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step 2 > 8/7 > Flashcards

8/7 Flashcards

1
Q

Immunosuppressed patient with nausea, vomiting, bloody diarrhea, endoscopy showing large shallow ulcers dx?

A

cmv

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2
Q

cervical radiculopathy first line tx

A

NSAIDs and avoid activity

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3
Q

chronic mesenteric ischemia sx

A

unexplained chronic abdominal pain
weight loss
and food aversion usually celiac or mesenteric

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4
Q

what position relieves pain in chronic pancreatitis?

A

leaning forward

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5
Q

tine has what micro

A

segmented hyphae

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6
Q

second jock itch next step

A

check toes, probably infection from that

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7
Q

does Steven Johnson and TEN cause mucosal involvement

A

yeas

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8
Q

meds that cause Steven Johnsons

A

allopurinol abx, anticonvulsants, NSAIDS(piroxicam), sulfasalazine

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9
Q

conditions that cause Steven Johnsons

A

mycoplasm pna
vaccination
graft vs host

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10
Q

what shape is erythema multiform

A

target, has mucosal lesions also

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11
Q

molluschi contagious everywhere what is the tx

A

cellular immunodeficiency probably HIV

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12
Q

erythematotelangiectaticrosacea tx -flushing, erythema, and pustules

A

topical brimonidine, lasers

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13
Q

papulopustular rosacea tx

A

1st: metro
2nd: oral tetra cyclones

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14
Q

phymatous rosacea tx

A

oral isotretinoin

lasers

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15
Q

isolated hyper pigmented lesion of papule with central dimple, lasts months, healthy person

A

dermatofibroma

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16
Q

most common causes of CN3 palsy

A

compression(aneurysm, tumor) or microvascular ischemia

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17
Q

tx myasthenia crisis

A

plasmapheresis or IVIG and steroids.

Intubate if in respiratory distress

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18
Q

cerebellar dysfunction signs

A 
progressive gait dysfunction
truncal ataxia
nystagmus
intention tremor
dysdiadochokinesia
19
Q

where is lesion that causes hemi-neglect

A

right parietal lobe or whatever is non dominant

20
Q

bilateral symmetric hyper intensity on MRI

A

hypoxic brain injury

21
Q

symptoms of Wallenberg syndrome (lateral medullary)

A

vertigo, diplopia, nystagmus, loss of pain and temp in psi face and contra limbs, dysphagia, hoarseness, psi hornets syndrome, hiccups, lack of automatic respiration.

22
Q

medial mid pontine infarction signs

A

contralateral ataxia and hemiparesis

23
Q

medial medullary syndrome signs

A

alternating hypoglossal hemiplegia, contra lateral paralysis of the arm and leg and tongue deviation toward lesion

24
Q

prenatal lab tests first visit

A 
RH
H and H with mcv
HIV
VDLR or RPR
HBsAg
rubella and varicella
Pap test if needed
chlamydia PCR
Urine culture
urine protein
25
Q

prenatal labs 24-28 weeks

A

H and H
RH antibody if Rh neg
1 hr glucose

26
Q

prenatal lab 35-37 weeks

A

group b strep

27
Q

tx for hyperandrogegism of pregnancy with ovarian masses on US

A

leave it alone, resolves after pregnancy

28
Q

describe round ligament pain

A

sharp pain that radiates to vagina usually from gravid uterus

29
Q

Hemorrhagic pustules with surrounding erythema that involve necrotic ulcers probs got neutrophilspenia and bacteremia.

A

ecthyma gangranosum from pseudomonas, systemic infection not systemic autoimmune thing like pyoderma gangrenoum

30
Q

Lemierre syndrome organism and who it affects

A

Fusobacterium necrophrum, young immuno COMPETENT people

31
Q

Lemierre presentation

A

weeklong sore throat and high fever, rigors, dysphagia and neck pain + swelling through sternociedomasto will have nodules on x-ray and causes jugular thrombosus.

32
Q

besides ulcers what can gastrinoma(ZE) cause in the tummy

A

thickened folds

33
Q

best test for c spine injury in the ER

A

CT

34
Q

Nexus criteria for CT c spine

A 
neuro deficit
spinal tenderness
AMS
Intoxication
Distracting injury
35
Q

what nerve is responsible for knee extension and hip flexion

A

femoral

36
Q

what nerve provides sensory information to anterior thigh and medial leg

A

femoral

37
Q

what nerve enervates medial compartment of thigh

A

obturator

38
Q

high TSH and T3/T4 + sx

A

TSH secreting pituitary tumor

39
Q

micro characteristics of diabetic nephropathy

A

glomerular hyperinfiltration, basemetn membrane thickening, mesangial nodules.

40
Q

why do CF/ chronic pancreatitis patient’s get hypoglycemia easy

A

kills alpha and beta cells so no glucagon to prevent hypoglycemia

41
Q

how to tell apart liver vs cardiac cause of le edema

A

hepatojugular reflex, if pos then it’s the ❤️

42
Q

quickest way to lower symptomatic hyper K

A

insulin and glucose

43
Q

VWD MOA

A

impaired platelet - endotheliallial binding

44
Q

what test to do if patient is on hydroxychloroquine chronically

A

eye exams

step 2 (53 decks)

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