Uworld

Question 1

Major depressive + insomnia + appetite Rx??

Answer 1

Mirtazapine and continue psychotherapy

Question 2

Trastazumab before starting what to do?

Answer 2

ECG as is cardiotoxic plus in patients with EF

Question 3

SAH Complications?

1) within 24 hours??
2) within 3-10 days??

Answer 3

1) Rebleeding

2) Vasospasm—Dx:CTA—Px: Nimodipine

Question 4

Only hempiplegia, muscle weakness, facial muscles. Which stroke?

Answer 4

Lacunar — due to HTN especially

Internal Capsule involved, no aphasia no apraxia no cortical signs

Pure motor
Pure sensory

Question 5

Acute otitis media
V/S
Otitis media with effusion

Answer 5

Acute Otitis media does have acute eardrum inflammation signs:
Bulging eardrums
Fever

Otitis media with effusion doesnt

Question 6

Sodium status in

1) 1° polydipsia
2) Nephrogenic DI
3) Central DI

Answer 6

1) Hyponatremia
2) normal sodium levels
3) Hypernatremia

Question 7

Fetal heart tones not heard by doppler. Next step!????

Answer 7

USG transabdominal to check for heart beat

Question 8

Vaginal v/s D&E??

Answer 8

Vaginal >/=24 weeks

D&E =23

Question 9

Woman, epigastric burning partially relieved by antacids for 2-3 months. Pain itching red streaks on her left arm. Previously had similar findings on chest which resolved spontaneously. P/E: tender erythematous cord like veins on left arm and upper chest. Dx?

Answer 9

Do CT Abdomen.
Trosseau syndrome.
Migratory superficial thrombophlebitis, due to occult visceral malignancy esp pancreas (lung prostate stomach colon etc)

Question 10

HIV C section beneficial when viral load =????

Answer 10

> 1000

Question 11

UTI in a child

Answer 11

Medical managaement: antibiotics

Symptoms resolve : do a renal bladder USG

Question 12

Nephrotic syndrome patient you give diuretics edema improves however patient develops severe right abdominal pain, fever and gross hematuria. Dx in renal biopsy??

Answer 12

Membranous Nephropathy

Renal vein thrombosis is most commonly caused by Membranous nephropathy.

Rvt cause by loss of protein antithrombin 3 in urine so increased risk of thrombosis

Question 13

Reye syndrome liver pathology findinggs

Answer 13

Macrovesicular infiltration

Question 14

HELLP liver pathology findings

Answer 14

Centrilobular necrosis, hematoma formation, thrombi in portal capillary system

Question 15

Pleural fluid characteristics of exudate (infections malignancy connective tissue ds inflammatory ds CABG Pulmonary embolism)

Transudate(CHF Cirrhosis nephrotic peritoneal dialysis)

Answer 15

EXUDATES
Pleural fluid protein/serum protein ratio >0.5
Pleural LDH/ S. LDH : >0.6
Pleural fluid LDH >2/3 of upper limit of normal serum LDH
pH: 7.3-7.45
Glucose