UWorld Step 2 Days > 3/8 Reading > Flashcards

3/8 Reading Flashcards

(83 cards)

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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
if patient has NASH and diabetes, what med?
pioglitazone
26
what is empty sella syndrome?
basically undersized pituitary
27
what should you do for empty sella syndrome?
check adrenal andthyroid function
28
what is first line rx for acromegaly?
transphenoidal pituitary removal
29
what meds can be used for acromegaly if surgery not an option?
cabergoline octreotide pegvisomant
30
what are medication options for prolactinoma/
cabergoline or bromocriptine (dopaine agonist)
31
what are tsh t3, t4 and reverse t3 levels in euthyroid sick syndrome?
t3 and 4 are low, reverse t3 is high, TSH is normal
32
best therapy for graves opthalmopathy
steroids
33
do thiazide diuretics cause hyper or hypocalcemia?
hypercalcemia
34
what is best test for Vit d levels?
25 vit D
35
rx for paget disease?
bisphosphonates then calcitonin
36
what is test to confirm paget disease?
nuclear bone scan
37
what is test to confirm adrenal insufficiency?
cosynotropin stimulation test
38
what is odd lab finding in hypocortisolism?
eosinophilia
39
if patient cant have an aldosterone secreting adenoma removed, what meds?
spironolactone or eplerenone
40
what is rx of glucagonoma?
octreotide and surgical removal
41
what fasting glucose is diagnostic for DM>
125
42
what non fasting glucose level is diagnostic for DM?
200
43
when do mammograms start and stop?
50 and 74
44
guidelines for lung cancer screening
CT yearly if greater than 20 year history
45
what is post exposure prophylaxis for Hep A?
vaccine in adults, vaccine and immuneglobulin in infants
46
post exposure prophylaxis for hep B?
vaccine and immuneglobulin
47
name first line rx for BPH
tamsulosin and terazosin
48
what are common nutritional deficiencies in vegandiet?
B12, Vit D and calcium
49
treatment for avascular necrosis of femoral head?
hip replacement
50
what is unhappy triad of knee
mcl, acl and meniscus
51
tarsal tunnel syndrome is entrapment of what nerve?
tibial
52
when is a family member with CAD a risk factor?
if male less than 55 and female less than 55
53
correction of what risk factor will help most with CAD?
smoking cessation
54
what two meds should patient with stable angina be on?
aspirin and beta blocker
55
what is goal LDL in patient with CAD?
70 or lower
56
whats most common adverse effect of statins?
liver enzyme elevation
57
what med when combined with statin increases risk of statin myopathy?
fibrates
58
fibrates are best at doing what?
lowering triglycerides
59
what are worst leads to have MI in?
V2-V4
60
what lab should be checked in patient you are worried about re infarction soon after an MI?
CK MB
61
what med in addition to spirin and clopidogrel for NSTEMI?
LMWH
62
what is usual cause of ED after an MI? what med can cause it?
anxiety...beta blockers
63
what four meds increase mortality in HF
Ace/arbs spironolactone beta block sacubitril/valsartan
64
two murmurs that do not increase with exhalation?
MVP and HOCM
65
patient with HOCM with syncope should have what put in?
defibrillatory
66
what med should patients with HOCM be on?
metoprolol
67
PFTs in CF?
mixed restrictive and obstructive, low DLCO
68
3 abx options for HAP
cefepime zosyn penems
69
what is rx of VAP
two anti pseudomonal abx then vanc
70
what abx can cause seizures?
impipenem
71
if patient gets pneumococcal vaccine before 65, what should be done?
get it again 5 years later
72
abx for lung abscess?
clinda or penicillin
73
what lab is elevated in PJP?
LDH always up
74
patient with PJP cannot have bactrim, what should you give?
pentamidine or clinda/primaquine
75
what is best test for symptomatic patient with Tquestionable TB?
cxr and sputum stain and culture
76
what is rx for active tb
RIPE for 6 mobnths then isoniazid/rifampin for 4 months
77
sand blasting lung
silicosis
78
electronic manufacturer lung
berylliosis
79
what is of BOOP?
bronchiolitis obliterans organizig pneumonia
80
what are sx of BOOP?
cough dyspnea fever weight loss
81
what reverses rivaroxaban, epixaban?
andexanet alfa
82
rx of hypersensitivity pneumonitis?
steroids
83
3 drug classes for pulm htn
``` prostacyclin analogues endothelin agonists (bosentan) phosphodiesterase inhibitors (sildenafil) ```

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