UWSA 2 EVALUATION EXAM UPDATED QUESTIONS
AND ANSWERS RATED A+
✔✔what condition causes mucosal atrophy and granulation tissue on biopsy? -
✔✔ishcemic colitis
✔✔what are behavioral complications of sibling when a new child is born? -
✔✔behaviroal regression
aggressive behavior
✔✔what are behavioral regression signs? - ✔✔loss of toilet training or word;
separation anxiety
tantrums
✔✔how to treat behaivroal regression/aggressive behavoir in a 3 year old who just got a
new sister? - ✔✔spend more time with the three year old
✔✔missed a MDD dx thinking it was adjustment disorder... - ✔✔
✔✔girl was hopeless, mood was disturbed, lossed interest, fatigue, concentration,
increased sleep, weight loss were all present but you missed - ✔✔
✔✔most common cause of 85% of cavitary lung cancer lesions? - ✔✔squamous cell
✔✔where does small cell cancer arise? - ✔✔hilar and perihilar
✔✔4 year old had uri sxs 1 week ago which resolved; now has ataxia and horizontal
nystagmus; what is dx? - ✔✔acute cerebellar ataxia
✔✔what is acute cerebellar ataxia? - ✔✔ataxia of extremities and gait
intention tremor and nystagmus
✔✔cause of acute cerebellar ataxia in child? - ✔✔post infectious (Eg coxsackie or hsv 6
caused)
✔✔how to dx acute cerebllar ataxia? - ✔✔clinical dx of exclusion after other causes are
ruled out
✔✔when is ataxia telangiectasia onset? - ✔✔< 2 y/o
✔✔when is freidrich ataxia onset? - ✔✔teen years
✔✔how do neuroblastoma present? - ✔✔opsoclonus myoclonus
,✔✔Opsoclonus-myoclonus syndrome - ✔✔jerking eye movements
myoclonus of extremities
ataxia
✔✔post infectious cause of weakness, flaccidity and paresis? - ✔✔transverse myelitis
(no ataxia or nystagmus like acute cerebellar ataxia)
✔✔RIGHT ANSWERs - ✔✔
✔✔cause of breast mass weeks after stopping breast feeding? - ✔✔galactocele
✔✔treatment for asymptomatic galactocele? - ✔✔nothing
✔✔why are fibroadenomas unlikely in a breast feeding mom? - ✔✔breast feeding
decreases estrogen and fibroadenomas respond to estrogen so they're less likely to
present after
✔✔how to dx galactocele? - ✔✔ultrasound, then FNA to confirm and drain to treat if sxs
✔✔cause of amenorreha in woman who lost 44 lbs after pregnancy? - ✔✔functional
hypothalamic amenorrhea ( GnRH low)
✔✔what causes functional hypothalamic amenorrhea? - ✔✔working out
starving
weight loss
chronic illness
stress depression
anorexia
✔✔what does progesterone IUD do to menses? - ✔✔stops them
✔✔cause of fatigue, heat intolerance and tachycardia in mom 6 mo post partum? -
✔✔post partum thyroiditis
✔✔fever, RUQ ttp, n/v; leukocytosis, elevated bilirubin and alk phos after lap chole is
likely? - ✔✔bile leak
✔✔does bile leak cause obstructive lab panel? - ✔✔yes
alk phos 420
lfts in the 70s
✔✔what do the bile ducts look like on u/s for bile leak? - ✔✔normal
, ✔✔how to tell retained stone in bile duct? - ✔✔u/s would show dilation and the stone
✔✔Formula for 95% confidence interval - ✔✔mean +/- 1.96xSE of mean
se = sd/sqroot for N
✔✔what makes the confidence interval wider? - ✔✔sd increases
n decreases
✔✔bilateral bells palsy? - ✔✔Borrelia burgdorferi
✔✔what do infantile hemangiomas become when the involute? - ✔✔darker, patchy
appearance
✔✔Mutation in Rett syndrome - ✔✔MECP2
✔✔what is the duration of a transdermal fentanyl patch? - ✔✔long acting
✔✔intermittent CP and SOB since yesterday with JVP distention, hypotension,
tachycardia, tachypnea in a pt with CVD risk factors is dx? - ✔✔MI
✔✔can a low grade fever eg 99.5 and leukocytosis eg 12k be present in an acute MI? -
✔✔yes
✔✔can lactate be elevated in an MI too? - ✔✔yes
✔✔what does cocaine do to contractility and afterload? - ✔✔increases both (which
allows CO to be maintained despite the afterload)
✔✔how to tell erythrasma from candida? - ✔✔erythrasma is well demarcated
✔✔cause of erythrasma? - ✔✔corneybacterium minutissimum
✔✔treatment for erythrasma? - ✔✔Erythromycin (topical or PO depending on severity)
✔✔cause of kissing/mirror rash under breast folds? - ✔✔intertrigo
✔✔congenital infection causing microcephaly? - ✔✔CMV
✔✔what percent of congenital CMV infections are asymptomatic? - ✔✔90%
✔✔main treatment for severe sunburn? - ✔✔IV fluids and analgesic
AND ANSWERS RATED A+
✔✔what condition causes mucosal atrophy and granulation tissue on biopsy? -
✔✔ishcemic colitis
✔✔what are behavioral complications of sibling when a new child is born? -
✔✔behaviroal regression
aggressive behavior
✔✔what are behavioral regression signs? - ✔✔loss of toilet training or word;
separation anxiety
tantrums
✔✔how to treat behaivroal regression/aggressive behavoir in a 3 year old who just got a
new sister? - ✔✔spend more time with the three year old
✔✔missed a MDD dx thinking it was adjustment disorder... - ✔✔
✔✔girl was hopeless, mood was disturbed, lossed interest, fatigue, concentration,
increased sleep, weight loss were all present but you missed - ✔✔
✔✔most common cause of 85% of cavitary lung cancer lesions? - ✔✔squamous cell
✔✔where does small cell cancer arise? - ✔✔hilar and perihilar
✔✔4 year old had uri sxs 1 week ago which resolved; now has ataxia and horizontal
nystagmus; what is dx? - ✔✔acute cerebellar ataxia
✔✔what is acute cerebellar ataxia? - ✔✔ataxia of extremities and gait
intention tremor and nystagmus
✔✔cause of acute cerebellar ataxia in child? - ✔✔post infectious (Eg coxsackie or hsv 6
caused)
✔✔how to dx acute cerebllar ataxia? - ✔✔clinical dx of exclusion after other causes are
ruled out
✔✔when is ataxia telangiectasia onset? - ✔✔< 2 y/o
✔✔when is freidrich ataxia onset? - ✔✔teen years
✔✔how do neuroblastoma present? - ✔✔opsoclonus myoclonus
,✔✔Opsoclonus-myoclonus syndrome - ✔✔jerking eye movements
myoclonus of extremities
ataxia
✔✔post infectious cause of weakness, flaccidity and paresis? - ✔✔transverse myelitis
(no ataxia or nystagmus like acute cerebellar ataxia)
✔✔RIGHT ANSWERs - ✔✔
✔✔cause of breast mass weeks after stopping breast feeding? - ✔✔galactocele
✔✔treatment for asymptomatic galactocele? - ✔✔nothing
✔✔why are fibroadenomas unlikely in a breast feeding mom? - ✔✔breast feeding
decreases estrogen and fibroadenomas respond to estrogen so they're less likely to
present after
✔✔how to dx galactocele? - ✔✔ultrasound, then FNA to confirm and drain to treat if sxs
✔✔cause of amenorreha in woman who lost 44 lbs after pregnancy? - ✔✔functional
hypothalamic amenorrhea ( GnRH low)
✔✔what causes functional hypothalamic amenorrhea? - ✔✔working out
starving
weight loss
chronic illness
stress depression
anorexia
✔✔what does progesterone IUD do to menses? - ✔✔stops them
✔✔cause of fatigue, heat intolerance and tachycardia in mom 6 mo post partum? -
✔✔post partum thyroiditis
✔✔fever, RUQ ttp, n/v; leukocytosis, elevated bilirubin and alk phos after lap chole is
likely? - ✔✔bile leak
✔✔does bile leak cause obstructive lab panel? - ✔✔yes
alk phos 420
lfts in the 70s
✔✔what do the bile ducts look like on u/s for bile leak? - ✔✔normal
, ✔✔how to tell retained stone in bile duct? - ✔✔u/s would show dilation and the stone
✔✔Formula for 95% confidence interval - ✔✔mean +/- 1.96xSE of mean
se = sd/sqroot for N
✔✔what makes the confidence interval wider? - ✔✔sd increases
n decreases
✔✔bilateral bells palsy? - ✔✔Borrelia burgdorferi
✔✔what do infantile hemangiomas become when the involute? - ✔✔darker, patchy
appearance
✔✔Mutation in Rett syndrome - ✔✔MECP2
✔✔what is the duration of a transdermal fentanyl patch? - ✔✔long acting
✔✔intermittent CP and SOB since yesterday with JVP distention, hypotension,
tachycardia, tachypnea in a pt with CVD risk factors is dx? - ✔✔MI
✔✔can a low grade fever eg 99.5 and leukocytosis eg 12k be present in an acute MI? -
✔✔yes
✔✔can lactate be elevated in an MI too? - ✔✔yes
✔✔what does cocaine do to contractility and afterload? - ✔✔increases both (which
allows CO to be maintained despite the afterload)
✔✔how to tell erythrasma from candida? - ✔✔erythrasma is well demarcated
✔✔cause of erythrasma? - ✔✔corneybacterium minutissimum
✔✔treatment for erythrasma? - ✔✔Erythromycin (topical or PO depending on severity)
✔✔cause of kissing/mirror rash under breast folds? - ✔✔intertrigo
✔✔congenital infection causing microcephaly? - ✔✔CMV
✔✔what percent of congenital CMV infections are asymptomatic? - ✔✔90%
✔✔main treatment for severe sunburn? - ✔✔IV fluids and analgesic
