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step 2 > 8/8 and 8/9 > Flashcards

8/8 and 8/9 Flashcards

1
Q

young female needle drainage doesn’t get rid of breast cyst next step

A

evaluate for bc with core needle biopsy

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2
Q

signs of hyper metabolic state in burn injury

A

tachycardia
hypertension
increased gluconeogenesis and insulin resistance, elevated protein and lipid catabolism, causing elevated body temp

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3
Q

when does mittelschmerz occur

A

middle of menstrual cycle (days 10-14)- corresponds to ovulation

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4
Q

tx for post partum endometritis

A

clindamycin and gentamicin

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5
Q

ovarian rupture but stable tx

A

observation

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6
Q

where does dermatitis herpetiformis show up

A

elbows, knees, back, butt- tx = dapsone and gluten fee diet

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7
Q

Endometrosis increases risk for

A

infertility

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8
Q

unilateral breast discharge test

A

ultrasound, plus minus mammogram

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9
Q

first line open angle glaucoma agent

A

latanoprost a topical prostaglandin

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10
Q

eye exam straight lines appear curved

A

macular degeneration

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11
Q

what is sympathetic ophthalmia

A

damage to good eye after penetrating injury uncovers hidden antigens

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12
Q

long term complications of sjogre syndrome

A

non-hodgkins lymphomas
corneal damage
dental caries

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13
Q

why is there an s4 in aortic stenosis sometimes

A

high resistance generated by stenosed valves causes concentric hypertrophy and stiffening of the LV

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14
Q

Beta blocker overdose signs and symptoms

A

bradycardia, hypotension,hypoglycemia, delirium, seizures, cariogenic shock

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15
Q

BB overdose tx

A

IVF and atropine followed by glucagon if no improvements

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16
Q

cholesterol crystal embolism interesting lab finding

A

eosinophilia and low complement

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17
Q

clinical findings for papillary muscle rupture(day 3-5)

A

severe pulmonary edema

new holosytolic murmur

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18
Q

Interventricular septum rupture clincal findings

A

chest pain

new holosystolic murmur bi v failure, shock, Left to right ventricular shunt

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19
Q

free wall rupture clinical features

A

chest pain, shock, distant heart sounds from tamponade

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20
Q

LVA clinical ft

A

subacute ♥️ failure and stable angina

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21
Q

what class is ondansetron

A

serotonin 5HT antagonist

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22
Q

MCHC in hereditary spherocytocis

A

⬆️

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23
Q

what cells are in hairy cell leukemia

A

clonal B cells

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24
Q

cytopenia in hairy cell

A

pan

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25
Q

massive splenomegaly no lymphadenopathy cancer

A

hairy cell

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26
Q

ALL cells

A

lymphoblasts- small cells with scant cytoplasm

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27
Q

what does G6PD have on smear

A

bite cells and Heinz bodies(hemoglobin so dark red)

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28
Q

MOA for type 2 HIT

A

antibody mediated platelet activation

29
Q

signs of HIT

A

thrombocytopenia and arterial and venous thrombosis

30
Q

what is salvage therapy

A

therapy used when standard therapy fails

31
Q

spleen role in immune system

A

antibody facilitated phagocytosis

32
Q

how to tell apart leukemioid reaction from CML

A

leukemoid has higher late neutrophil precursors (metamelocytes, bands)

33
Q

EPO in polycythemia vera

A

low

34
Q

iron levels in thalassemia

A

⬆️

35
Q

why does lack of intrinsic factor cause b12 microcytic anemia

A

causes impaired DNA synthesis

36
Q

possible complications of cervical conization

A

cervical stenosis, cervica incompetencee, and preterm delivery

37
Q

tx of BV in pregnancy

A

still metro

38
Q

contraindication to raloxifene

A

hx of vte

39
Q

what type of coagulopathy is DIC

A

consumptive

40
Q

what is peyronie disease

A

fibrous plaque in penis causes painful curvature

41
Q

thyroid storm features

A 
fever
tachycardia
htn
arrhythmia
agitation/delerium/seizure coma
lid lag
n/v/d/jaundice
42
Q

most important modifiable RF for pancreases cancer

A

smoking

43
Q

most common of sick sinus syndrome

A

degeneration of SA node and replacement with fibrous tissue

44
Q

+clostridum septicum next test

A

colonoscopy- associated with colon cancer so is strep Boris

45
Q

tx for diphenhydramine overdose

A

physostigmine

46
Q

chronic arsenic poisoning signs and symptoms

A

hypo/hyper pigmentation, hyperkeratosis, stocking and glove neuropathy

47
Q

snake bite normal labs what do you do?

A

observe for 12-24 hours with repeat coagulation studies-Crotalidae polyvalent immune Fab has a lot of anyphlaxis so avoid if you can

48
Q

why HTN in hyperthyroid

A

increased myocardial contractility

49
Q

which MEN syndrome has marfanoid

A

MEN 2B

50
Q

tx for central DI

A

Desmopressin

51
Q

meds for diabetic gasteroporesis

A

metocloprimide or erythromycin

52
Q

LArge fiber nueropathy sensory loss

A

pressure and proprioception

53
Q

large fiber neuropathy exam

A

diminished ankle reflex, reduced vibration, light tough, proprioception

54
Q

small fiber neuropathy sensory loss

A

pain and temp

55
Q

diabetes meds for weight loss and CV benefits

A

GLP-1 (-tide)and SGLT-2(-flozin)

56
Q

prolactinoma tx

A

dopamine agonist like cabergoline or bromocriptine

57
Q

how long to take bisphosphanates

A

5 years after this risk of atypical fractures increases

58
Q

vit d deficiency causes a ____ in Ca and phos and a ___ ion PTH

A

decrease

increase

59
Q

what type of complications does tight MEDICAL glycemic control lower

A

microvascular like nephropathy and retinopathy. Diet controlled helps micro and macro

60
Q

ACTH and Cortisol in secondary adrenal insufficiency

A

down

61
Q

ACTH primary adrenal insuficenct

A

⬆️

62
Q

cortisol primary adrenal insufficiency

A

⬇️

63
Q

what mineral helps Ca2+ absorption

A

Mg2+

64
Q

Why is T3 low in euthyroid sick syndrome

A

decreased peripheral conversion of t4 to t3

65
Q

acromegaly cardio findings

A

concentric left ventricular thickening

66
Q

milk alkali symptoms

A 
n/v
constipation
polyuria
polydipsia
nuropsych sx
67
Q

indications for cell free DNA testing

A 
Maternal Age greater than or equal to 35
abnormal maternal serum screening
sonogram that looks like aneuploidy
previous aneuploidy baby
parental balanced robertsonian translocation
68
Q

CCB overdose stuff

A

Brady, hypotension , HYPERGLYCEMIA

step 2 (53 decks)

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