uworld9

Question 1

best med for diabetic autonimic neuropathy of gastroparesis

Answer 1

metoclopramide

Question 2

pes anserinus pain syndrome

Answer 2

sharp, localized pain of anteriomedial tibial plateau just below joint line of knee

no swelling, x-rays nl

Question 3

how do thiazides affect lipids and glucose?

Answer 3

causes hyperglycemia (by impairing insulin release)

causes increased LDL and triglycerides

Question 4

what is this: iron def anemia + weight loss + rash in teenager

Answer 4

celiac dz

Question 5

majority of rabies in US comes from which animal

Answer 5

bat

Question 6

what is this: short, frequent fractures, translucent teeth

Answer 6

osteogenesis imperfecta

Question 7

what is this: exertional SOB, pounding heart sensation, widened pulse pressure

Answer 7

aortic regurg

Question 8

fanconi anemia pathophys

Answer 8

aut rec- DNA repair defect

Question 9

what gifts can you accept from drug reps

Answer 9

small ones that benefit patients

Question 10

attributable risk percent formula

Answer 10

(1-RR)/RR

Question 11

untreated herpes can lead to more frequent or less frequent outbreaks?

Answer 11

always leads to less frequent, but treatment helps speed up process

Question 12

what vitamin helps reduce M&M in measles?

Answer 12

vitamin A

Question 13

can red reflex be normal in cataract?

Answer 13

yes early on

Question 14

which is loss of central vision, and which peripheral? macular degernation vs open angle glaucoma

Answer 14

mac: loss of central

open angle glaucoma: loss of peripheral

Question 15

initial management of frostbite

Answer 15

rapid rewarming with warm bath

Question 16

first line pharm for etoh disorder

Answer 16

naltrexone- reduces cravings

acamprosate- keeps abstinence

Question 17

testing for EBV

Answer 17

heterophile antibody testing

Question 18

how to differentiate mono from strep

Answer 18

mono: >2 weeks (long time), generalized LAD
strep: shorter time, just cervical LAD

Question 19

can you hospitalize patient involuntarily if they refuse hospitalization?

Answer 19

yes, highly contagious threat to the community!

Question 20

pulmonary contusion needs what type of fluids

Answer 20

colloid

Question 21

can infective endo be etiology for mesenteric ischemia?

Answer 21

yes- septic emboli

Question 22

bulging round mass through the vagina in a teen who hasnt had her period yet

Answer 22

imperferote hymen

Question 23

how does oxytocin toxicity cause seizures?

Answer 23

oxytocin, like ADH, reabsorbs water –> hyponatremia

Question 24

serotonin discontinuation syndrome sxs

Answer 24

dysphoria, fatigue, insomnia, myalgia

dizzy, GI, tremor

neurosensory (shock, rushing, paresthesias, vivid dreams)

Question 25

serotonin disc syn begins how many days after discontiatuon

Answer 25

2-4

Question 26

riboflavin deficiency sxs

Answer 26

``` angular cheilosis stomatitis glossitis normocytic anemia sebhorreic dermatitis ```

Question 27

what symptoms of serotonin syndrome make it more that instead of hypertensive crisis

Answer 27

dilated pupils, hyperreflexia hyperthermia

Question 28

indications for renal/bladder US in kids with febrile UTI

Answer 28

- 1st time and < 2 years old - recurrent - refractory to abx - fam hx of urologic dz, HTN, poor growth

Question 29

pain of hip that is felt in groin, back, and pelvis and can radiate down legs is due to

Answer 29

osteoarthritis

Question 30

bupoprion contraindicated in

Answer 30

anorexia, bulimia, seizure disorders

Question 31

vaccines given in gestational or chronological age

Answer 31

chronological

Question 32

which abx causes photosensitivity

Answer 32

tetracyclines

Question 33

painful genital lesion with dysuria and urinary retention

Answer 33

herpes simplex virus- (lumbosacral neuropathy--> urinary retention)

Question 34

dx HSV

Answer 34

PCR