Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Project - USMLE Step 3 > !!!! CCS !!!! > Flashcards

!!!! CCS !!!! Flashcards

1
Q

UTI

A 
Urine HCG female
UA
Urine culture
Tx: bactrim/nitrofurantoin
*make sure you follow up uc 1-2 weeks after therapy
*confirm pregnacy before urine culture.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pregnancy

A

Pregnancy Test
Pelvic Ultrasound for dating
1st-trimester labs:

A, BB, CC, HH, P, RR, UU

Atypical antibody
BMP, Blood Type/Rh
Chlamydia/ Gonorrhea, CBC
HBV, HIV
Pap-Smear
RPR, Rubella
U/A, UC

*at risk gonorrhea, TB, red cell indices, hemoglobin electrophoresis for sickle cell or thalassemia, hexosaminidase a, cystic fibrosis, serum phenylalanine level, toxoplasmosis screen, and hepatitis C antibodies

Treatment: Is For Pregnant Patients

  • Iron
  • Folate
  • Prenatal Vitamins
  • Prenatal Counseling.

Follow up
Glucose screening: 50g 1 hr glucose tolerance test between 24-28 weeks’ gestation. Results >135 are abnormal if the patient is greater than 25, FH obesity, DM, prior infant weight of 4000, recurrent spontaneous abortions.

GBS if 35-37 weeks

  • .
  • Recommendations for nutrition weight gain, regular exercise, rest, and sexual activity.
  • Routine pregnancy monitoring,
  • listeria precautions
  • toxoplasmosis precautions
  • Abstinence from alcohol, cigarettes, and illicit drugs
  • Recommendations for seat belts during pregnancy
  • childbirth classes and breastfeeding recommendations
  • confidentiality issues
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ulcerative Colitis

A

Diagnosis:
PT/PTT, cbc, lft, bmp
*Sigmoidoscopy, Rectal biopsy, ESR, stool O/P, stool leukocyte, stool culture,
Tx:
Mild - Topical 5-ASA (mesalamine, sulfasalazine, olsalazine) treat diarrhea/pain with loperamide, dicyclomine, *dietary consult

Mod - oral 5 ASA compounds( [sulfasalazine *give folic acid], mesalamine, olsalazine), consider steroids or immunomodulators like 6-MP/azathioprine when asa fails to induce remission.

Severe - 
Hospitalize, resusitate with IV fluids
NPO, TPN
Serial abdominal exams, vitals, abdominal xay
IV steroids (review which one)
Broad spectrum abx(
Consider Surgery in refactory cases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ectopic Pregnancy

A

Dx: Beta-HCG, Transvaginal ultrasound,

*Surgical workup (PT/PTT, Type and cross, blood group, Rh status), GC/CT

Tx: Methotrexate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

IBS

A

Dx: CBC/BMP, TSH, FOBT, ESR, Stool workup (O/P, leukocyte, culture)

Tx: Diet modification, Dicyclomine, loperamide, amitriptyline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Depression

A

Dx: CBC, BMP, TSH, B12

Tx: SSRI, Counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Vaginitis

A

Dx: Vaginal PH, Wet mount, gram stain, Pap smear, GC/CT, U/A

Tx: Yeast - fluconazole/clotrimazole,
BV - Metronidazole,
Trich - Metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dementia

A

Dx: CBC/BMP, LFT, TSH, Vitamin B12, CT

Tx: Donepazil-Aricept, vitamin E, atypical antipsychotic for psychotic sx???, can add on memantine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

COPD Exacerbation

A

Dx: Peak flow, CBC/BMP, CXR, ABG, EKG
Tx: Albuterol, ipratropium, PO steroids, consider antibiotics i.e. Doxy (outpatient) Levaquin (inpatient)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Breast Lump

A

Dx: Mammography, Ultrasound,

FNA automatically, counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hypertensive Emergency

A

Dx: Look for evidence of end organ damage (CBC, BMP, ECG, head CT, UA)

Tx: Transfer to ICU, Art line for monitoring, Oxygen, pulse ox, nitroprusside (1), labetalol (2),

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Foreign Body Aspiration

A

Dx: CXR, Neck X-ray, bronchoscopy

Tx: Oxygen, pulse ox, bronch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Panic Attack

A

Lots to rule out! Dx: ECG, Trop, CXR, CBC, BMP, Urine drug, glucose, TSH, UA

Tx: Oxygen, benzo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Immediate stabilization options

A

Oxygen, pulse ox, head elevation, Cardiac monitoring, BP monitoring, IV access

Shock panel tropinin, bnp, cxr, abg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TIA

A

Dx: CBC, BMP, Glucose, ECG, head CT, carotid Doppler, echo, lipid panel, A1C

Tx: IV access, aspirin, Carotid endarectomy, counseling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

PID

A

Dx: Pelvic Exam, GC/CT swab, gram stain swab, pelvic ultrasound, blood cultures, UA, Urine culture, urine HCG, HIV, RPR

Tx: IV cefoxitin, IV doxycycline (24 hours), morphine*, saline, NPO, Tylenol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hemophilia

A

Dx: CBC, INR/PTT, bleeding time, BMP, LFT. Then Factor VIII, IX, or XI *
Tx: Replace missing factor, trend levels*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Unstable Angina/MI

A

First: IV Access, pulse ox, oxygen, ECG, aspirin,/nitroglycerine, cardiac monitoring, BP monitoring

Dx: Cardiac enzymes, CBC, BMP, LFT, lipid profile, INR/PTT, Echo, Card consult, Catheterization

Tx: Add on heparin, metoprolol, G2b/3a inhibitor -eptfibatide, simvastatin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Croup (barking cough)

A

First: oxygen, pulse ox
Dx: CXR, neck X-ray, CBC, BMP
Tx: Dexamethasone, Racemic Epi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Asthma Exacerbation

A

First: Head Elevation, Oxygen, Pulse Ox, cardiac monitoring, ECG
Dx: ABG, CBC, BMP, Peak flow also called Peak Expiratory Flow Rate (PEFR) , CXR
Tx: Salmbuterol, ipatroprium, oral or IV steroid based on severity
Monitor: Peak flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Constipation

A

Dx: CBC, BMP, Mag, Phos, TSH, FOBT,
Tx: Fiber, senna, docusate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Appendicitis

A

Dx: CBC, BMP, LFT, FOBT, Abdominal X-ray, abdominal ultrasound, UA, PT/INR, PTT
Tx: NPO, IV access, NS, Morphine, antiemetics, Cefoxitin!!!, surge consult, laparoscopy

23
Q

Joint Infection

A

CBC, BMP, Blood culture, INR/PTT
*Dx: Joint aspiration, joint X-ray, synovial culture/gram stain/cell count.
Tx: IV vanc and ceftriaxone. Joint arthroscopy if fluid can’t be removed.
Ortho consult. IV access, IV morphine, counseling

24
Q

Dysfunctional Uterine Bleeding

A

CBC, prolactin, TSH, Ferritin, GC/CT, INR/PTT, urine HCG, LFTs
Dx: GYN exam, Consider endometrial biopsy, pelvic ultrasound,
Tx: OCs, Iron sulfate

25
Q

Pericarditis

A

CBC, BMP, troponin,ESR, CK-MB, blood cultures, amylase/lipase,
Dx: ECG, CXR, echo,
Tx: NSAID + colchicine, consider steroid if refractory, consider pericardiocentesis

26
Q

Trauma

A

First: C-spine immobilization, oxygen, pulse ox, IV access, NS, BP/Cardiac monitoring

CBC, BMP, LFTs, ABG, type and screen, UA, INR/PTT, urine pregnancy test, amylase/lipase, urine drug screen

Dx: Full physical, , CXR, Abdominal CT/Ultrasound (depending on stability),, ECG, Spine x-ray,

Tx: Supportive unless requiring splenectomy, IV analgesia/anti-emetics, foley, surgical consult

27
Q

Cellulitis

A

CBC, BMP, Blood culture, wound culture
Dx: X-ray,
Tx: Outpatient: Clinda; Inpatient: IV access, NS, elevation, Vanc (MRSA) or Cefazolin-> Keflex, PO analgesic

28
Q

Gout

A

, CBC, BMP, ESR, INR/PTT, Uric acid
Dx: Joint aspiration, X-ray
Tx: Indomethacin, consider colchicine if can’t tolerate NSAIDS

29
Q

AIDS with PCP

A

Dx: CBC, BMP, Sputum culture, pulse ox, ABG, LDH, ELISA followed by western blot then CD4 and viral load,
CXR
Tx: Bactrim + steroids, oxygen, vaccinations, HAART i.e. Efavirenz/Tenofovir/Emtricitabine

30
Q

Renal Cell Carcinoma

A

Dx: CBC then iron studies (ferritin, transferrin, TIBC), INR/PTT BMP, LFTs, UA, cystoscopy, abdominal CT, chest CT, FOBT
Tx: Nephrectomy (pre-op care i.e. Cefazolin, type and cross, NPO)

31
Q

Duodenal Ulcer

A

First: IV Access, oxygen, Cardiac/BP monitoring, ECG

CBC, BMP, FOBT, amylase, lipase, UA
Dx: CXR or AXR,

Tx: Laparoscopy (NPO, PPI, NG tube, INR/PTT, Type and cross, NS), IV Zosyn

32
Q

Turner Syndrome

A

FSH, LH CBC, TSH, BMP, fasting glucose, lipid profile, UA
Dx: Full exam, Karyotype*,Psych consult for IQ, hearing test, skeletal survey, renal ultrasound, pelvic ultrasound, echo,
Tx: Calcium, vitamin D, OCs, growth hormone, diet, ophthalmology consult

33
Q

Essential HTN

A

Dx: CBC, BMP, LFTs, UA, lipid, ECG. Then have return in 1 month for repeat BP
Tx: start with lifestyle management. If no change in 3-5 month period start on medication management. ACE if standard. CCB if AA

34
Q

Diverticulitis

A

CBC, BMP, LFTs, UA, Blood culture
Dx: FOBT, Abdominal CT,
Tx: Zosyn -> augmentin. NS, NPO, morphine, anti-emetics. Colonoscopy 3 weeks post recovery.

35
Q

Child abuse

A

CBC, INR, PTT, bleeding time
Dx: Skeletal Survey, consider ophthalmologic exam, if bruising
Tx: CPS Consult, Psych consult, admit, DO NOT RETURN HOME

36
Q

Menopause

A

CBC
Dx: FSH, prolactin if worried,
Tx: Counseling, estrogen/progestin replacement??

37
Q

DVT

A

Dx: admit to ED if PE findings present, Dopplers, d-dimer, CBC, BMP
Tx: LMWH if Cr normal, Warfarin, will need CBC on day 3 to r/o HIT, INR daily until therapeutic, oxycodone

38
Q

PE

A

First: Oxygen, pulse ox, IV, ECG, cardiac monitor
CBC, D-dimer,INR/PTT, BMP, ABG, Cardiac enzymes
Dx: CT spiral, CXR,
Tx: LMWH, Warfarin, discontinue pro-clotting meds (OCs)

39
Q

Colon Cancer

A

Dx: CBC with appropriate workup,
UA, BMP, ESR, TSH, stage with CXR and abdominal CT, CEA**
FOBT, Colonoscopy (don’t forget mechanical bowel prep),
Tx: Hemicolectomy, pre-op orders antibiotics include cipro + metronidazole

40
Q

Bipolar

A

Dx: CBC, BMP, UA, Urine Drug Screen, TSH,
Tx: Atypical antipsychotic + lithium*****, suicide contract, psych consult, admit

41
Q

Bacterial Meningitis

A

Dx: CBC, BMP, Blood culture, Head CT, Vanc + ceftriaxone, LP, UA, CXR CSF gram stain, cell count, glucose, protein, culture, antigens

Tx: Vanc + ceftriaxone, consider gent if gram neg, Dexamethasone for likely s pneumo, NPO, IV, NS, antipyretics

42
Q

Cryptococcal Meningitis

A

Dx: CBC, BMP, Blood culture, UA, LP: CSF gram stain, cell count, glucose, protein, culture, antigens + cryptococcal antigen, India ink, fungal culture (Test for everything with AIDS)
Head CT, CXR
Tx: Amphotericin B, flucytosine

43
Q

HSV Meningitis

A

CBC, BMP, Blood Culture, INR/PTT, UA, Urine Culture
Dx: Head CT, LP with CSF PCR, CXR,
Tx: NPO, NS, IV acyclovir

44
Q

Giant Cell Arteritis

A

CBC, BMP, ESR,UA,blood culture
Dx: Temp artery biopsy, CXR, head CT,
Tx: Oral steroid, if vision loss - IV steroid. With steroids need: PPI, Vitamin D, calcium. Monitor ESR, CBC*

45
Q

Polymyalgia Rheumatica

A

Dx: CBC, BMP, ESR, , ANA, RF, CPK, TSH
CXR
Tx: Oral steroid, With steroid: PPI, Calcium, Vitamin D
Monitor: ESR, CRP, CBC, Focused Exam

46
Q

Ovarian Torsion

A

Dx: CBC, BMP,UA, Urine culture, Blood culture, urine HCG
Pelvic Ultrasound, CXR,
Tx: Laparoscopy, IV access, NS, anti-emetics, analgesia, with pre-op NPO, INR/PTT, Cefazolin

47
Q

Ovarian Carcinoma

A

Dx: CBC, BMP, TSH, LFTs, UA,CA-125 pre-op
CXR, Pelvic Ultrasound, Colonoscopy, Mammography, Abdominal CT for staging,
Tx: Laparotomy with preop orders (ECG, Type and cross, INR/PTT, NPO, IV access, NS)

48
Q

Preventative test for pregnant women?

A

A, BB, CC, HH, P, RR, UU

Atypical antibody
BMP, Blood Type/Rh
Chlamydia, CBC
HBV, HIV
Pap-Smear
RPR, Rubella
Urinalysis, U/A

Treatment: Is For Pregnant Patients

  • Iron
  • Folate
  • Prenatal Vitamins
  • Prenatal Counseling..
49
Q

Preventative test for pregnant women?

50
Q

mysthenia gravis

A
  • sign weakness
    full phx, CMP, PT/PTT, UA
    EKG, Telemetry
    TSH, AchR (don’t need to do tensilon test
    CXR, EMG, CT scan(espicially after you find something.
    Presurg lab: CMP, CBC, Type and screen, couags
    tx: pyridostigmine bromide, steroids, surg consult thymectomy,
51
Q

Steroids

A

Prednisolone/prednisone/azathioprine/methylprednisolone

52
Q

Pre surgical labs

A

CMP, CBC, Type and screen, couags

53
Q

UTI

A

uncomplicated uti in pregnancy

Project - USMLE Step 3 (82 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions