mixture Uworld

Question 1

irregular bleeding beyond 8 weeks postpartum

Answer 1

gestational trophoblastic disease -choriocarcinoma

Question 2

metastatic choriocarcinoma

Answer 2

lungs

Question 3

how to confirm choriocarcinoma or gestational trophoblastic disease

Answer 3

beta hCG

Question 4

chest XR findings for metastatic choriocarcinoma to the lungs

Answer 4

bilateral infiltrates of various shapes

Question 5

otosclerosis

Answer 5

conductive hearing loss with bony overgrowth of the stapes

low frequency hearing loss

Question 6

menieres

Answer 6

tinnitus, vertigo and sensorinural hearing loss

Question 7

sialadenosis

Answer 7

noninflammatory swelling of salivary glands

abrnomal autonomic innercation

Question 8

anaphylaxis shortly after blood transufsion

Answer 8

IgA deficiency

Question 9

Tx acute prostattisi

Answer 9

TMP-SMX or fluoroquinolone

Question 10

which HTN srgu can cause bilateral hearing loss

Answer 10

furosemide

Question 11

acute urinary retention in elderly

Answer 11

obstruction
neurogenic bladder
detrusor mm underactivity

Question 12

achilles tendon reflex absent in elderly

Answer 12

normal finding, occur s with aging

Question 13

menieres disease

Answer 13

pressure from accumulation endolymph in the inner ear
episodes tinnitus and vertigo with vomiting
prefers cell phone on good side

Question 14

Tx for malignant otitis externa

Answer 14

IV cipro

anti pseudomonal activity

Question 15

leukoplakia

Answer 15

reactive precancerous lesions

hyperplasia of squamous epithelium

Question 16

risk factors for leukoplakia

Answer 16

smokeless tobaco and alcohol use

Question 17

leukoplakia in mouth can progress to

Answer 17

squamous cell carcinoma

Question 18

Tx for antiphospholipid syndrome

Answer 18

LMWH

Question 19

how does pneumonia 23 vaccine work

Answer 19

T cell independent B cell response

Question 20

how dose the PCV13 vaccine work

Answer 20

capsular polysaccharide conjugated to protein Ag

robust T cell depended B cell response

Question 21

varicoceles are more common on what side

Answer 21

left

Question 22

conductive hearing loss in HIV patient

Answer 22

serous otitis media

dull TM hypomobile

Question 23

mammography screening

Answer 23

Q 2 years women 50-75

Question 24

when to screen for osteoporosis

Answer 24

DEXA when 65+

Question 25

granulomatous ulcers in mouth and intermitten abdominal pain

Answer 25

crohns

Question 26

peritonsilar abscess signs

Answer 26

uvula deviation

Question 27

Tx peritonsillar abscess

Answer 27

aspiration and IV antibiotics

Question 28

aspirin exacerbated respiratory disease

Answer 28

nasal polyps, asthma, chronic rhinosinutisis, bronchospasm

Question 29

age for otosclerosis

Answer 29

20s-30s

Question 30

fibrocystic changes

Answer 30

multiple diffuse nodulocystic masses

Question 31

fibroadenoma

Answer 31

solitary mobile well circumscribed mass

Question 32

non inflammatory chronic prostatitis

Answer 32

irritative voiding Sx a febrile normal UA

Question 33

inflammatory chronic prostatitis

Answer 33

irritative voiding Sx agebrile WBC on secretions

Question 34

side effects cyclosporine

Answer 34

``` nephrotoxicity HTN neurotoxicity- tremors glucose intolerance infection malignancy gingival hypertrophy and hirsutism GI maniestations ```

Question 35

major side effect azathioprine

Answer 35

dose related diarrhea, leukopenia and hepatotoxitcity

Question 36

major toxicity of mycophenolate

Answer 36

BM suppression

Question 37

most important prognostic factor for infiltrating ductal carcinoma of the breast

Answer 37

TMN

Question 38

what can help with menieres disease

Answer 38

low salt diet