uworld13

Question 1

RDS treatment

Answer 1

continuous positive air pressure ventilation

Question 2

transient tachypnea of newborn pathophys

Answer 2

inadequate alveolar fluid clearance at birth–> pulm edema

tachypnea at birth, resolves after 2 days

Question 3

newborn has macroglossia, macrosomia, and one side of body thats larger than other

Answer 3

beckwith-wiedmann (check abdominal US for wilms!)

Question 4

children draw up legs for abdominal pain

Answer 4

intussception

Question 5

can you start HAART therapy during acute infection in untreated HIV pat?

Answer 5

no,s tart 2 weeks after to prevent immune reconstitution sydrome

Question 6

untreated vesicoureteral reflux complications if left untreated

Answer 6

renal scarring dut to recurrent UTIs

Question 7

if kid has bilateral partodi swelling, think…

Answer 7

mumps! also orchitis and aseptic meningitis

Question 8

kid hits toothebrush against back throat when falling and develops hemiparesis and aphasia

Answer 8

carotid artery dissection from penetrating trauma

Question 9

recurrent edema after stress, dental extraction, trauma

Answer 9

hereditary angioedema- C1 inhibitor deficiency

Question 10

diagnosing TTP

Answer 10

peripheral blood smear

Question 11

all patients with cocaine toxicity and myocardial sichemia should be treated with

Answer 11

supp O2 and benzos

ASA, nitroglycerin, and CCB also good

Question 12

what coags are abnl in antiphospholipid syndrome

Answer 12

prolonged PTT and PT

Question 13

drugs for meningitis in person >50

Answer 13

vanco, amp, 3rd gen ceph

dont need amp in 2-50

Question 14

ulcer at 1st or 5th metatarsal

Answer 14

pressure ulcer

Question 15

epigastric burning provoked by heavy lifting, think…

Answer 15

angina

Question 16

apnea is cessation of breathing for how long

Answer 16

10 sec

Question 17

upper lobe cavity with surrounding inflammation

Answer 17

TB

Question 18

chronic stridor thats better prone, worse supine

Answer 18

laryngomalacia

Question 19

chronic biphasic stridor that improves with neck extension

Answer 19

vascular ring

Question 20

patients can be asx for ___ hrs after acetaminophen OD

Answer 20

24

Question 21

adminster charcoal to patients with acetaminophen OD within ___ hrs

Answer 21

4

Question 22

dx laryngomalacia

Answer 22

direct laryngoscopy

Question 23

tx larngomalacia

Answer 23

most spontaneously resolve within 18 mo

or surgery

Question 24

how does NPV and PPV change with increased prevalance of disease?

Answer 24

increased PPV, decreased NPV

Question 25

what type of biopsy for suspected melanoma

Answer 25

excisional

Question 26

pathophys of tardive dyskinesia

Answer 26

Dopamine D2 receptor upregulation and supersenitivity

Question 27

differntiating avascular necrosis and vaso-occlusive crisis in sickle cell patient

Answer 27

avascular: chronic, no fever, no erythema vaso: acute, >1 joint, fever, erythema

Question 28

dx of lead poisoning in kid

Answer 28

1) capillary fingerstick blood if above >5: 2) confirmatory venous lead

Question 29

baby is hypertonic and hyperreflexic

Answer 29

cerebral palsy

Question 30

risk factors for cerebral palsy

Answer 30

preterm IUGR intrauterine infection etoh/tobacco

Question 31

which med can help with ureteral stone

Answer 31

alpha blockers- reduces tone and reflex after spasm

Question 32

treatment for ITP at dif stages of sxs

Answer 32

only cutaneous: observe, self-resolve w/in 6 mo if mucosal bleeding and if youre an adult and platelets<30,000: steroids, IVIG

Question 33

after dx made of testicular solid mass through US, what should you do?

Answer 33

radical orchiectomy and cord- then investigate if you need additional chemo

Question 34

pharm for social anxiety

Answer 34

SSRI

Question 35

statin should be started for someone aged ____ who has a calculated risk above ____

Answer 35

40-75 7.5%

Question 36

can you disclose health info if someone has passive SI?

Answer 36

no, only imminent suicide risk

Question 37

someone with down syndrome has UMN signs, urinary incontinence, vertigo, torticollis from what dz

Answer 37

atlantoaxial instability --> laxity in posterior transverse ligament between C1, C2--> compress spinal cord

Question 38

sickle cell aplastic crisis

Answer 38

severe anemia low retic count, no splenomegaly sudden halt in erythropoiesis

Question 39

most common cause of aplastic crisis

Answer 39

parvovirus b19

Question 40

recurrent pneumonia, giardia, AOM in 6 month old

Answer 40

x-linked agammaglobulinemia

Question 41

recurrent severe bacterial, fungal (candida) and viral infections and FTT

Answer 41

SCID

Question 42

nighttime bedwetting is normal before age

Answer 42

5

Question 43

side effect of hydroxyurea

Answer 43

myelosuppression (anemia, thrombocytopenia, neutropenia)

Question 44

do you need consent for emergent surgery in conscious patient?

Answer 44

yes!

Question 45

most common causes of AR in developed world vs developing

Answer 45

developed: bicuspid aortic valve developing: rheumatic fever

Question 46

drug of choice for lyme during pregnancy

Answer 46

amoxicillin

Question 47

most likely end to person with hep A

Answer 47

complete recovery by 3-6mo