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Uworld 13 Exam Questions with Correct Definitions
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Uworld 13 Exam Questions with Correct Definitions
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Uworld 13 Exam Questions with Correct Definitions1) A 4-week-old boy is hospitalized with persistent vomiting, fussiness, and feeding intolerance. The emesis was initially clear but became bilious in the last few hours. The infant had been breastfeeding exclusively. His temperature is 37.2 C (99.0 F). Blood pressure and pulse are normal. - Exact Answer Physical examination shows a normal abdomen with no rebound or guarding. An upper gastrointestinal series is obtained urgently to evaluate for malrotation and volvulus and shows normal rotation but constriction of the duodenum.
An abdominal CT scan reveals pancreatic tissue encircling the duodenum. Which of the following is the most likely cause of this patient's condition? A) Aberrant differentiation of the midgut structures B) Abnormal migration of the ventral pancreatic bud - Exact Answer C) Ectopic rests not connected to the pancreas D) Failure of apoptosis in the dorsal pancreatic bud E) Failure of the ventral and dorsal pancreatic bud to fuse
B) Abnormal migration of the ventral pancreatic bud - Exact Answer - Annular pancreas
**Annular pancreas** - Exact Answer *Ventral* pancreas circles around duodenum-> *duodenal obstruction*--> *Bilious vomiting*
**Annular** pancreas - Exact Answer **Ring-shaped**(Annular) Uworld 13 Exam Questions with Correct Definitions
- *Ventral pancreas* circles around the duodenum causing *Obstruction*
2) A 9-year-old girl is brought to the office due to a 2-day history of face and eye puffiness. The mother reports that the child was treated for a rash on the leg with an antibiotic about 3 weeks ago. The girl's temperature is 37.2 C (99 F) and blood pressure is 150/90 mm Hg. - Exact Answer She has generalized edema but no skin rash. Urinalysis reveals proteinuria and hematuria. Renal biopsy is performed and results of electron microscopy are shown in the image.
e) Immune complex deposits - Exact Answer **PSGN**
Whenever given to choose between *Hematuria* and *Proteinuria* always pick *Hematuria* = HOAR-PRIMA
PSGN
RPGN
IgA nephropathy
MPGN
Alport syndrome - Exact Answer *Subepithelial* humps
= *PSGN* Uworld 13 Exam Questions with Correct Definitions
Kid Treated with *Antibiotic* and develops Renal problems
- Means that the kid had a prior *Bacterial* infection - Exact Answer PSGN
PSGN - Exact Answer **Immune complex deposition**
3) A 4-year-old Caucasian male is evaluated in your clinic for recurrent skin and respiratory infections. He has light skin and silvery hair. Horizontal nystagmus is present on eye examination. Peripheral blood smear demonstrates giant cytoplasmic granules in neutrophils and monocytes. - Exact Answer The patient most likely suffers from which of the following disorders?
A) Chronic granulomatous disease B) Phenylketonuria C) DiGeorge syndrome
D) Wiskott-Aldrich syndrome E) Chédiak-Higashi syndrome F) Albinism - Exact Answer E) Chédiak-Higashi syndrome - Not *Albinism* because person has a *Skin* infection - Albinism + *Skin* infections => Chediak Higashi Uworld 13 Exam Questions with Correct Definitions
4) A 65-year-old man is admitted to the intensive care unit with second and third degree burns over 25% of his total body surface area. Intravenous fluids and analgesics are administered, and his wounds are cleaned and debrided. After 7 days, the patient develops a fever and his leukocyte - Exact Answer count rises to 16,000 cells/pL. Examination of the burns on his left leg shows surrounding warmth, erythema, and induration. Gram stain of his wound tissue is shown in the
image. Culture on MacConkey agar grows oxidase-positive colonies that do not ferment lactose.
Which of the following is the initial for this patient?
a) Cefepime
b) Ceftriaxone
c) Doxycycline
d) Moxifloaxacin
e) Trimethoprim-sulfamethoxazole - Exact Answer a) Cefepime
- Pseudomonas: *Burn patient* you picked *Ceftriaxone* thinking this is *Neisseria* but that was WRONG. This is a *Burn* patient so treat with *Cefepime*
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