NBME 9, Answered-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...
NBME 9, Answered
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? - High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker +
normal VS
next step? - biopsy
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on
diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 +
edema + signs of kidney injury
Dx and next step? - fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? - wearing shoes when
standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? - daily foot
checks
37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells
, potential dx and next step? - endometrial malignancy; colposcopy with
endocervical curettage
37 yr old woman with no hx of abnormal pap smears + current visit shows pap
smear with atypical glandular cells
After colposcopy with endocervical curettage, what can be considered as a next
step? - hysteroscopy
T/F: Neonate that improved with PPV can be taken off of PPV immediately after -
true
If there is suspected FSGS, what is the next step? - renal biopsy
If there is suspected FSGS, what is the next step after confirming it with renal
biopsy? - prednisone therapy
1st line tx for Merniere's disease - antihistamines (e.g. Meclizine)
2nd line tx for refractory Merniere's disease - methylprednisolone
T/F: Initial step to controlling allergic rhinitis can include use of pillow and
mattress covers - true
COPD exacerbations can be treated with? - supplemental oxygen, SABA, steroids,
antibiotics, and nebulizers
COPD daily management should include? - LABA, tiotropioum, steroids
T/F: Oral steroids are the main daily treatment for chronic COPD patients. - false
T/F: LABA are the main daily treatment for chronic COPD patients. - true
What chemical can cause osmotic diarrhea, bloating, and abdominal discomfort
when used in excessive quantities? - sorbitol
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ProfMiaKennedy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.90. You're not tied to anything after your purchase.
