Step 2 CK NBME 8

Step 2 CK NBME 8 42 YO male presents with SOB for 3 weeks -Breath sounds decreased over left hemithorax -CXR shows mass involving the left upper and lower lobe -Biopsy shows uniform small round cells with darkly staining nuclei What is initial tx? Small cell lung cancer -initial therapy is chemotherapy bc surgery has limited role given that these tumors are nonresectable 27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white plaques over buccal mucosa -CXR shows diffuse bilateral infiltrates diagnosis? AIDS -pt has oral thrush, clear aids defining illness 25 YO woman wants to discuss risk for dementia which of the following has greatest predisposing risk? -fmhx -gender -head injury -low educational level -smoking family hx 72 YO woman undergoing rehab s/p 6 weeks after cerebral infarction. Has urinary dribbling and palpable smooth mass in supra public area -UA shows 3-5 squamous epithelial cells/hpf type of urinary incontinence neurogenic bladder urge incontinence cause and management due to detrusor instability (think older nursing home patient) having the sudden urge to void but only goes a little bit manage with exercises first then anticholinergic medications Stress incontinence cause and diagnosis