ABIM – Uworld questions with correct answers

A patient with ETOH abuse, gingival bleeding and hypertrophy. This raises strong suspicions for? Correct Answer-Scurvy. Vitamin C deficiency. Patients can have: Petechia, bruising, and perifollicular hemorrhage. Diagnosis with serum Ascorbic Acid levels. What commonly ingested ETOH has an elevated osmolar gap, but no anion gap? Correct Answer-Isopropyl alcohol. Ethanol (If ETOH ketoacidosis), Methanol, and Ethylene glycol all have AGMA. Supportive care with IVFs and pressers if needed. In severe cases, HD can be initiated. Patients with essential thrombocytopenia may develop? Correct Answer-Acquired Von Willebrand Disease. A patient with prolonged aPTT/PT should have what to help evaluate etiology? Correct Answer-Mixing study. A factor deficiency will result in a normal clotting time after mixing study. An inhibitor problem will cause a continued prolonged aPTT/PT. This infection is commonly seen in immunocompromised individuals, and the patient may exhibit symptoms that involve both the lung and CNS? Correct Answer-Nocardiosis. Acid-Fast gram + rod. Lungs and