UWorld_7.21

Question 1

Causes on non-glomerular hematuria

Answer 1

• nephrolithiasis
• cancer
• polycystic kidney disease
• infections
• papillary necrosis, renal infarction

Question 2

Labs in alcoholic hepatitis

Answer 2

• AST:ALT ratio 2:1
• elevated gamma-glutamyltransferase, bilirubin, and/or INR
• elevated ferritin

Question 3

Complication of local vascular complication of cardiac cath

Answer 3

• retroperitoneal hematoma
• p/w sudden hemodynamic instability + ipsilateral flank or back bain
• dx w/non-contrast CT
• supportive tx

Question 4

Uterine inversion management

Answer 4

replace uterus

Question 5

Alpha thalassemia peripheral smear

Answer 5

hypochromic, microcytic w/some abnormal morphology (e.g. target cells)

Question 6

Beta thalassemia peripheral smear

Answer 6

hypochromic, microcytic w/some abnormal morphology (e.g. target cells)

Question 7

Anemia of prematurity

Answer 7

normochromic, normocytic RBCs

Question 8

Management of myasthenic crisis

Answer 8

• intubation for deteriorating respiratory statys
• plasmapheresis or IVIG
• corticosteroids

Question 9

Precipitating factors for myasthenic crisis

Answer 9

• infection/surgery
• pregnancy or childbirth
• tapering immunosuppressive drugs
• medications, e.g. aminoglycosides, beta-blockers

Question 10

Nikolsky sign

Answer 10

• separation of epidermis by light friction

- SSSS vs. pemphigus vulgaris

Question 11

CMV retinitis presentation

Answer 11

• @ CD4

Question 12

Sjogren syndrome dx

Answer 12

Anti-SSA (Ro) and/or Anti-SSB (La)