CK NBME 9 Questions and answers (step 2)
26. different types of JIA: oligoarticular (5 joints, ANA negative)
systemic disease (variable joints, rash, quotidian fever, serositis)
27. JIA-assoc uveitis most common in:: female children with oligoarthritis
and positive ANA titers. usually aymptomatic on presentation
28. complications of uveitis: cataract, glaucoma, amblyopia (>65%
complication rate without detection in JIA)
29. in adults, presence of a destructive bone lesion is more commonly
caused by metastatic or primary malignancy?: metastatic
30. cancers that commonly metastasize to bone: lung, breast, prostate,
kidney, thyroid
31. go over bone lesions:
32. osteomalacia: adult form of vit D deficiency (rickets). progressive bone
pain and fragility fx. increased lucency on XR
33. txt stable SVT (regular, narrow-complex without hypotension or
impaired perfusion): vagal maneuvers, IV adenosine
34. unstable SVT txt: electrical cardioversion
35. when do angina symptoms occur: exertion, heightened emotional
states, after heavy meals
36. when is valve replacement in AS indicated: severe who are
symptomatic or asx with EF dx?: ILD. get PFTs
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