Step 2 UWSA 2 questions and answers graded A+

Step 2 UWSA 2Pt with COPD and signs of pulmonary HTN develops worsening renal failure. Received Furosemide. What is likely cause - correct answer Prerenal AKI; which occurs d/t decreased renal perfusion Look for BUN: Creatinine ratio >20:1 Initial treatment for R sided heart failure with Lasix will improve cardiac function by decreased R ventricular end diastolic volume (preload) but pts with R ventricular dysfunction are *pre-load dependent* and therefore sensitive to excessive volume loss Look for distended neck veins that become *flat* after treatment Pt with yeast looking rash under breasts, hasn't seen a doc in years, BMI 36 What would like be seen on micro exam - correct answer Culture growing budding yeasts Candida intertrigo; satellite lesions, KOH prep of fungal culture, pseudohyphae c/c w tinea cruris which is also KOH prep but shows *septate hyphae* 1 day old with petechiae, jaundice, minimal prenatal care for mom, mom had fever and sore throat during 2nd trimester baby is small, diffuse petechial rash, jaundice to face and trunk, and HSM - correct answer CMV parvo just presents as a swollen fetus and severe neonatal anemia!