U World 2

Question 1

1st line rx for PCP

Answer 1

TMP-SMX and steroids

Question 2

1st line for hospital acquired pneumonia

Answer 2

Vanc and pip-tazo

Question 3

1st line for community acquired pneumonia

Answer 3

ceftriaxone and azithromycin

Question 4

Are hypo or hyper functioning thyroid nodules more likely to be malignant

Answer 4

hypo/ cold nodule are more likely to be malignant

Question 5

What renal disease is common in Hodgkins lymphoma

Answer 5

minimal change disease

Question 6

Test for zeinker diverticulum

Answer 6

contrast esophogram

Question 7

Changes to the kidney with HTN

Answer 7

arteriosclerotic lesions of renal arterioles

glomerular capillary tufts

Question 8

changes to kidney in DM renal disease in first 5 years

Answer 8

basement membrane thickening
mesangial expansion
fibrosis

Question 9

Renal damage from multiple myloma

Answer 9

bence jones proteins obstruct collecting tubes

amyloid deposition

Question 10

changes to kidney in DM in first year

Answer 10

renal hyperperfusion/ hypertrophy

↑ GFR

Question 11

How long does it take for microalbuminuria to manifest in DM

Answer 11

within 5-10 years

Question 12

rx for beta thalassemia

Answer 12

no rx needed

Question 13

Blue toe syndrome

Answer 13

common cutaneous finding of cholesterol embolism

rx: statin

Question 14

In general, how do you improve oxygenation on a vent

Answer 14

↑ PEEP or FiO2

↑ FiO2 can lead to O2 toxicity, so usually fix the PEEP

Question 15

What causes the outflow obstruction in HCM

Answer 15

abnormal mitral movement

mitral contacts interventricular septum

Question 16

Mitral stenosis murmur

Answer 16

diastolic rumble at the apex

Question 17

Mitral regurg murmur

Answer 17

holosystolic at apex radiating to the left axilla

Question 18

In what type of MI would you not use nitroglycerine?

Answer 18

right ventricular infarction

Question 19

EKG inferior leads

Answer 19

II
III
aVF

MI here has 50% chance of involving the RV

Question 20

mycophenolate

Answer 20

immunosuppressant

s/e= bone marrow suppression

very high yield

Question 21

most common causes of acute viral arthritis

Answer 21

Parvo
Heo B and C
HIV
Rubella

Question 22

Azathioprine

Answer 22

immunosuppressant

s/e= diarrhea, leukopenia, hepatotoxicity

very high yield

Question 23

Clinical signs of an AV fistula

Answer 23

heart failure

strong pulses/ wide pulse pressure
flushed extremities
systolic flow murmur
tachy

Question 24

Why do AV fistulas cause heart failure

Answer 24

increases cardiac preload

normal output

Question 25

Inhibits IL-2 common immunosuppressant

Answer 25

Cyclosporine / tacrolimus

Question 26

Causes of aquired AVF

Answer 26

trauma, iatrogenic, atherosclerosis, cancer

Question 27

Most common side effect of cyclosporin

Answer 27

nephrotoxicity also HTN, neurotox, hyperkalemia, gingival hyperplasia, NVD

Question 28

Trichinellosis

Answer 28

from undercooked meat periorbital edema, myositis, eosinophilia

Question 29

Worm that obstructs bowel

Answer 29

ascariasis

Question 30

Typhoid fever

Answer 30

fever salmon colored rash GI bleeding

Question 31

Dengue fever

Answer 31

fever, headache, eye pain, rash, myalgias, arthralgias can hemorrhage into skin/ nose

Question 32

Most common cause of community acquired bacterial meningitis

Answer 32

pneumococcal meningitis

Question 33

When you have a high suspicion for PE in a patient with severe distress you should?

Answer 33

start anti-coag before more testing

Question 34

Digoxin is used when?

Answer 34

inotropic- LV systolic dysfunction

Question 35

Ranolazine

Answer 35

anti-anginal for stable patients refractory to nitor, BB, CCBs

Question 36

Isolated systolic htn

Answer 36

systolic > 140 and diastolic < 90 caused by stiff arteries in old people