uworld 7/30

Question 1

ABX for Cath procedure if pen anaphylaxis

Answer 1

clindimycin or vanc

Question 2

how long before vet c def turns into the scurvy

Answer 2

3 months before sx

Question 3

Ottawa ankle rules for malleolar pain

Answer 3

tender at posterior margin of medial malleolus
tender at posterior margin of lateral malleolus
unable to bear weight for 4 steps

Question 4

Ottawa ankle rules for mid foot pain

Answer 4

tender at navicular
tender at base of 5th metatarsal
unable to bear weight 4 steps

Question 5

signs of bladder cancer older adults

Answer 5

hematuria
hydronephrosis
voiding sx

Question 6

von willebrand PT and platelet

Answer 6

normal

Question 7

von willebrand pt

Answer 7

sometimes prolonged sometimes normal

Question 8

von willebrand bleeding time

Answer 8

always increased

Question 9

risk factor for breech presentation

Answer 9

leiomyomas

Question 10

viral load threshold for c section oney HIV mom

Answer 10

1000

Question 11

tx for hydronephrosis in pregnancy if cr normal

Answer 11

just watch it, will solve when baby leaves

Question 12

predictor of complications with TCA overdose

Answer 12

QRS

Question 13

problem in neonat coarctation of aorta and tx

Answer 13

increased lv after load from thickening of tunica media of aortic arch

tx prostaglandin E1 if severe and surgical repair

Question 14

x-linked agammaglobulinemia pathophys

Answer 14

impaired B cell maturation and immunoglobulin production

Question 15

x-linked agammaglobulinemia clinical manifestation

Answer 15

recurrent sinopulm and go infections after 6 months

small or absent lymphoid tissue-tonsils and adenoids

Question 16

x-linked agammaglobulinemia lab findings

Answer 16

flow cytometry ⬇️ CD19+ B cells
normal T cells
⬇️ immunoglobulins and down arrow ⬇️ antibody response to vaccines

Question 17

agranulocytosis is

Answer 17

the complete absence of neutrophils

Question 18

who gets c section and is not offered external cephalic version

Answer 18

breech, prior c section, placenta previa

Question 19

hemophilia a inheritance

Answer 19

x-linked recessive

Question 20

depression def sleep changes

Answer 20

decreased rem latency and slow wave step. also increased REM and REM sleep density

Question 21

acute stress disorder timeframe

Answer 21

lasts >3 days , < 1 month after event event

Question 22

hep c can have what derm findings

Answer 22

porphyria cutanea tarda

or lichen planus

Question 23

Ehrlichiosis region

Answer 23

south/central US

Question 24

Ehrlichiosis clinical presentation

Answer 24

flu like illness
confusion
rarely spots

Question 25

Ehrlichiosis labs

Answer 25

leukopenia with thrombocytopenia | elevated liver enzymes and ldc

Question 26

Ehrlichiosis dx

Answer 26

morule in monocytes | pcr

Question 27

Ehrlichiosis tx

Answer 27

doxy

Question 28

nitrates in the urine means

Answer 28

enterobacteriacae

Question 29

how does RAAS system make organ failure worse

Answer 29

sympathetic response to low CO vasodilation constricts and Na retention to maintain organ perfusion, this is bad bc it further decreases CO

Question 30

K+ goal hyperosmolar hyperglycemia

Answer 30

5.3

Question 31

statin myopathy moa

Answer 31

INTRAcellular HMG-COA reductase enzyme inhibition stopped it from becoming mevalonic acid, maybe some coenzyme Q10 stuff

Question 32

auto immune arthritis picture + DIP enrollment + nail pitting dx

Answer 32

psoriatic arthritis will mention dry skin with rash or psoriasis

Question 33

what causes breathing abnormalities ankylosis spondylitis

Answer 33

chest wall motion restriction

Question 34

how to avoid gout attacks

Answer 34

``` weight loss stop OH avoid diuretics avoid eating organs low fat diet decrease sea food and red meat ```

Question 35

what meds can cause drug induced acne

Answer 35

steroids, androgens immunomodulators anticonvulsants isoniazid

Question 36

what improves mortality with STEMI

Answer 36

restoration of coronary blood flow

Question 37

Taenia sodium tx

Answer 37

albendazole seizure management steroids

Question 38

complication of PBC

Answer 38

malabsorption of fat sol bit--> osteomalacia or osteoporosis hepatocellular carcinoma

Question 39

factor 5 linen deficency moa

Answer 39

activated protein c resistance

Question 40

conn syndrome levels

Answer 40

low rennin high aldosterone | high bicarb

Question 41

what is procavlgia fugal

Answer 41

rectal pain unrelated to dedication