Week 2 UWorld

Question 1

what are two benign liver masses?

Answer 1

hepatic adenoma and focal nodular hyperplasia

Question 2

how does focal nodular hyperplasia of liver appear on imaging?

Answer 2

hypodense with central scarring

Question 3

what can cause severe onset psoriasis in patient who has never had psoriasis?

Answer 3

HIV

Question 4

what are the GI symptoms of whipple disease?

Answer 4

steatorrhea, diarrhea, abdominal pain

Question 5

what are extraintestinal symptoms of whipple disease?

Answer 5

arthropathy, cough and heart valve involvement

Question 6

what is rx for legionnaires?

Answer 6

macrolide or fluoroquinolone

Question 7

what are symptoms of late neurosyphillis?

Answer 7

ataxia, argyyl robinson pupil, sharp shooting pains, neurogenic urinary incontinence

Question 8

what happens at onset of botulism?

Answer 8

dysphagia, double vision cranial nerve issues

Question 9

how does boutlism progress?

Answer 9

descending paralysis

Question 10

what is rx for botulism?

Answer 10

equine anti toxin

Question 11

what can you get botulism from?

Answer 11

honey, canned foods and fish

Question 12

what lab indicates that an asthmatic is getting really bad during an acute exacerbation?

Answer 12

if pH and arterial CO2 are normal…should be getting alkalotic

Question 13

what can be found on ecg in patient with pericardial effusion?

Answer 13

electrical alterans

Question 14

what is electrical alterans?

Answer 14

rotating between QRS amplitude

Question 15

what are signs of hodgkin lymphoma?

Answer 15

B symptoms with hilar and mediastinal lymphadenopathy

Question 16

who gets hodgkin lyphoma?

Answer 16

young adults

Question 17

on a PET scan, what organs can light up even without abnormal things going on?

Answer 17

kidney, brain, and liver

Question 18

what are the two hemolysis labs and levels during hemolysis?

Answer 18

haptoglobin low

LDH high

Question 19

what MSK issue can alcohol cause acutely?

Answer 19

lower extremity myopathy

Question 20

what can rhabdomyolysis cause to happen with kidneys?

Answer 20

AKI

Question 21

how does stomach pain often change with gastric cancer?

Answer 21

gets worse with eating

Question 22

what are 6 EKG findings of hyperkalemia?

Answer 22

loss of P waves, increased PR interval, peaked T waves, sinusoid pattern, QRS widening, conduction blocks

Question 23

what are signs of constrictive pericarditis on JVP?

Answer 23

sharp x and y descents

Question 24

what infectious disease commonly causes constrictive pericarditis?

Answer 24

TB

Question 25

name five drugs that cause hepatitis

Answer 25

steroids, isoniazid, valproate, acetaminophen and allopurinol

Question 26

what electrolyte abnormality indicates poor prognosis of HF?

Answer 26

hyponatremia

Question 27

patient with FAP should have what type of CRC screening done?

Answer 27

frequent colonoscopy then take it our

Question 28

what lab abnormality can happen with large amounts of blood transfusion?

Answer 28

hypocalcemia

Question 29

aside from systolic murmur what is a physical exam sign consistent with AS?

Answer 29

delayed and weak carotid pulse

Question 30

what are CSF findings in HSV encephalitis?

Answer 30

lymphocytes high with RBCs

Question 31

what are clinical signs of HSV encephalitis?

Answer 31

fever, seizures and behavioral changes

Question 32

what is the cause of pyoderma gangrenosum? what is it?

Answer 32

neutrophilic infiltrate following local trauma...not bacteria it is a BAD ulcer

Question 33

what is pyoderma gangrenosum associated with?

Answer 33

IBD and RA

Question 34

what is rx of pyoderma gangrenosum?

Answer 34

steroids

Question 35

aside from TB what other mycobacterium can patients with AIDS get? what cd4 count?

Answer 35

avium...less than 50

Question 36

what are sx of mycobacterium avium?

Answer 36

fever, weight loss, diarrhea, abdominal pain

Question 37

what is rx of mycobacterium avium?

Answer 37

macrolide and ethambutol

Question 38

what are symptoms of hyperviscosity syndrome from waldenstroms macroglobulinemia?

Answer 38

diplopia, tinnitus, headache, and neuropathy

Question 39

if SIADH leads to severe hyponatremia what do you do?

Answer 39

hypertonic saline

Question 40

what is first line therapy of SIADH?

Answer 40

fluid restrict

Question 41

how does tissue invasive CMV infection present?

Answer 41

patient with immunosuppression develops pneumonia type picture along with GI issues and rectal bleeding

Question 42

what is used to treat CMV?

Answer 42

ganciclovir

Question 43

if patient has rusty wounds and has been vaccinated to tetanus, what do they need?

Answer 43

just booster

Question 44

what lab abnormality can occur in beta blocker toxicity?

Answer 44

hypoglycemia

Question 45

what should be given for beta blocker OD?

Answer 45

atropine, glucagon, fluid

Question 46

what is treatment of metabolic alkalosis from vomiting?

Answer 46

normal saline and potassium