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Step 2 CK > 8-23 > Flashcards

8-23 Flashcards

1
Q

avoid metformin in…

A

acute renal failure, liver failure, sepsis - due to inc risk of lactic acidosis

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2
Q

tx for antipsychotic induced parkinsonism

A

add on benztropine or amantadine if it’s working well

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3
Q

tx for ingestion of botulism spores

A

botulism immune globulin

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4
Q

unilateral varicocele that fails to empty when patient is recumbent

A

suspicion for mass that obstructs venous flow (RCC)

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5
Q

motor: 1-5 yrs

A

walk, steps, tricycle, hop, skip

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6
Q

RDW and RBCs in thalassemia minor

A

normal - see target cells on smear

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7
Q

first line prevention of migraines in pregnancy

A

beta blocker

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8
Q

complications of PBC

A

(anti-mito Abs) malabsorption, metabolic bone dz, HCC; tx w/ urso

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9
Q

phys exam for aortic regurg

A

early diastolic murmur, bounding pulses

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10
Q

Abs in hashimoto thyroiditis (high TSH)

A

anti-TPO Abs

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11
Q

baby w/ unconj bili, nml Hgb, neg coombs, inc retics

A

hemolysis (G6PD def, hgb SS, etc)

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12
Q

proximal muscle weakness + diminished DTRs

A

lambert-eaton (Abs to presynaptic voltage-gated Ca channels)

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13
Q

AV block in pt w/ endocarditis

A

perivalvular abscess

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14
Q

cough, conjunctivitis, white dots in mouth, fever, rash

A

measles (starts on head and spreads caudally)

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15
Q

tx for pinworm infection

A

pyrantel pamoate OR albendazole

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16
Q

tx for vasospastic angina

A

CCB

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17
Q

dx of acute liver failure

A

elevated AST/ALT, hepatic encephalopathy, INR>1.5

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18
Q

tx for AOM perf w/ amox tx in past 30 days

A

amox-clavulanate

19
Q

common site of HTN brain hemorrhage

A

basal ganglia

20
Q

defense mechanism: attributing one’s own feelings to someone else

A

projection

21
Q

pt w/ dizziness, SOB, chest pain relieved w/ cold water immersion

22
Q

defense mechanism: transferring feelings to a less threatening object/person

A

displacement

23
Q

social: 2 + 6 mo, 1 yr

A

social smile, stranger anxiety, separation anxiety

24
Q

motor: 2, 4, 6mo

A

lift head, roll over, sit up

25
Q

tx for scabies

A

topical permethrin vs oral ivermectin

26
Q

CHF does what to kidneys?

A

RAAS activation -> vasoconstrict afferent + esp efferent arterioles

27
Q

1st step dx for cushing syndrome

A

24 hr urine cortisol vs late night salivary cortisol vs low dose dex suppression -> then measure ACTH

28
Q

hepatorenal syndrome pathophys

A

splanchnic dilation -> RAAS -> renal vasoconstriction

29
Q

kid w/ itchy fingers

A

scabies - tx w/ permethrin

30
Q

sildenafil relative contraindications

A

alpha blockers and nitrates - cause hTN

31
Q

surveillance for beckwith-wiedemann syndrome

A

serum AFP and abd/renal US (wilms tumor and hepatoblastoma)

32
Q

child w/ painful hip after viral illness, able to bear weight, nml labs

A

transient synovitis

33
Q

clinical exam findings for laryngomalacia

A

inspiratory stridor

34
Q

baby w/ unconj bili, nml Hgb, nml retics, neg coombs

A

breast milk (not enough, dec bowel fxn) vs breast feeding (problem w/ moms milk) jaundice

35
Q

shapes: 3, 4, 5yrs

A

circle, cross, triangle

36
Q

BRUE definition

A

<1yo, <1min, change in color/tone/breathing/responsiveness

37
Q

bug + tx for chronic bacterial prostatitis

A

E Coli; tx w/ FQ for 4-6 wks

38
Q

abx relatively contraindicated in aortic aneurysm

A

fluoroquinolones

39
Q

fever, rash, tender lymph nodes

40
Q

why are CF pts more at risk for insulin-induced hypoglycemia?

A

lose glucagon-secreting alpha cells too

41
Q

nephrotic syndrome assoc w/ HBV

A

membranous nephropathy

42
Q

common causes of adult nephrotic syndrome

A

FSGS, membranous nephropathy, membranoproliferative glomerulonephritis

43
Q

common causes of adult nephritic syndrome

A

IgA nephropathy, membranoproliferative glomerulonephritis, crescentic glomerulonephritis

Step 2 CK (24 decks)

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