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ABIM combined uworld questions with complete solutions graded A+
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ABIM combined uworld questions with complete solutions graded A+
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ABIM combined uworldWBC casts on UA - correct answer ✔✔AIN
Mole size concerning for melanoma - correct answer ✔✔6mm and above in diameter
Positive tourniquet test - correct answer ✔✔Peticheae after cuff inflation for 5min
Dengue fever - prevention - correct answer ✔✔Use repellent to prevent MOSQUITO bite
Asx thrombocytopenia - work up - correct answer ✔✔HIV, hepC, BMB if age >60
Muscle pain/weakness + cytoplasmic vacuolization on muscle biopsy - correct answer ✔✔Colchicine
neuromyopathy
Shoulder pain + pain/paresthesia of 4th&5th digits + horner's - correct answer ✔✔Pancoast tumor
(superior pulmonary sulcus tumor)
More protein on spot urine than dipstick - correct answer ✔✔Multiple myeloma
Radiation pneumonitis - tx - correct answer ✔✔Prednisone
Mandibular mass in pt with poor oral hygiene - correct answer ✔✔Actinomyces
Actinomyces - tx - correct answer ✔✔IV PCN
Balding of the center of the scalp with sparing of the hairline - correct answer ✔✔Androgenic alopecia
,Androgenic alopecia - tx - correct answer ✔✔Minoxidil
Pityriasis rosea - sx - correct answer ✔✔Diffuse pruritic plaque on the trunk (usually starts with single
herald patch)
Pityriasis rosea - tx - correct answer ✔✔Self limited, resassurence. Anticholinergics or topical steroids if
severe.
Hyperreflexia after MDMA (ecstasy) use - correct answer ✔✔Serotonin syndrome
Horizontal & vertical nystagmus after drug use - correct answer ✔✔PCP intoxication
Sickle cell - ppx for stroke - correct answer ✔✔Chronic intermittent simple transfusion
Syncope work up - Holter monitor vs loop recorder - correct answer ✔✔Loop recorder if recurrent
episodes
Solitary pulmonary nodule - management - correct answer ✔✔=<4mm - nothing; 8mm - serial CT;
>=8mm - needle aspiration or PET (i thought 6mm is new cutoff??)
Celiac disease - prevention - correct answer ✔✔Need DEXA (at risk for osteoporosis) and pneumococcal
vaccine (at risk for hyposplenism)
Buproprion contraindication - correct answer ✔✔Seizure, eating disorder
Varenicline contraindication - correct answer ✔✔Cardiovascular events
Inhaled corticosteroids - side effects - correct answer ✔✔Incr risk for oral candida, hoarse voice,
pneumonia
Pulmonary aspergillosus - tx - correct answer ✔✔Voriconazole
,Viral encephalitis - tx - correct answer ✔✔Acyclovir + at least 2L/day of NS to prevent AKI
Fluctuating/stuttering stroke like sxs - correct answer ✔✔Thrombotic (rather than embolic) stroke
Systolic mumur @ the apex that prolongs with standing - correct answer ✔✔MVP (unlike HOCM)
Bicuspid aortic valve - murmur - correct answer ✔✔Mid systolic murmur with ejection click @ R second
intercostal space
Acute proteinuria after URI - correct answer ✔✔Minimal change disease
Polythythemia vera - dx - correct answer ✔✔JAK2 mutation, LOW EPO
Erythrasma - correct answer ✔✔Red plaque due to Corynebactereium. Red fluoresence on Woods lamp.
- tx with topical erythromycin/clinda
Cutaneous larva migrans - correct answer ✔✔Serpiginous pruritic rash from hookworm after travel to
Carribian, Africa, SE Asia
Leishmaniasis - correct answer ✔✔Parasite transmitted by sandfly
Eumycetoma - correct answer ✔✔Chronic granulomatous disease that affects the extremity (FUNGAL)
Multiple skin tags - causes - correct answer ✔✔Insulin resistance, pregnancy, Crohn's
Intranuclear inclusions on EGD biopsy - correct answer ✔✔CMV esophagitis
Lithium toxicity - tx - correct answer ✔✔IV fluids + HD (if Li level >4 or >2.5+AMS/renal dysfunction)
, ABPA - dx - correct answer ✔✔+skin prick test, +serum Aspergillus Ab, IgE > 417IU/mL
ABPA - tx - correct answer ✔✔Corticosteroids, itraconazole
Mesenteric ischemia - dx - correct answer ✔✔CT or MRA
Erectile dysfunction - tx - correct answer ✔✔PDEi; if on nitrates use intraurethral alprostadil, penile
vacuume, self injectable drugs
Tamoxifen - preop - correct answer ✔✔Hold 2-4wks prior to surgery
Persistent lipase elevation after pancreatitis attack - correct answer ✔✔Pancreatic pseudocyst
Pancreatic pseudocyst - dx - correct answer ✔✔CT
Pancreatic pseudocyst - tx - correct answer ✔✔None
High Ca, low/normal PTH - causes - correct answer ✔✔If high 1,25OH VitD - sarcoid/lymphoma; If high
25OH VitD - vitD toxicity
- or hyper PTH if normal/top-normal
Cyanosis after local anesthesia that does not improve with supplemental oxygen - correct answer
✔✔Methemoglobinemia
Methemoglobinemia - tx - correct answer ✔✔Methylene blue, stop offending agent
Blood test necessary to check before thrombolytic therapy for stroke - correct answer ✔✔Blood glucose
(*no need to check INR or PLT)
??? i thought INR goal 1.7
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