UWorld_6.30

Question 1

Indication for head CT for eval of head trauma in children

Answer 1

• focal neuro findings
• skull fx
• seizure
• persistent AMS
• prolonged LOC

Question 2

Indication for head CT vs. observation for eval of head trauma in children

Answer 2

• GCS=15 & :
• vomiting
• H/A
• brief LOC
• high-risk/severe MOI

Question 3

Highest risk colonic polyps

Answer 3

• > 2.5cm
• villous adenoma
• sessile adenoma

-hyperplastic polyp = NON-neoplastic

Question 4

Dx of chronic lymphocytic leukemia

Answer 4

• lymphocytosis + periperhal smear: smudge cells

- flow cytometry

Question 5

Causes of hyderandrogenism in pregnancy

Answer 5

• luteoma
• theca luteum cyst
• krukenberg tumor

Question 6

Characteristics of luteoma

Answer 6

• yellow masses of large lutein cells
• solid ovarian masses of US (50% bilateral)
• regress spontaneously after delivery
• high risk of fetal virilization

Question 7

Characteristics of theca luteum cyst

Answer 7

• bilateral ovarian cysts on US
• assoc. w/molar pregnancy & multiple gestation
• regress spontaneously after delivery
• low risk of fetal virilization

Question 8

Characteristics of krukenberg tumor

Answer 8

• bilateral solid ovarian masses on US
• mets from primary GI tract cancer
• high risk of fetal virilization

Question 9

Typical home med to avoid in patients w/renal failure, liver failure or sepsis

Answer 9

• metformin

- causes lactic acidosis

Question 10

“Gardeners disease”

Answer 10

sporotrichosis

Question 11

Vitiligo associated conditions

Answer 11

• other autoimmune conditions:
• pernicious anemia
• autoimmune thyroid dz
• T1DM
• primary adrenal insuff.
• hypopituitarism
• alopecia