Uworld step 2 self assesment 1
Practice Test Questions And Answers
Verified 100% Correct
what is the most common cause of chronic pancreatitis? - ANSWER -alcohol use
What are the clinical features of chronic pancreatitis? - ANSWER -Chronic
epigastric pain with intermittent pain-free intervals
Malabsorption
diabetes mellitus
what will you see on CT scan of someone that has chronic pancreatitis? -
ANSWER -Calcifications in the pancreas and dilated ducts
how do you manage chronic pancreatitis? - ANSWER -pain management
alcohol cessation
pancreatic supplementation enzymes
what is the normal ankle brachial index? - ANSWER -0.9-1.3
what does a value of < 0.9 mean? - ANSWER -peripheral artery disease
what does a value of <0.4 mean? - ANSWER -severe PAD
patients with refractory hypertension are started on a diuretic and then suddenly
develop muscle cramps and weakness. What is the most likely diagnosis? -
ANSWER -Primary hyperaldosteronism
- serum potassium in PH may be normal at baseline but can fall rapidly after the
initiation of diuretics
, What is the best screening test for primary hyperaldosteronism? - ANSWER -
Plasma aldosterone/plasma renin activity ratio
- > 20 suggests primary hyperaldosteronism
What are the two main causes of primary hyperaldosteronism? - ANSWER -
bilateral adrenal hyperplasia
aldosterone producing adrenal adenoma
What is the treatment of primary hyperaldosteronism if the cause is a aldosterone
producing adenoma? - ANSWER -surgery
What is the treatment of primary hyperaldosteronism if teh cause is bilateral
adrenal hyperplasia? - ANSWER -aldonsterone antagonist
- spironolactone
- epleronone
in hypercalcemia of malignancy (small cell carcinoma) the calcium levels can rise
very fast, what are the consequences of this compared to primary
hyperparathyroidism? - ANSWER -Hypercalcemia of malignancy causes a very
rapid rise in calcium to a very high level (>12). This causes neurologic symptoms
such as lethargy, coma, delerium, and confusion
Hypercalcemia of primary hyperparathyroidism causes a rise in calcium but not
>12 usually and does not cause as pronounced neurological symptoms
what are some early and late complications of Roux-en-Y gastric bypass surgery?
- ANSWER -Early
- Anastomotic leak (sepsis)
- Bowel ischemia (diffuse abdominal pain)
LAte
- Anastomotic stricture (dysphagia, bowel obstruction
- CHOLECYSTITIS
, - Dumping syndrome (Diarrhea,vomiting, crampy abdominal pain, flushing,
palpitations)
why do people who under go Roux-en-Y gastric bypass surgery get gallstones and
cholecystitis? - ANSWER -because they lose a lot of weight fast. which causes the
gallstones
why do people who under go roux-en-Y gastric bypass surgery get dumping
syndrome? - ANSWER -because of rapid gastric emptying
Which drugs can cause acute interstitial nephritis? - ANSWER -NSAIDS, PPI,
What will a urine microscopy show in acute interstitial nephritis? - ANSWER -
eosinophils
What drugs cause acute tubular necrosis? - ANSWER -Aminoglycosides and
cisplatin
what will you see on urine microscopy in acute tubular necrosis? - ANSWER -
granular brown muddy casts
glomerular hematuria vs non glomerular hematuria, what will you see on
urinalysis? - ANSWER -Glomerular hematuria
- blood & protein
- RBC casts, dysmorphic RBC's
Non-glomerular hematuria
- blood but no protein
- normal appearing RBC's
in chronic renal disease, why is there decreased calcium and increased
phosphorus? - ANSWER -GFR decreases causing an increase in phosphorous
Practice Test Questions And Answers
Verified 100% Correct
what is the most common cause of chronic pancreatitis? - ANSWER -alcohol use
What are the clinical features of chronic pancreatitis? - ANSWER -Chronic
epigastric pain with intermittent pain-free intervals
Malabsorption
diabetes mellitus
what will you see on CT scan of someone that has chronic pancreatitis? -
ANSWER -Calcifications in the pancreas and dilated ducts
how do you manage chronic pancreatitis? - ANSWER -pain management
alcohol cessation
pancreatic supplementation enzymes
what is the normal ankle brachial index? - ANSWER -0.9-1.3
what does a value of < 0.9 mean? - ANSWER -peripheral artery disease
what does a value of <0.4 mean? - ANSWER -severe PAD
patients with refractory hypertension are started on a diuretic and then suddenly
develop muscle cramps and weakness. What is the most likely diagnosis? -
ANSWER -Primary hyperaldosteronism
- serum potassium in PH may be normal at baseline but can fall rapidly after the
initiation of diuretics
, What is the best screening test for primary hyperaldosteronism? - ANSWER -
Plasma aldosterone/plasma renin activity ratio
- > 20 suggests primary hyperaldosteronism
What are the two main causes of primary hyperaldosteronism? - ANSWER -
bilateral adrenal hyperplasia
aldosterone producing adrenal adenoma
What is the treatment of primary hyperaldosteronism if the cause is a aldosterone
producing adenoma? - ANSWER -surgery
What is the treatment of primary hyperaldosteronism if teh cause is bilateral
adrenal hyperplasia? - ANSWER -aldonsterone antagonist
- spironolactone
- epleronone
in hypercalcemia of malignancy (small cell carcinoma) the calcium levels can rise
very fast, what are the consequences of this compared to primary
hyperparathyroidism? - ANSWER -Hypercalcemia of malignancy causes a very
rapid rise in calcium to a very high level (>12). This causes neurologic symptoms
such as lethargy, coma, delerium, and confusion
Hypercalcemia of primary hyperparathyroidism causes a rise in calcium but not
>12 usually and does not cause as pronounced neurological symptoms
what are some early and late complications of Roux-en-Y gastric bypass surgery?
- ANSWER -Early
- Anastomotic leak (sepsis)
- Bowel ischemia (diffuse abdominal pain)
LAte
- Anastomotic stricture (dysphagia, bowel obstruction
- CHOLECYSTITIS
, - Dumping syndrome (Diarrhea,vomiting, crampy abdominal pain, flushing,
palpitations)
why do people who under go Roux-en-Y gastric bypass surgery get gallstones and
cholecystitis? - ANSWER -because they lose a lot of weight fast. which causes the
gallstones
why do people who under go roux-en-Y gastric bypass surgery get dumping
syndrome? - ANSWER -because of rapid gastric emptying
Which drugs can cause acute interstitial nephritis? - ANSWER -NSAIDS, PPI,
What will a urine microscopy show in acute interstitial nephritis? - ANSWER -
eosinophils
What drugs cause acute tubular necrosis? - ANSWER -Aminoglycosides and
cisplatin
what will you see on urine microscopy in acute tubular necrosis? - ANSWER -
granular brown muddy casts
glomerular hematuria vs non glomerular hematuria, what will you see on
urinalysis? - ANSWER -Glomerular hematuria
- blood & protein
- RBC casts, dysmorphic RBC's
Non-glomerular hematuria
- blood but no protein
- normal appearing RBC's
in chronic renal disease, why is there decreased calcium and increased
phosphorus? - ANSWER -GFR decreases causing an increase in phosphorous
