Uworld Mix 10/4/18

Question 1

Guy passes out in his own urine, and he’s confused. He’s tachycardic. Labs shows Leukocytes 12500, CPK is 26000. What is he at risk for developing.

Answer 1

Acute Renal Failure from Rhabdomyolysis. His biggest RF are cocaine and immobilization.

Question 2

Can cocain cause splenic rupture?

Answer 2

NO DUMBASS this would would be from blunt trauma, or EBV mediated pseudolymphoma

Question 3

Baby has a little hernia and is not in any distress, its nontender, and easily reduced. its 1.4 cm Next step?

Answer 3

Observe. Maybe surgery at age 5. THis size it may close spomtaneously.

Question 4

When would you do a US on a hernia on a baby?

Answer 4

You dont. if its an adult.

Question 5

Guy has obvious signs of an aortic aneurysm and has a high blood pressure. He has a decrescendo diastolic murmur. ECg was done, showing consistent results. Creatinine is 2.1. What is the NEXT STEP.

Answer 5

Transesophogeal Echocardiography - the murmur means regurge, and the this is causing a TYPE A Aortic Dissection. And the patient has renal insufficiency, so you CANNOT do CT angiogram.

Question 6

5 year old has a fever, and left sided neck swelling. This happened within a day. His vaccines are UTD. its a red tender mass, 2 cm, in the left anterior lymph node chain. What is the most likely cause

Answer 6

Staphylococcus Aureus.

Question 7

5 year old has a fever, and BILATERAL sided neck swelling. This happened within a day. His vaccines are UTD. its a red tender mass, 2 cm, in the anterior lymph node chain, both sides. What would be the cause(s)

Answer 7

Adenovirus if theres conjuctivitis. EBV/CMV if mononucleiosis

Question 8

Lady is having symptoms of hyperemesis gravidarum, and has twins after in vitro fertilization. She has hypotension, dehydration, decreased skin turgor, and epigastric tenderness. What tests/lab abnormalities would you see

Answer 8

Ketonuria
Hypochloremic metabolic alkalosis
Hypokalemia
Hemoconcentration

The test you ketones is UA for ketones.

Question 9

What is the management of Hyperemesis Gravidarum

Answer 9

Admission ot hospital, antiemetics and IVF

Question 10

What would differ a ligamentous back sprain from a injury from loss of bone mineral density (compression fracture)

Answer 10

Ligamentous back sprain would GET BETTER with rest. Compression fracture pain would get worse.. LigBP would also be more PARASPINAL pain. Compression fracture is midline.

Question 11

On a breast biopsy, would dose “hyperechoic mass… foamy macrophages and fat globules” mean?

Answer 11

Fat necrosis.

Question 12

Steps for handling gestational diabetes?

Answer 12

Diet first, THEN insulin if that fails.

Question 13

Symptoms of Juvenile Idiopathic Arthritis?

Answer 13

Swollen symmentric arthritis, labs show - elevated ESR, CRP, hypergammaglobulinemia, ThromboCYTOSIS, Anemia, HyperFERRITIN