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Step 2 > COMBANK Missed Qs > Flashcards

COMBANK Missed Qs Flashcards

1
Q

What to measure to definitively diagnose DMD?

A

Serum creatinine kinase

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2
Q

What bones form the jugular foramen?

A

Occiput and temporal bone

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3
Q

Gene mutation and result in DMD

A

mutation in dystrophin gene causing muscle breakdown with normal muscle usage

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4
Q

Classic presentation for optic neuritis?

A

Female in her 20s with acute onset eye pain

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5
Q

Management of optic neuritis?

A

IV methylprednisolone

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6
Q

The more sensitive and specific test to accurately diagnose acute cholecystitis?

A

HIDA scan

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7
Q

What titers are to be obtained at a woman’s first prenatal visit?

A

Rubella

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8
Q

Cobb angle that defines scoliosis?

A

10 degrees

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9
Q

Treatment of a Cobb angle between 10 and 20 degrees?

A

Home exercise, observation, serial XR q 6-12 mos

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10
Q

Treatment of Cobb angle between 20 and 45 degrees in skeletally immature patients?

A

Bracing and serial monitoring

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11
Q

Treatment of Cobb angle >45 degrees in skeletally immature patients?

A

Surgical fusion

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12
Q

Cobb angles greater than 60 degrees decrease what?

A

Pulmonary function capacity

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13
Q

Cobb angles greater than 10 degrees are associated with increased risk of death from?

A

Cor pulmonale or cardiac failure

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14
Q

Loss of abduction and adduction in the 4th and 5th digit and hypothenar atrophy?

A

Ulnar nerve entrapment in Guyon’s canal

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15
Q

Loss of abduction, adduction and flexion of the 4th and 5th (DIPs) digits?

A

Ulnar nerve entrapment at the cubital tunnel

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16
Q

Presentation of acute angle-closure glaucoma?

A

Nausea, vomiting, abdominal pain, eye pain, blurry vision

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17
Q

Nausea, vomiting, abdominal pain, eye pain, and blurry vision?

A

Acute angle-closure glaucoma

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18
Q

Pathophysiology of acute angle closure galucoma

A

Inability of the aqueous humor to drain leading to increased intraocular pressure

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19
Q

Treatment of acute angle closure glaucoma

A

Acetazolamide

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20
Q

Ferruginous bodies in asbestos exposure stain with what?

A

Prussian blue due to iron coating

21
Q

Most common cause of malignant mesothelioma?

A

Asbestos exposure

22
Q

Most common cancer seen with asbestos exposure?

A

Bronchogenic carcinoma

23
Q

HVLA for an adducted ulna, abducted wrist and decreased carrying angle?

A

Slight extension of arm with a medially directed thrust from the lateral elbow

24
Q

Transient monocular loss of vision followed by complete recovery lasting 1-15 minutes

A

amaurosis fugax

25
Q

Initial screening for carotid stenosis

A

carotid US

26
Q

Next step in management for subacromial bursitis when conservative management has failed?

A

Subacromial corticosteroid injection

27
Q

Winter’s formula:

A

[1.5 x bicarb] +8 +/- 2

28
Q

When is Winter’s formula used?

A

To determine if there is proper compensation occuring in a metabolic acidosis

29
Q

Flushing, diarrhea, pruritus?

A

1st signs of medullary thyroid carcinoma

30
Q

AFP

A

Nonseminomatous and HCC

31
Q

CEA

A

Colon Cancer

32
Q

CA 125

A

Ovarian Cancer

33
Q

Calcitonin

A

Medullary Thyroid Carcinoma

34
Q

CA 19-9

A

Pancreatic Cancer

35
Q

Ataxia, weakness, and possible cardiac involvement in a child?

A

Freiderich’s Ataxia

36
Q

Inheritance pattern of Friedreich’s Ataxia?

A

AD, trinucleotide repeat

37
Q

Best initial test to diagnose RAS?

A

Renal a. US

38
Q

Gold Standard for diagnosing RAS

A

Renal angiogram

39
Q

Lab findings in Kleinfelter’s Syndrome:

A

Increased LH, Increased FSH, Decreased testosterone, Increased GnRH, Decreased bone mineral density

40
Q

An intentional act on the part of the caregiver to fail to respect a patient’s advanced directive

A

Battery

41
Q

When the caregiver-patient relationship is terminated without making reasonable arrangement with an appropriate person so they care by others can be continued

A

Abandonment

42
Q

A failure to maintain the duty that the physician does to the patient, deviating from the standard of care

A

Breach of duty

43
Q

The level at which a professional having the same training and experience in good standing in a same or similar community with practice under the same or similar circumstances

A

Standard of care

44
Q

Employers are liable for negligent acts or omissions by their employees in the course of employment

A

Vicarious liability

45
Q

Personality disorder that makes them vulnerable to manipulation and abuse

A

Dependent personality disorder

46
Q

2nd Trimester complication of oligohydramnios

A

pulmonary hypoplasia, contractors (club foot)

47
Q

3rd trimester complication of oligohydramnios

A

Uteroplacental insufficiency, umbilical cord compression, meconium aspiration

48
Q

4 Characteristics of HSIL:

A

Increased nucleus to cytoplasm ration (>50%)
Thickened, irregular nuclear membranes
Irregular chromatin distribution with increased granularity
Nuclear/cytoplasmic ratio discrepancy

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