Practica Dr dilemma unimetro 2025 #1

Gastroenterology:

100

• These biochemical markers are evaluated to determine the response to treatment in autoimmune hepatitis

Transaminases and immunoglobulin G

200

• This systemic therapy was the first to show a survival benefit in hepatocarcinoma

Sorafenib

300

• This value of the serum-ascitic albumin gradient in a patient with ascites correlates with portal hypertension

>1.1 g/dl (SAAG-serum ascites albumin gradient)

400

• This combination of medications has been used to treat hepatorenal syndrome type 1 (HRS1), although it is inferior to continuous terlipressin infusion

Midodrine and octreotide

500

• In autoimmune hepatitis, remission is considered when this score is achieved according to the hepatitis activity index

Hepatitis activity index <4/18

Cardiology:

100

• According to BNP values, heart failure is considered in an outpatient when this threshold is reached

35 pg/ml

200

• This is the amount of time exercise, food, coffee, and tobacco should be avoided before measuring blood pressure

30 minutes

300

• This procedure is accepted for preventing the recurrence of atrial fibrillation in highly symptomatic patient who are refractory to medical management

Catheter ablation of the atrioventricular node

400

• This score is used to assess the need for anticoagulation in patients with atrial fibrillation

CHAD2DS2-VASc score

500

• The maximum permissible dose of furosemide for the management of congestive heart failure is

6 g per day (6 thousand)

Hematology

100

• This parenteral non-heparinoid can be used in cases of heparin-induced thrombocytopenia

Fondaparinux

200

• These are the types of antibodies induced by heparin against platelets

Immune complexes (PF-4)

300

• This is the expected time frame for developing drug-induced thrombocytopenia

1 week (5-10 days)

400

• These are the types of antibodies induced by penicillins against platelets

Hapten-dependent antibodies

500

• This is the average nadir of drug-induced thrombocytopenia

Less than 20 x 10 º/L

Neurology

100

• Which type of seizure is characterized by a brief loss of consciousness without motor symptoms

Absence seizure

200

• What is the most common cause of spontaneous intracerebral hemorrhage in hypertensive patients?

Uncontrolled hypertension

300

• Which neurotransmitter is most commonly deficient in alzheimers disease

Acetylcholine

400

• What brain region is most affected by neurodegeneration in alzheimers disease?

Hippocampus

500

• This phenomenon describes the transient worsening of neurological symptoms in multiple sclerosis with increased body temperature

Uhthoff’s phenomenon

Dermatology

100

• What is the primary mode of transmission for molluscum contagiosum?

Skin to skin contact

200

• Which bacteria are the most common cause of cellulitis

Streptoccoccus Spp

300

• What is the characteristic rash of hand, foot, and mouth disease?

Vesicular rash

400

• Which virus causes roseola, characterized by a high fever followed by a rash?

Human Herpesvirus 6

500

• This selective JAK1 inhibitor is approved for psoriatic arthritis

Upadacitinib