Uworld step 2 self assesment 1
Practice Test Questions And Answers
Verified 100% Correct
What are the major characteristics of someone with an empyema? - ANSWER -
Empyema
- frank pus or bacteria in the pleural space
- > 50,000 WBC with neutrophilic leukocytosis
- usually acute symptoms
If a patient has HIV, which vaccines do you have to consider giving the patient? -
ANSWER -All vaccines are on the normal schedule except
- pneumococcal - give pneumococcal at the diagnosis and every 5 years after
- influenza annually (inactivated)
- HBV if they are not documented immunity
- HAV if they have chronic liver dz, MSM (HBV, HCV), or IV drug users
- cannot give MMRV if the patient is < 200 CD4 count
what are the symptoms of superior vena cava syndrome? - ANSWER -Headaches
that are worse when leaning forward
JVD
Facial and upper extremity swelling
No peripheral edema
what is superior vena cava syndrome usually caused by? - ANSWER -malignancy
, what are some of the things that predispose someone to aspiration pneumonia? -
ANSWER -Altered conciousness impairing cough reflex
- dementia
dysphagia due to neurologic deficits
- stroke
Nasogastric or endotracheal tubes (mechanical compromise of aspiration defenses)
what clinical manifestations would lead you to consider spontaneous bacterial
peritonitis in someone with cirrhosis? - ANSWER -- Fever
- Abdominal tenderness
- AMS
- hypotension
What is the order of management when you suspect spontaneous bacterial
peritonitis? - ANSWER -1. Paracentesis
2. emperic antibiotics - Ceftriaxone
What will you be looking for on analysis of the paracentesis in someone that you
suspect has spontaneous bacterial peritonitits? - ANSWER -PMNS >250
positive culture
SAAG > 1.1
what is the pathogensis of spontaneous bacterial peritonitis? - ANSWER -enteric
bacteria are thought to translocate across the intestinal wall and seed the ascitic
fluid within the peritoneal cavity
what is the autoantibody target in someone with bullous pemphigoid? - ANSWER
-Hemidesmosomes (bullous pemphigoid antigens 1 &2)
, What will you see on immunoflourescene in someone with bullous pemphigoid? -
ANSWER -linear IgG at the basement membrane
what are the clinical features of someone with bullous pemphigoid? - ANSWER --
usually elderly
- tense bullae
- spares oral mucosa
- eczematous prodrome
What is the treatment for bullous pemphigoid? - ANSWER -topical
glucocorticoids
when you get a CT scan of a person you suspect has metastisis to the brain, what
will you see CT? - ANSWER -multiple, well circumscribed enhancing lesions
usually located at the grey-white junction
If the mother does not take folic acid supplements, the baby can get neural tube
defects, which include____? - ANSWER -Ancephaly
Spina bifida oculta, meningocele, meningomyelocele
how do you screen for neural tube defects in a pregnant woman? - ANSWER -2nd
trimester ultrasound
maternal serum alpha-fetoprotein
How do you prevent neural tube defects in patients that are normal risk vs high
risk? - ANSWER -Normal risk: 0.4 mg folic acid daily (this is the prenatal vitamin
dose)
High Risk: 4 mg folic acid daily
what makes someone high risk for neural tube defects? - ANSWER -NTD in prior
pregnancy
patient is on antiepileptic medications
Practice Test Questions And Answers
Verified 100% Correct
What are the major characteristics of someone with an empyema? - ANSWER -
Empyema
- frank pus or bacteria in the pleural space
- > 50,000 WBC with neutrophilic leukocytosis
- usually acute symptoms
If a patient has HIV, which vaccines do you have to consider giving the patient? -
ANSWER -All vaccines are on the normal schedule except
- pneumococcal - give pneumococcal at the diagnosis and every 5 years after
- influenza annually (inactivated)
- HBV if they are not documented immunity
- HAV if they have chronic liver dz, MSM (HBV, HCV), or IV drug users
- cannot give MMRV if the patient is < 200 CD4 count
what are the symptoms of superior vena cava syndrome? - ANSWER -Headaches
that are worse when leaning forward
JVD
Facial and upper extremity swelling
No peripheral edema
what is superior vena cava syndrome usually caused by? - ANSWER -malignancy
, what are some of the things that predispose someone to aspiration pneumonia? -
ANSWER -Altered conciousness impairing cough reflex
- dementia
dysphagia due to neurologic deficits
- stroke
Nasogastric or endotracheal tubes (mechanical compromise of aspiration defenses)
what clinical manifestations would lead you to consider spontaneous bacterial
peritonitis in someone with cirrhosis? - ANSWER -- Fever
- Abdominal tenderness
- AMS
- hypotension
What is the order of management when you suspect spontaneous bacterial
peritonitis? - ANSWER -1. Paracentesis
2. emperic antibiotics - Ceftriaxone
What will you be looking for on analysis of the paracentesis in someone that you
suspect has spontaneous bacterial peritonitits? - ANSWER -PMNS >250
positive culture
SAAG > 1.1
what is the pathogensis of spontaneous bacterial peritonitis? - ANSWER -enteric
bacteria are thought to translocate across the intestinal wall and seed the ascitic
fluid within the peritoneal cavity
what is the autoantibody target in someone with bullous pemphigoid? - ANSWER
-Hemidesmosomes (bullous pemphigoid antigens 1 &2)
, What will you see on immunoflourescene in someone with bullous pemphigoid? -
ANSWER -linear IgG at the basement membrane
what are the clinical features of someone with bullous pemphigoid? - ANSWER --
usually elderly
- tense bullae
- spares oral mucosa
- eczematous prodrome
What is the treatment for bullous pemphigoid? - ANSWER -topical
glucocorticoids
when you get a CT scan of a person you suspect has metastisis to the brain, what
will you see CT? - ANSWER -multiple, well circumscribed enhancing lesions
usually located at the grey-white junction
If the mother does not take folic acid supplements, the baby can get neural tube
defects, which include____? - ANSWER -Ancephaly
Spina bifida oculta, meningocele, meningomyelocele
how do you screen for neural tube defects in a pregnant woman? - ANSWER -2nd
trimester ultrasound
maternal serum alpha-fetoprotein
How do you prevent neural tube defects in patients that are normal risk vs high
risk? - ANSWER -Normal risk: 0.4 mg folic acid daily (this is the prenatal vitamin
dose)
High Risk: 4 mg folic acid daily
what makes someone high risk for neural tube defects? - ANSWER -NTD in prior
pregnancy
patient is on antiepileptic medications
