effusion)

Question 6

HSV encephalitis CSF

Answer 6

lymphocytic pleocytosis, high RBC, high prot

Question 7

pathophys of CF pts developing cor pulmonale

Answer 7

chronic hypoxemia -> pulm HTN -> RHF

Question 8

how does roux-en-Y promote gallstone formation?

Answer 8

rapid weight loss promotes formation

Question 9

tx for CLL

Answer 9

rituximab (CD-20 monoclonal Ab)

Question 10

pulses that disappear on inspiration

Answer 10

pulsus paradoxus (assoc w/ tamponade)

Question 11

complications of impetigo

Answer 11

poststrep glomerulonephritis

Question 12

serositis + symmetric polyarthritis

Answer 12

SLE

Question 13

drug interaction w/ triptan causing prolonged vasospasm -> HTN crisis

Answer 13

ergot derivative (overactivates serotonin receptors)

Question 14

blank stare + automatisms

Answer 14

temporal lobe epilepsy

Question 15

HIV drug known to cause psych side effects in 50% pts

Answer 15

efavirenz (NNRTI)

Question 16

smudge cells on blood smear

Answer 16

CLL (fragile lymphocytes)

Question 17

low probability VQ scan + high probability PE

Answer 17

perform CT PE

Question 18

constitutional sxs, normocytic anemia, renal insufficiency, hypercalcemia

Answer 18

multiple myeloma

Question 19

afib + weight loss

Answer 19

hyperthyroidism

Question 20

1st line tocolytics

Answer 20

32 wks: indomethacin

32-34: nifedipine

Question 21

orthostasis after initiation of BPH med

Answer 21

alpha-blocker -> peripheral vasodilation

Question 22

tx for stable v-tach

Answer 22

amiodarone

Question 23

halos in vision at night, loss of red reflex

Answer 23

cataracts

Question 24

most effective intervention for slowing progression of diabetic nephropathy

Answer 24

BP control

Question 25

OCPs reduce risk of what cancers?

Answer 25

ovarian + endometrial

Question 26

most often cause of renal failure in multiple myeloma

Answer 26

light chain casts clog the renal tubules and cause injury

Question 27

upper + lower respiratory involvement, rapidly progressive glomerulonephritis, nonhealing skin ulcers

Answer 27

granulomatosis w/ polyangiitis

Question 28

immunocomp pt w/ progressive lesion: erythematous macule -> nontender nodule w/ central necrosis

Answer 28

ecthyma gangrenosum (pseudomonas bacteremia)

Question 29

astrocytoma prognosis

Answer 29

grade (not stage)

Question 30

common cause of septic shock in SS disease

Answer 30

strep pneumo + H flu

Question 31

septum rupture after MI: timeline

Answer 31

3-5 days

Question 32

persistent HTN + hypoK after intiating diuretics

Answer 32

primary hyperaldo

Question 33

proximal muscle weakness w/ elevated muscle enzymes w/o skin findings

Answer 33

polymyositis (pain mild/absent)

Question 34

PSGN vs IgA nephropathy

Answer 34

PSGN assoc w/ strep, more delayed.. IgA ~5 days after URI

Question 35

tx for inadequate uterine contractions

Answer 35

oxytocin

Question 36

AUB, galactorrhea, + metabolic slowing

Answer 36

hypothyroidism: low T -> high TSH + prolactin -> suppresses FSH, LH, estrogen