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A 28-year-old woman presents with easy bruising and mucosal bleeding. Labs show isolated thrombocytopenia with normal PT and PTT. Bone marrow biopsy reveals increased megakaryocytes. What is the most likely diagnosis?
Anonymous Quiz
10%
Aplastic anemia
15%
Thrombotic thrombocytopenic purpura
62%
Immune thrombocytopenic purpura
6%
Disseminated intravascular coagulation
6%
Acute leukemia
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During acute inflammation, inflammatory cells and plasma proteins migrate from the bloodstream to the primary site of injury. Into which compartment do they move?
Anonymous Quiz
8%
Intravascular space
13%
Intracellular space
67%
Interstitial space
13%
Lymphatic lumen
0%
Synovial cavity
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A biopsy specimen from an acutely inflamed tissue most characteristically demonstrates which of the following findings?
Anonymous Quiz
3%
Mononuclear cell infiltrate with fibrosis
17%
Granuloma formation with multinucleated giant cells
65%
Edema with predominant neutrophilic infiltration
11%
Eosinophil-rich infiltrate with immune complexes
5%
Lymphocytic infiltration with plasma cells
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Following acute tissue injury, the healing process begins during the inflammatory phase. Which of the following correctly distinguishes regeneration from repair?
Anonymous Quiz
8%
Regeneration forms scar tissue; repair restores normal architecture
7%
Regeneration and repair are synonymous processes
14%
Regeneration occurs only in permanent tissues; repair occurs in labile tissues
56%
Regeneration replaces tissue with identical cells; repair replaces tissue with scar
15%
Regeneration requires fibroblast proliferation; repair requires stem cell activation
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Which of the following statements about dermatomyositis is correct?
Anonymous Quiz
6%
It involves inflammation of skeletal muscles only
80%
It is characterized by inflammation of the skin and muscles
8%
It affects only the skin, not the muscles
6%
It is a type of bacterial infection of the skin
What is the correct immediate postnatal management for a newborn with congenital diaphragmatic hernia?
Anonymous Quiz
22%
Bag-mask ventilation immediately, then urgent surgical repair in the first hour
58%
Intubation, mechanical ventilation, gastric decompression, stabilization, delayed surgical repair
15%
Administration of high-flow oxygen and early surfactant, surgery if hypoxia persists
5%
Immediate ECMO (extracorporeal membrane oxygenation)
Which of the following statements is correct regarding phimosis and paraphimosis?
Anonymous Quiz
17%
Phimosis = retracted foreskin; paraphimosis = tight foreskin
69%
Phimosis = tight foreskin; paraphimosis = retracted, entrapped foreskin
10%
Both need surgery
4%
Paraphimosis is usually managed conservatively
👍3
A patient presents with a human bite that breaks the skin. What is the typical empiric treatment?
Anonymous Quiz
9%
Immediate primary closure and oral cephalexin
14%
Only topical antiseptics; antibiotics not needed
74%
Clean, debride, leave wound open, and amoxicillin-clavulanate
3%
Surgical closure and IV vancomycin
👍3
In a congenital or simple hydrocele, why is aspiration of fluid generally not recommended?
Anonymous Quiz
40%
It is always ineffective because fluid reaccumulates immediately
48%
Risk of infection and injury to surrounding structures
7%
It causes immediate testicular torsion
6%
It is unnecessary because hydroceles never cause discomfort
A newborn presents with severe hypospadias, and one testis is undescended. What is the first step in evaluation?
Anonymous Quiz
31%
Hormonal assay (testosterone and AMH)
27%
Karyotype analysis
21%
MRI of the pelvis
21%
Immediate surgical repair of hypospadias
Forwarded from Files for Pediatrics and OBGYN | Black Lion 💉💊
🖊 Hydrocele
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❤1
A 4-year-old child presents with severe intellectual disability, minimal speech, frequent inappropriate laughter, seizures, and an ataxic gait. Genetic testing shows loss of maternal gene expression at chromosome 15q11–q13. The most likely diagnosis is?
Anonymous Quiz
34%
Angelman syndrome
37%
Prader-Willi syndrome
21%
Fragile X syndrome
6%
Rett syndrome
3%
Tuberous sclerosis
Forwarded from Black Lion | School of Medicine 💉💊
A 2-month-old infant has a soft, nontender bulge at the umbilicus that protrudes when crying and is easily reducible. The infant is otherwise healthy. What is the most appropriate management?
Anonymous Quiz
7%
Immediate surgical repair
67%
Reassurance and observation
11%
Emergent reduction due to high strangulation risk
11%
Abdominal binder placement
5%
Urgent imaging to evaluate bowel ischemia
Teenager with progressive ataxia, absent reflexes, loss of vibration sense, and hypertrophic cardiomyopathy. GAA repeat expansion on chromosome 9. The Cause is?
Anonymous Quiz
19%
Autoimmune demyelination
14%
Copper accumulation
34%
Dystrophin mutation
16%
α-Synuclein aggregation
17%
Frataxin deficiency
A newborn has severe hypotonia and poor feeding. At age 5, he develops hyperphagia and obesity. Genetic testing reveals a deletion on chromosome 15q11–q13 inherited from his father. What is the most likely diagnosis?
Anonymous Quiz
19%
Angelman syndrome
52%
Prader-Willi syndrome
22%
Fragile X syndrome
3%
Rett syndrome
5%
Friedreich ataxia
A 2-year-old boy presents with abdominal distension and a palpable right upper quadrant mass. Laboratory studies show markedly elevated alpha-fetoprotein (AFP). Imaging reveals a solitary liver mass. What is the most likely diagnosis?
Anonymous Quiz
55%
Hepatoblastoma
25%
Hepatocellular carcinoma
7%
Neuroblastoma
11%
Wilms tumor
3%
Rhabdomyosarcoma
A 2-year-old child presents with intermittent jaundice and abdominal pain. RUQ ultrasound shows dilation of the gallbladder and a fusiform dilation of the extrahepatic biliary tree that communicates with the bile ducts. What is the most likely diagnosis?
Anonymous Quiz
44%
Choledochal cyst
33%
Biliary atresia
12%
Cholelithiasis
4%
Hepatoblastoma
7%
Primary sclerosing cholangitis
A premature neonate with jaundice is started on intravenous antibiotics for suspected sepsis. Shortly after receiving therapy, the infant develops worsening hyperbilirubinemia. Which of the following drugs is most likely responsible?
Anonymous Quiz
9%
Ampicillin
22%
Gentamicin
8%
Cefotaxime
53%
Ceftriaxone
8%
Vancomycin
A full-term infant is exclusively breastfed. At what age should iron supplementation typically begin to prevent iron deficiency anemia?
Anonymous Quiz
6%
Birth
9%
2 months
19%
4 months
49%
6 months
17%
12 months
HbAS on electrophoresis indicates:
Anonymous Quiz
32%
Sickle cell disease
33%
Sickle cell trait
18%
Beta-thalassemia major
13%
Alpha-thalassemia
4%
HbC disease
A 2-year-old child who is not toilet trained needs a urine culture. What is the preferred method to collect a sterile urine sample?
Anonymous Quiz
8%
Bag collection
30%
Clean-catch midstream
17%
Suprapubic aspiration
42%
Transurethral catheterization
3%
Random urine sample