world 6

Question 1

Why knee to chest set spell

Answer 1

increased svr

Question 2

nitrofurantoin lung injury

Answer 2

hypersenitvity pneumonitis, 3-9 days later
bilateral basilar opacities + pleural effusion
eiosinophillia

Question 3

cerebellum stroke signs

Answer 3

no hemiparesis
facial weakness
ataxia
nystagmus
occipital HA
neck stiffness

Question 4

pons stroke sx

Answer 4

deep coma, total paralysis

pinpoint reactive pupils

Question 5

tumor lysis electrolytes

Answer 5

increased phos andk

low Ca

Question 6

cyclic vomiting hx

Answer 6

migrants

triggers

Question 7

What do empiric antibiotics increase risk for with diarrhea

Answer 7

HUS if ecoli

Question 8

up to what age US for febrile UTI

Answer 8

2

Question 9

TX for acute unilateral cervical lymphadenitis

Answer 9

clindamycin

Question 10

minimal change biopsy

Answer 10

normal, T cell mediated

Question 11

membranous glomerulonephritis path

Answer 11

thick basement membrane, spikes

Question 12

stoke location with allodynia

Answer 12

thalamus

Question 13

Vit def risk factor for MS

Answer 13

D

Question 14

cholesterol embolism signs

Answer 14

blue toe
intact peripheral pulses
rash-reticular and lacy

Question 15

methanol vs ethelene glycol

Answer 15

methanol = eye probs

EG =. kidney probs

Question 16

Unilateral adernal adenoma med for HTN

Answer 16

Aldosterone antagonist

Question 17

C.diff risk factors

Answer 17

PPI
Age
ABX
hospitalization

Question 18

Hemophillia inheritance

Answer 18

XLR

Question 19

Marker HCC

Answer 19

AFP-50%

Question 20

find gastric cancer next step

Answer 20

ct to stage

Question 21

how does choroid plexus papilloma increase ICP

Answer 21

more fluid production

Question 22

transfusion associated circulatory overload tx

Answer 22

furosemide and respiratory support

Question 23

Theophylline toxicity

Answer 23

HA, Nausea, vomiting, insomnia, seizure, arrhythmia

Question 24

meds that cause methhemoglobinemia

Answer 24

anesthetics, dapsone,nitrites

Question 25

how to prevent vasospasm after coiling (brain)

Answer 25

CCB nimodipine

Question 26

Membranoprolifertive glomerulonephritis path

Answer 26

mesangial hypercellularity

Question 27

ft of leukocyte adhesion deficiency

Answer 27

recurrent skin infection and mucosal infection
NO PUS
poor wound healing
delayed umbilical cord separating
leukocytosis w neutropenia

Question 28

Addisons tx

Answer 28

Glucocorticoids (hydrocortisone, prednisone)

minerocorticosteroids (fludricortisone)

Question 29

HSV encephalitis tap

Answer 29

⬆️ lymphocytes
⬆️ RBC
⬆️ Protein

Question 30

primary cilliary dyskinesia difference from Cystic Fibrosis

Answer 30

• normal growth

- immotile sperm (CF has no vas def))

Question 31

first line med after bed wetting alarm fails

Answer 31

desmopressin

Question 32

myotonic dystrophy inheritance and presentation meds

Answer 32

AD
Myotonia
weakness
cog/behavioral probs
arrhythmia 
cataracts
daytime sleepiness
testicular atrophy

Question 33

hereditary spherocytocis retics, direct cooombs, MCHC

Answer 33

reticulocytes- ⬆️
Coombs- negative
MCHC⬆️

Question 34

What us ascariasis

Answer 34

parasitic round worm
fecal oral transmission
eiospinophillia
tx =. albendazole, mebendizole

Question 35

PML ft

Answer 35

JC virus reactivation, slowly progressive, concussion, ataxia
Aysmetric white matter sessions, NO ENHANCMENT, NO SURROUNDING EDMEA

Question 36

diabetes <65 pneumo vac schedule

Answer 36

23 now, after 65 :13 then 23

Question 37

HIV pneumo vac schedule

Answer 37

now:13 then 23 eight weeks later, 23 again in five years and again at 65

Question 38

x-linked agammaglobunemia signs, dx, tx

Answer 38

abnormal B cell maturations
recurrent sinopulm and GI infections after 6 months
small/absent tonsils and lymph nodes
low immunoglobulins and b cells
normal t cells
no response to vaccines
Tx: Immunoglobulins, prophylactic abc if sever