UWorld toxic epidermal necrolysis

Question 1

cushing syndrome

Answer 1

htn
hyperglycemia
wt gain

Question 2

What thyroid pathology has psammoma bodies

Answer 2

papillary thyroid cancer

*most common thyroid pathology

Question 3

MEN 1 features

Answer 3

pituitary adenoma
primary hyperparathyroidism
pancreatic/GI neuroendocrine tumors

Question 4

Rx for dermatitis herpetiformis

Answer 4

dapsone

d/c gluten

Question 5

When do you intubate a COPD exaserbation

Answer 5

AMS
acidemia < 7.1
hemodynamic instability

Question 6

angiodysplasia

Answer 6

dilated veins/ AVMs

common cause of painless GI bleed

Question 7

reversible causes of ua incontinence in old people

Answer 7

delirium
infection- uti
atrophic urethritis 
pharm- drugs
psych 
excessive ua- t2dm
restricted mobility
stool impaction

Question 8

Rx for human bite

Answer 8

amoxicillin-clavulanate

Question 9

Prolonged infusion of sodium nitroprusside can lead to __________ toxicity

Answer 9

cyanide

esp in pts w/ CKD

Question 10

CD4 count under 200 prophylaxis

Answer 10

Tmp-Smx

Question 11

what does good glucose control actually help?

Answer 11

microvascular disease

Question 12

CD4 count under 50 prophylaxis

Answer 12

azithromycin- mac
itraconazole- histo
tmp-smx- PCP, toxo

Question 13

What is a general good A1C goal

Answer 13

7-8%

Question 14

seborrheic dermatitis

Answer 14

yellow scale on red base
scalp/ face
itchy
topical antifungals help

Question 15

stable pt in a-fib gets?

Answer 15

beta blocker
diltiazem
digoxin

Question 16

hemodynamically unstable pt in afib gets?

Answer 16

cardioversion

Question 17

best indicators for rx of DKA

Answer 17

serum anion gap

beta-hydroxybutyrate

Question 18

complications of positive pressure ventilation

Answer 18

alveolar damage
pneumothorax
hypotension

Question 19

Acute intermittent porphyria

Answer 19

severe abdominal pain
patchy sensorimotor neuropathy
autonomic dysfunction

Question 20

Lead poisoning

Answer 20

stocking glove neuropathy
microcytic anemia
GI upset

Question 21

arsenic toxicity

Answer 21

painful sensorimotor neuropathy
skin lesions
pancytopenia
↑ LFTs

Question 22

Best cosmetic way to remove basal cell carcinoma

Answer 22

mohes

remove thin layers examining each for tumor margin

Question 23

What do you avoid giving in RV MI

Answer 23

nitrates
diuretics

*you DO NOT want to ↓↓ preload

Question 24

Rx for boulos pemphigoid

Answer 24

topical clobetasol

Question 25

colonoscopy in laxative abuse

Answer 25

melanosis coli (dark brown discoloration)

Question 26

First line Rx for BPH

Answer 26

alpha 1 blocker | faster onset than 5-alpha reductase inhibitors

Question 27

porphyria cutanea tarda

Answer 27

most common porphyria deficiency of uroporphyinogen decarboxylase asc. w/ hep c s/s photosensitivity and fragile skin

Question 28

How long after an MI does papillary muscle rupture occur?

Answer 28

2-7 days

Question 29

What may have happened after an MI if the ST elevation persists 3 months later?

Answer 29

Ventricular aneurysm

Question 30

Lung disease in ank spon

Answer 30

restrictive from ↓ chest wall motion

Question 31

Morton neuroma

Answer 31

common in runners nerve degeneration--> paresthesia/ pain rx: foot support/ pad

Question 32

What looks just like mono (mostly)?

Answer 32

CMV mono fever, malaise, atypical lymphs NO pharyngitis or splenomegaly

Question 33

D-xylose test

Answer 33

malabsorption test- but no enzymes needed if normal= excreted in ua if malabsorption= low amount in UA, indicates small bowel mucosal disease

Question 34

most common cause of acquired angioedema

Answer 34

ACE inhibitor side effect

Question 35

Paroxysmal nocturnal hemoglobinuria

Answer 35

hemolytic anemia cytopenia hyper coagulable *missing CD55 and CD59

Question 36

Nocardia Rx

Answer 36

tmp-smx

Question 37

jarisch herxheimer rxn

Answer 37

acute febrile illness <12 hours after syphilis rx

Question 38

what comorbidity should you test all "pseudogout" people for

Answer 38

hemochromatosis

Question 39

Isoniazid s/e that mimics a virus

Answer 39

hepatic injury looks like viral hepatitis on biopsy

Question 40

VIPoma

Answer 40

pancreatic tumor | s/s water diarrhea, muscle cramps (hypokalemia)

Question 41

Uric acid stone prevention

Answer 41

↑ fluids | oral potassium citrate