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UWorld Step 2 Days > 3/8 Reading > Flashcards

3/8 Reading Flashcards

1
Q

initial rx of hiatal hernia?

A

PPI and wt loss

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2
Q

what is first line rx for achalasia?

A

dilation of esophagus

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3
Q

treatment of eosinophilic esophagitis?

A

PPI and no allergenic foods…can also swallow steroids

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4
Q

what is best course of action to take with AIDs patient who has pain with swallowing and low CD4 count?

A

can go ahead and trial fluconazole

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5
Q

what is rx of zenker diverticulum?

A

surgical repair

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6
Q

what is test to confirm zenker diverticulum?

A

barium study

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7
Q

three esophageal disorders you use manometry for?

A

achalasia
scleroderma
spasms

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8
Q

what are sx of diabetic gastroparesis?

A

stomach distension, bloating and constipation

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9
Q

what are two rx options for diabetic gastroparesis/

A

erythromycin and metoclopramide

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10
Q

if patient has c diff and is successfully treated but then recurs, what is rx?

A

vanc

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11
Q

what is CT finding in chronic pancreatitis?

A

calcifications of the pancreas

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12
Q

sx of carcinoid syndrome?

A

intermittent diarrhea, wheezing, flushing and cardiac abnormalities

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13
Q

what is best test to identify carcinoid syndrome?

A

urinary 5HIAA

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14
Q

what is rx of carcinoid syndrome?

A

octreotide

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15
Q

what is stool test for lactose intolerance?

A

increased stool osmolality

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16
Q

sx of SIBO

A

flatulence, bloating, diarrhea, steatorrhea

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17
Q

rx of SIBO

A

rifaximin

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18
Q

what is colonoscopy plan after CRC resection?

A

1, 3 then 5 years

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19
Q

peutz jehgers syndrome cancer risk

A

colon
breast
pancreatic
gonads

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20
Q

gardner syndrome cancers

A

osteomas and CRC

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21
Q

what hep B antigen means likely to pass to fetus?

A

E-antigen

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22
Q

side effects of interferon

A

arthralgia
thrombocytopenia
depression
leukopenia

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23
Q

rx for wilson disease

A

penicillamine

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24
Q

what are some other findings in wilson disease?

A

RTA
psychotic features
kayser fleischer in eyes
anemia

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25
Q

if patient has NASH and diabetes, what med?

A

pioglitazone

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26
Q

what is empty sella syndrome?

A

basically undersized pituitary

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27
Q

what should you do for empty sella syndrome?

A

check adrenal andthyroid function

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28
Q

what is first line rx for acromegaly?

A

transphenoidal pituitary removal

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29
Q

what meds can be used for acromegaly if surgery not an option?

A

cabergoline
octreotide
pegvisomant

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30
Q

what are medication options for prolactinoma/

A

cabergoline or bromocriptine (dopaine agonist)

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31
Q

what are tsh t3, t4 and reverse t3 levels in euthyroid sick syndrome?

A

t3 and 4 are low, reverse t3 is high, TSH is normal

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32
Q

best therapy for graves opthalmopathy

A

steroids

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33
Q

do thiazide diuretics cause hyper or hypocalcemia?

A

hypercalcemia

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34
Q

what is best test for Vit d levels?

A

25 vit D

35
Q

rx for paget disease?

A

bisphosphonates then calcitonin

36
Q

what is test to confirm paget disease?

A

nuclear bone scan

37
Q

what is test to confirm adrenal insufficiency?

A

cosynotropin stimulation test

38
Q

what is odd lab finding in hypocortisolism?

A

eosinophilia

39
Q

if patient cant have an aldosterone secreting adenoma removed, what meds?

A

spironolactone or eplerenone

40
Q

what is rx of glucagonoma?

A

octreotide and surgical removal

41
Q

what fasting glucose is diagnostic for DM>

A

125

42
Q

what non fasting glucose level is diagnostic for DM?

A

200

43
Q

when do mammograms start and stop?

A

50 and 74

44
Q

guidelines for lung cancer screening

A

CT yearly if greater than 20 year history

45
Q

what is post exposure prophylaxis for Hep A?

A

vaccine in adults, vaccine and immuneglobulin in infants

46
Q

post exposure prophylaxis for hep B?

A

vaccine and immuneglobulin

47
Q

name first line rx for BPH

A

tamsulosin and terazosin

48
Q

what are common nutritional deficiencies in vegandiet?

A

B12, Vit D and calcium

49
Q

treatment for avascular necrosis of femoral head?

A

hip replacement

50
Q

what is unhappy triad of knee

A

mcl, acl and meniscus

51
Q

tarsal tunnel syndrome is entrapment of what nerve?

A

tibial

52
Q

when is a family member with CAD a risk factor?

A

if male less than 55 and female less than 55

53
Q

correction of what risk factor will help most with CAD?

A

smoking cessation

54
Q

what two meds should patient with stable angina be on?

A

aspirin and beta blocker

55
Q

what is goal LDL in patient with CAD?

A

70 or lower

56
Q

whats most common adverse effect of statins?

A

liver enzyme elevation

57
Q

what med when combined with statin increases risk of statin myopathy?

A

fibrates

58
Q

fibrates are best at doing what?

A

lowering triglycerides

59
Q

what are worst leads to have MI in?

A

V2-V4

60
Q

what lab should be checked in patient you are worried about re infarction soon after an MI?

A

CK MB

61
Q

what med in addition to spirin and clopidogrel for NSTEMI?

A

LMWH

62
Q

what is usual cause of ED after an MI? what med can cause it?

A

anxiety…beta blockers

63
Q

what four meds increase mortality in HF

A

Ace/arbs
spironolactone
beta block
sacubitril/valsartan

64
Q

two murmurs that do not increase with exhalation?

A

MVP and HOCM

65
Q

patient with HOCM with syncope should have what put in?

A

defibrillatory

66
Q

what med should patients with HOCM be on?

A

metoprolol

67
Q

PFTs in CF?

A

mixed restrictive and obstructive, low DLCO

68
Q

3 abx options for HAP

A

cefepime
zosyn
penems

69
Q

what is rx of VAP

A

two anti pseudomonal abx then vanc

70
Q

what abx can cause seizures?

A

impipenem

71
Q

if patient gets pneumococcal vaccine before 65, what should be done?

A

get it again 5 years later

72
Q

abx for lung abscess?

A

clinda or penicillin

73
Q

what lab is elevated in PJP?

A

LDH always up

74
Q

patient with PJP cannot have bactrim, what should you give?

A

pentamidine or clinda/primaquine

75
Q

what is best test for symptomatic patient with Tquestionable TB?

A

cxr and sputum stain and culture

76
Q

what is rx for active tb

A

RIPE for 6 mobnths then isoniazid/rifampin for 4 months

77
Q

sand blasting lung

A

silicosis

78
Q

electronic manufacturer lung

A

berylliosis

79
Q

what is of BOOP?

A

bronchiolitis obliterans organizig pneumonia

80
Q

what are sx of BOOP?

A

cough dyspnea fever weight loss

81
Q

what reverses rivaroxaban, epixaban?

A

andexanet alfa

82
Q

rx of hypersensitivity pneumonitis?

A

steroids

83
Q

3 drug classes for pulm htn

A 
prostacyclin analogues 
endothelin agonists (bosentan)
phosphodiesterase inhibitors (sildenafil)

UWorld Step 2 Days (23 decks)

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