Forwarded from Black Lion | School of Medicine ππ
An adult with nephrotic-range proteinuria develops sudden flank pain and hematuria. Imaging shows renal vein thrombosis. Underlying mechanism?
Anonymous Quiz
5%
Hemodilution
71%
Loss of anticoagulant proteins in urine
13%
Vasculitis
7%
Complement deficiency
3%
Platelet destruction
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Forwarded from Black Lion | School of Medicine ππ
A 10-year-old boy develops cola-colored urine, periorbital edema, and hypertension 2 weeks after a sore throat. Urine shows RBC casts and mild proteinuria. Most likely process?
Anonymous Quiz
7%
Podocyte foot process effacement
78%
Immune-mediated glomerular inflammation
6%
Loss of antithrombin III
2%
Selective albumin permeability
8%
Minimal change disease
β€1
Forwarded from Black Lion | School of Medicine ππ
A 4-year-old with generalized edema and frothy urine has:
- Proteinuria >3.5 g/day
- Hypoalbuminemia - Hyperlipidemia - No hematuria Primary structural defect?
- Proteinuria >3.5 g/day
- Hypoalbuminemia - Hyperlipidemia - No hematuria Primary structural defect?
Anonymous Quiz
11%
Mesangial IgA deposition
12%
Subepithelial immune complexes
7%
Crescent formation
8%
GBM splitting
62%
Podocyte foot process effacement
Forwarded from Black Lion | School of Medicine ππ
π Indications for Urgent Dialysis (AEIOU)
Why is it not recommended to give plain water to infants under 6 months?
Anonymous Quiz
11%
Water can dilute circulating plasma proteins, decreasing oncotic pressure
51%
Immature renal tubular function limits free water excretion thus risk of hyponatremia and seizures
8%
Excess water increases gastric pH, reducing nutrient absorption
12%
Water overload stimulates inappropriate ADH release, causing hypernatremia
19%
Infants have immature swallowing reflex, leading to aspiration
A 6-month-old infant presents with vomiting, irritability, and a bulging anterior fontanelle. On exam, the eyes appear half-closed with the upper eyelids pulled down and the sclera visible above the iris. This is most consistent with:
Anonymous Quiz
79%
Sunsetting sign due to increased intracranial pressure
3%
Duane syndrome
7%
Myasthenia gravis
10%
Ptosis from congenital Horner syndrome
1%
Craniosynostosis
A 6-year-old child presents with low-grade fever, mild conjunctivitis, and posterior cervical lymphadenopathy. Three days later, a pink maculopapular rash appears on the face and spreads downward to the trunk and extremities. The most likely diagnosis is?
Anonymous Quiz
27%
Rubella
15%
Scarlet fever
4%
Roseola
5%
Varicella
49%
Measles
π3β€1
A 5-year-old with fever, cough, coryza, and conjunctivitis develops a maculopapular rash starting at the hairline and spreading downward, fading in the same order. What feature distinguishes it from rubella?
Anonymous Quiz
12%
Face-first rash
6%
Pink maculopapular rash
15%
Posterior cervical lymphadenopathy
61%
Koplik spots in the prodrome
6%
Rash fades top-to-bottom
A 6-year-old presents with mild fever and malaise. Two days later, a bright red βslapped cheekβ rash appears on the face, followed by a lacy, reticular rash on the trunk and extremities. What is the most likely diagnosis?
Anonymous Quiz
50%
Erythema infectiosum
21%
Roseola
13%
Measles
3%
Rubella
13%
Scarlet fever
β€1
A child develops vesicles starting on the trunk, then spreading to face and extremities, with lesions in different stages. Most likely diagnosis?
Anonymous Quiz
10%
Measles
11%
Rubella
13%
Scarlet fever
64%
Varicella
3%
Erythema infectiosum
A 1-month-old infant is evaluated for developmental milestones. Which gross motor skill is expected at this age?
Anonymous Quiz
67%
Raises head briefly while prone
18%
Rolls from back to stomach
6%
Pulls to stand
5%
Sits unsupported
5%
Cruises along furniture
β€1
A 9-month-old infant is evaluated for developmental milestones. Which gross motor skills are typically expected at this age?
Anonymous Quiz
13%
Rolls over independently, sits with support
70%
Crawls, pulls to stand, cruises along furniture
5%
Walks independently, climbs stairs
1%
Holds head steady while supported
11%
Reaches and grasps objects
A 12-month-old infant is evaluated for developmental milestones. Which gross motor skill is typically expected at this age?
Anonymous Quiz
25%
Cruises along furniture
7%
Crawls
10%
Sits with support
2%
Rolls from back to stomach
56%
Walks independently
A 3-year-old child is evaluated for gross motor development. Which of the following skills is typically expected at this age?
Anonymous Quiz
4%
Walks independently
22%
Climbs stairs with one foot per step
59%
Rides a tricycle and throws a ball overhand
12%
Jumps with both feet together
3%
Hops on one foot
A 4-month-old infant presents with a flattened area on one side of the skull but is otherwise healthy and neurologically normal. What is the most likely diagnosis?
Anonymous Quiz
19%
Craniosynostosis
69%
Plagiocephaly
6%
Microcephaly
5%
Hydrocephalus
1%
Macrocephaly
π1
A 3-month-old infant presents with an abnormally shaped head. On examination, there is ridge formation along the sagittal suture and the head appears long and narrow. What is the most likely diagnosis?
Anonymous Quiz
17%
Plagiocephaly
14%
Hydrocephalus
4%
Microcephaly
15%
Positional molding
50%
Craniosynostosis
A 7-year-old child presents with fever, headache, and myalgia. On exam, there are petechial lesions on the palms and soles that are now spreading to the trunk. What is the most likely diagnosis?
Anonymous Quiz
9%
Measles
17%
Scarlet fever
9%
Varicella
41%
Hand-foot-and-mouth disease
25%
Rocky Mountain spotted fever
Forwarded from Internal Medicine Questions Channel ππ
A 32-year-old woman presents with recurrent vaginal candidiasis that is refractory to standard antifungal therapy. Which underlying condition should be evaluated first, and what test should be done?
Anonymous Quiz
5%
Iron deficiency anemia with CBC
45%
Diabetes mellitus with fasting blood glucose or HbA1c
40%
HIV infection by rapid HIV test
2%
Hypothyroidism with TSH measurement
9%
Immunoglobulin deficiency with serum Ig levels
Forwarded from Surgery Questions Channel - AAU_2K11_Meds ππ
A patient presents with gradual cognitive changes and mild hemiparesis after minor head trauma. Imaging shows a crescent-shaped extra-axial collection. What is the most likely diagnosis, mechanism, and treatment?
Anonymous Quiz
53%
Chronic subdural hematoma, venous bleed, surgical evacuation
23%
Epidural hematoma, arterial bleed, urgent craniotomy
12%
Intracerebral hemorrhage, parenchymal bleed, medical management
8%
Subarachnoid hemorrhage, aneurysmal rupture, endovascular repair
4%
Subdural hygroma, CSF collection, conservative management