UWorld_7.11

Question 1

Stillbirth delivery options @ 2nd trimester

Answer 1

• D&C (up to 24 weeks)
• induction of labor
• spontaneous vaginal delivery

Question 2

Stillbirth delivery options @ 3rd trimester

Answer 2

• IOL
• spontaneous vaginal delivery
• repeat C-section if requested

Question 3

Croup cause/presentation

Answer 3

• parainfluenza
• inspiratory stridor
• “barky”, seal-like cough
• hoarse voice

Question 4

Workup of meconium ileus

Answer 4

Water-soluble contrast enema

Question 5

PDA-dependent congenital heart disease

Answer 5

• coarctation of aorta
• D-transposition of great arteries
• hypoplastic left heart
• total anomalous pulmonary venous connection
• tricuspid atresia

Question 6

Neonate w/70-90% spO2 + central cyanosis dx/management?

Answer 6

• cyanotic heart disease

- PGE for maintaining PDA until surgery

Question 7

Dermatofibroma presentation

Answer 7

• nontender, firm, hyperpigmented nodule
• central dimple when pinched
• 2/2 fibroblast proliferation
• usually occur @ LE

Question 8

Pyogenic granuloma presentation

Answer 8

• benign vascular skin tumor
• p/w small red papule shiny mass
• bleeds easily
• usually @ oral mucosa/lips

Question 9

Diyhydropyridine ca-cahnnel blockers

Answer 9

-amlodipine

Question 10

Amlodipine se

Answer 10

Peripheral edema

Question 11

Cause/treatment of liver abscess 2/2 amebiasis

Answer 11

• entamoeba histolytica
• pt.s who travel to endemic area
• tx = metronidazole

Question 12

Systemic sclerosis presentation

Answer 12

• extensive skin thickening
• raynauds
• joint pain/fatigue/stiffness
• organ involvement: lungs, heart, kidneys

Question 13

Bite cells ==> ?

Answer 13

Hemolysis

Question 14

Heinz bodies ==> dx?

Answer 14

G6PD deficiency

Question 15

Isoniazid SE

Answer 15

Idiosyncratic hepatitis similar to viral hepatitis

Question 16

Most common location for ulnar n. entrapment

Answer 16

@ elbow @ medial epicondylar groove

Question 17

Abdominal pain + weight loss + oral ulcers dx?

Answer 17

• Crohn’s vs. Celiac dz.

- Crohn’s oral ulcers w/granulomatous inflammation

Question 18

Basic ppx for malaria

Answer 18

-chloroquine

Question 19

Areas w/chloroquine-resistant p. falciparum

Answer 19

• sub-saharan Africa

- South/Southeast Asia

Question 20

PPX in areas w/chloroquine-resistant malaria

Answer 20

• atovaquone-proguanil
• doxycycline
• mefloquine**

Question 21

Vincristine SE

Answer 21

Chemothearapy induced peripheral neuropathy @ stocking-glove pattern

Question 22

Diffuse joint pains + fatigue, diarrhea @ daycare worker/teacher dx?

Answer 22

Parvovirus B19

Question 23

Unilateral orbitofrontal HA + dilated pupil w/out light response dx?

Answer 23

Acute angle-closure glaucoma

Question 24

Acute angle-closure glaucoma presentation

Answer 24

• Unilateral orbitofrontal HA
• dilated pupil w/out light response
• resposne to pupilarry dilation from meds or dim light
• assoc. w/ N/V, conj. Injection, eye pain