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USMLE Step 3 > CCS > Flashcards

CCS Flashcards

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USMLE® Step 1 flashcards
1
Q

Initial order and treatment for Pulmonary edema

A
  • LMNOP and dobutamine(if needed)
  • Chest x-ray
  • EKG
  • Oximeter
  • Echocardiogram
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2
Q

A fib work up in CCS

A
  • Echocardiography
  • TSH and T4
  • Electrolytes
  • Troponin or CK-MB levels
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3
Q

Syncope Work up

A
  • EKG
  • Echocargiogram
  • Troponin/CKMN
  • Head CT
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4
Q

IBS work up

A

-Colonoscopy
-CT abdomen
-Stool guaiac,Stool white cell,culture,ova and parasite
-ESR
-Stool bacterial culture
-72 hour stool fat
-

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5
Q

GI bleeding initial orders in CCS

A
  • Bolus of normal saline or ringer
  • CBC
  • PT/INR
  • Type and Cross
  • Consultation with Gastro
  • EKG
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6
Q

when to move the patient out of the ER —> ICU

A

-When is stabilizaed and you have a presuntive diagnosios

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7
Q

DDX for SOB

A

CHF
pneumonia
acute MI
Pulmonary embolism

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8
Q

COPD exacerbation initial orders

A 
Pulse oximetry
oxygen
ABG
PEFR
Chest x-ray AP and lat
Vitals
BMP
CBC
Cardiac monitor
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9
Q

COPD exarbation intial treatmetn

A 
O2
Nebulized albuterol and ipatrooim
IV Methyl predni
empitic antibiotics
Sputum stain
NIPPV if PCO2>45  or PH>7.3
hopitalize if necesary
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10
Q

ER generic orders

A
  • Vitals
  • Oxygen
  • pulse oxymeter
  • IVA
  • EKG
  • Cardia monitor
  • U/A
  • BMP
  • CBC
  • Check interval Hx
  • Blood culture
  • Antiboitics (if necessary)
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11
Q

office management of first prenatal visit

A
  • blood type and screen direct/indirect coombs
  • CBC
  • CMP
  • Cervical pap
  • Urinalysis, urine culture
  • Rubella antibody
  • Hepatitis B surface Ag
  • VDRL or RPR
  • HIV ELISA
  • Cervical culture for chlamydia
  • US

follow up in 4 weeks

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12
Q

SEPSIS Shock

A

Start Antibiotics withing 2 hours of presentation

  • Arterial line
  • Central line
  • ABG
  • Cultures
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13
Q

Fluids resistent low BP in shock

A

GIVE Pressors.

Tachycardia present: Noerpi
No tachy: Dopamin

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14
Q

monitor in shock once in stable in ICU

A

Daily

  • CBC
  • BMP
  • Urine output
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15
Q

P2Y12 antagonist of choice for those going for angioplasty

A

Prasugrel

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16
Q

Emergency HTN initial work up

A 
HEAD CT
Chest X ray
ECG
BMP
CBC
UA
lipid profile
Cardiac monitor
BP monitor
17
Q

suspect MI initial orders

A 
ECG
cardiac enzymes
chest x ray
CBC
BMP
PT/INR
PTT
LFT

STEMI: Cath
non STEMI: MONAC BC hepatirin
Unstable angina: Cath

18
Q

Chest pain DDX

A 
MI
PE
Acute pneumothorax
Aortic disecction
Perciarditis
19
Q

staging of lung cancer orders

A
  • CT abdomen and pelvis
  • MRI brain
  • Bone scan
  • PFT
  • LFT
  • consult onco
  • consults radiation oncologist
20
Q

DDX of acute right upper quadrant

A

Hepato-biliary

  • Cholecystitis
  • Cholangitis
  • Choledocolithiasis
  • Hepatitis
  • Pancreatitis
  • pyelonephritis
  • Appendicitis
  • Pneumonia
21
Q

CURB 65

A 
confusion
urea>7 or BUN>19
Respiration >30
Blood pressure SBP<90 or DBP<60
Age >65

> 2=in patient
3=ICU

22
Q

acute asthma initial orders

A
  • O2
  • Albuterol
  • Ipatropium
  • IV methyl prednisolione
  • Mg
23
Q

loud P2

A

sign of pulmonary fibrosis

24
Q

prior toi surgery orders

A 
Blood type and crossmatch
CMP
CBC
PTT
PT
INR
Chest x ray
EKG
25
Q

dementia work up

A
  • CT head
  • TSH
  • CMP
  • RPR or VDRL
  • B12
26
Q

Anemia workup

A
  • CBC
  • Peripheral smear
  • Reticulocyte
  • Haptoglobulin
  • LDH
  • Bilirubin
  • TSH with T4
  • B12
  • B9
  • Iron studies
  • Urinalysis with microscopic analysis
27
Q

pathologic jaundice worku up

A 
Bilirubin
blood type mother and inflant
direct coombs
CBC,Reticulocyte,blood smear:assess hemolysis
Urinalysis and urine culture
TORCH

USMLE Step 3 (19 decks)

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