UWorld_7.13

Question 1

Management of meniere dz

Answer 1

environmental/dietary modifications, e.g. low-salt diet

Question 2

Prevention of urinary calcium stones

Answer 2

• hydration
• low-sodium, low-protein diet
• moderate ca intake
• thiazide diuretics ==> decreased urinary ca excretion

Question 3

STD screening for pregnant women

Answer 3

• chlamydia/gonorrhea: all 25
• syphillis: screen all
• HIV: screen all
• Hep B: screen all
• Hep C: HIV or increased risk

Question 4

Management for pt. w/renal artery stenosis

Answer 4

1. ACE/ARBs

2. stenting/surgical revasc. if resistant or recurrent flash pulm edema or refractory HF

Question 5

Colitis + pneumonitis in post-bone marrow transplant patient ==> dx?

Answer 5

CMV pneumonitis

Question 6

Management of androgen insensitivity

Answer 6

• AIS = female phenotype w/XY karyotype

- bilateral gonadectomy after completion of puberty

Question 7

Tx of tinea corporis

Answer 7

topical clotrimazole/terbinafine

Question 8

Topical nystatin ==>

Answer 8

candidal skin infections, e.g. diaper rash

Question 9

Class of antiarrhythmics with “use dependence”

Answer 9

• class IC = NA channel blockers = felcainide
• used in structurally normal hearts w/afib
• ==> widening of QRS complex

Question 10

Management of suspected urethral injury

Answer 10

retrograde urethrogram

Question 11

Neurologic complications of lyme dz. (early)

Answer 11

• unilateral or bilateral CN defects (usually facial)
• meningitis
• encephalitis

Question 12

Management of organophosphate poisoning

Answer 12

• atropine

- remove all clothes and wash skin