NBME 9

NBME 9 Kid with bed wetting problems + constipation tx? administration of an osmotic laxative Multiple myeloma is marked by proliferation of ______ B cells monoclonal In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone SSRIs in bipolar patients can be bad because? it can precipitate mania or convert depression to mania Patient with afib with a history of TIA or stroke Tx? warfarin Patient without afib with history of TIA or stroke Tx? aspirin T/F: Aspirin and clopidogrel are anticoagulants false 1st line therapy for mild to moderate acne vulgaris Tx? topical retinoids Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? uveitis (screen with slit-lamp exam) In adults, the presence of a destructive bone lesion is more commonly caused by ______ disease rather than primary bone malignancy metastatic T/F: Osteosarcoma is most common in patients ____ years of age 30 Patients with severe AS with symptoms or systolic dysfunction (EF 50%) should receive what tx? aortic valve replacement Patients with HF (EF 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? Afterload reduction 32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm risk status and next step?