Uworld set 5

Question 1

definition of exudative effusion based on pleurocentesis analysis

Answer 1

protein (p)/protein (s) >0.5

LDH (p)/ LDH(s) >0.6

Question 2

two testable main connective tissue diseases that can lead to pericarditis

Answer 2

rheumatoid arthritis and SLE

Question 3

pericarditis with BUN >60

Answer 3

uremia

Question 4

part of pericarditis examination that would be expected to be normal in uremic pericarditis

Answer 4

ecg would be normal

Question 5

treatment for uremic pericarditis

Answer 5

hemodialysis

Question 6

two medication types that are testable as first line therapy for viral or idiopathic pericarditis

Answer 6

NSAIDs or colchicine

Question 7

testable lab findings for children with juvenile rheumatoid arthritis
inflammatory markers
ferritin
gammaglobulins
PLT
Hgb

Answer 7

increase
increase
increase
increase
decrease

Question 8

four evidence based options in the treatment of bipolar I

Answer 8

lithium or valproate plus one of:
quetiapine
lamotrigine

Question 9

what is the problem with carbemazepine in bipolar

Answer 9

it is a cyp450 activator, can activate its own degradation

Question 10

3 most common causes for cough lasting greater than 8 weeks

Answer 10

postnasal drip
asthma
GERD

Question 11

substance that accumulates in treatment with ACE to cause cough

Answer 11

bradykinin

Question 12

what is the long term risk with lichen sclerosis

Answer 12

SCC

Question 13

immediate management for lichen sclerosis

Answer 13

punch Bx for SCC

topical corticosteroids

Question 14

vulvovaginal atrophy will lack what characteristics of lichen sclerosis

Answer 14

white plaques and anogenital involvement

Question 15

steroid used in the treatment of lichen sclerosis

Answer 15

clobetasol

Question 16

elevated serum calcitonin tests signifies what thyroid malignancy

Answer 16

medullary thyroid carcinoma

Question 17

catch up vaccination for HPV until age

Answer 17

26

Question 18

pap testing begins at what age

Answer 18

21

Question 19

dry mouth
dysphagia
dental caries

Answer 19

sjogrens

Question 20

dental caries plus variable transient enlargement of salivary glands

Answer 20

bulimia

Question 21

recommended PPX for all contacts with pertussis

Answer 21

macrolide ABX

Question 22

urine copper
serum copper
ceruloplasmin levels

used to R/o what liver disease

Answer 22

wilsons

Question 23

serum iron and ferritin levels used to rule out what liver disease

Answer 23

hemochromatosis

Question 24

midfacial hypoplasia
microcephaly
cleft lip and palate
digital hypoplasia
hgirsutism
developmental delay

Answer 24

fetal hyndantoin syndrome

Question 25

``` interstitial keratitis hutchinson teeth saddle nose saber shins deafness central nervous system involvement ```

Answer 25

syphillis

Question 26

this recreational drug has increased risk of placental abruptions

Answer 26

cocaine

Question 27

eosinophilia blue toe livedo reticularis acute / subacute kidney injury preceeded by cardiac catheterization

Answer 27

cholesterol emboli syndrome

Question 28

reticular erythematousx or purple discoloartion of the skin that blanches when pressure is applied

Answer 28

livedo reticularis

Question 29

shoulder pain ipsilateral ptosis and miosis significant smoking history

Answer 29

superior pulmonaryh sulcus tumor | AKA pancoast tumor

Question 30

edrophonium testing used for

Answer 30

MG

Question 31

Tumor necrosis factor inhibitors are a testable medication used in what disease if it is refvractory to normal therapy

Answer 31

rheumatoid arthritis

Question 32

``` abdominal pain and hematemsis hypovolemic shock metabolic acidosis cool extremities radiopaque pill in bowels ```

Answer 32

iron poisoning

Question 33

used in TCA and ASA overdose

Answer 33

sodium bicarbonate

Question 34

used in patients suffering torsades des pointes induced by prolonged QT interval

Answer 34

magnesium

Question 35

most dialyzable toxin

Answer 35

lithium

Question 36

used for moderate to severe lead intoxication

Answer 36

calcium EDTA

Question 37

``` irritability poor appetite headaches abdominal pain anemia ``` in a child

Answer 37

lead poisoning

Question 38

cardioprotective in cases of hyperkalemia

Answer 38

calcium gluconate

Question 39

chelating agent in mild to moderate lead poisoning

Answer 39

oral succimer

Question 40

used in cases of acetaminophen intoxication

Answer 40

N acetylcysteine

Question 41

women get mammograms until what age

Answer 41

75

Question 42

interval commonly recommended for cholesterol screening in normal individuals

Answer 42

5 years

Question 43

hemodynamically stable patients with a positive FAST

Answer 43

abdominal CT

Question 44

age of onset >65 monoarticular arthritis chondrocalcinosis

Answer 44

CPPD (calcium pyrophosphate dihydrate) arthritis

Question 45

T/F tibotalar joint is not involved in plantar fasciitis

Answer 45

T

Question 46

initial treatment in PSVT

Answer 46

adenosine or carotid message

Question 47

lidocaine can be used in the treatment of what arrhythmia

Answer 47

ventricular

Question 48

child with new onset migraine headache first line | if refractory?

Answer 48

NSAIDs | triptans

Question 49

presence of a soft and single second heart sounds suggestive of

Answer 49

aortic stensosis

Question 50

hopw does the peak of the systolic murmur of AS relate to severity

Answer 50

early peak, less severe | late peak, more severe

Question 51

arrhythmia most commonly responsible for sudden cardiac arrest in the setting of acute MI

Answer 51

vfib

Question 52

predominant mechanism responsible for ventricular arrhythmias in the immediate post infarction period

Answer 52

reentry

Question 53

monomorphic papules or pustules lack of somedones cysts or nodules location and age of onset atypical taking drugs

Answer 53

drug induced acne, glucocorticoids commonly the culprit

Question 54

occupational exposure to the pollutant dioxin can cause

Answer 54

chloracne

Question 55

levels of electrolytes in adrenal insufficiency

Answer 55

hyperkalemia | hyponatermia

Question 56

what are the three medications now used for chemoprophylaxis for malaria for travelers to endemic countries

Answer 56

atovaquone-progaunil mefloquine doxycycline

Question 57

medication in malaria treatment that begins more than 2 weeks prior to travel continues during the stay and for four weeks after return

Answer 57

mefloquine

Question 58

fever and acute monoarticular arthritis

Answer 58

synovial fluid analysis

Question 59

loss of joint space osteophyte formation subchrondral sclerosis

Answer 59

osteoarthritis

Question 60

burning pain and paresthesia at the lateral thigh | what nerve

Answer 60

lateral cutaneous femoral (meralgia paresthetica)

Question 61

pain localized to the lateral high and worse with direct pressure

Answer 61

lateral trochanteric bursitis

Question 62

history of uterine procedures or infection with scarring of the uterine cavity

Answer 62

asherman syndrome

Question 63

diagnostic workup for ashermann syndrome

Answer 63

hysteroscopy and hormonal therapy (to test for uterine growth)

Question 64

menopause before age 40 with elevated FSH and low estradiol

Answer 64

premature ovarian insufficiency (hypergonadotropic hypogonadism)

Question 65

best test for a suspected pituitary adenoma

Answer 65

MRI

Question 66

hyperandrogenism in late childhood should raise concern for

Answer 66

atypical CAH

Question 67

recommended in the treatment of a cat bite in addition to copious irrigation

Answer 67

amoxicillin/clavulanate

Question 68

mechanism of pathology for vitiligo

Answer 68

destruction of melanocytes

Question 69

this infection is characterized by hypopigmentation with anesthesia

Answer 69

mycobacterium leprae

Question 70

infection causing tinia versicolor

Answer 70

malasezzia furfur

Question 71

autosomal dominant disorder characterized by patchy absence of melanocytes

Answer 71

piebaldism