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UWorld Step 2 Days > Day 1 > Flashcards

Day 1 Flashcards

1
Q

what is main difference between schizoid and schizotypal personality disorders?

A

schizoid is a loner that prefers to be alone, schizotypal has weird thoughts and actions but isnt psychotic

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2
Q

what is therapy for chlamydia/gono cervicitis?

A

ceftriaxone and doxy

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3
Q

what is therapy for chlamydia/gono cervicitis during pregnancy?

A

ctx and azithromycin

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4
Q

what should be done for pregnant patients with cervicitis after treatment?

A

test of cure

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5
Q

how many symptoms of depression for diagnosis of MDD?

A

5 or more for more than 2 weeks

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6
Q

what is difference in chiari 1 and 2 malformations?

A

1 is just tonsils, 2 is tonsils and vermis

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7
Q

what is associated with chiari 1?

A

syringomyleia

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8
Q

what is associated with chiari 2?

A

myelomeningocele

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9
Q

what is vasa previa?

A

fetal vessels overlaying cervical opening

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10
Q

how does vasa previa present?

A

painless vaginal bleeding with ROM and fetal heart rate abnormalities

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11
Q

what is management of vasa previa?

A

immediate csxn

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12
Q

what uterine atony drug is contraindicated in HTN?

A

methylergonovine

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13
Q

what uterine atony drug is contraindicated in asthma?

A

carboprost

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14
Q

what is neurophysiology and genetics behind untingtons?

A

CAG repeats, loss of GABA neurons

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15
Q

what is second stage of labor?

A

full dilation to delivery

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16
Q

what are criteria for second stage of labor arrest?

A

3 hours of pushing without epidural in primagravida

2 hours of pushing in multi

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17
Q

what is preferred head position for delivery?

A

occiput anterior

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18
Q

what abx for lung abscess?

A

zosyn or a penem

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19
Q

what is management of suspected fibroadenoma in an adolescent vs adult?

A

adolescent you re-examine in 6 weeks, adult you US/mammo

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20
Q

what is persistent complex bereavement disorder?

A

persistent yearning for the deceased, with ruminative thoughts and dysfunctional behavior

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21
Q

what is age cutoff for primary ovarian insufficiency?

A

below 40

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22
Q

define primary ovarian insufficiency

A

no more periods at age 40 or less not due to another medical cause

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23
Q

what will levels of FSH and estrogen be in primary ovarian insufficiency/

A

FSH up and estrogen low

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24
Q

what is therapy for primary ovarian insufficiency?

A

estrogen…and if uterus intact then progesterone too

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25
Q

what are some causes of primary ovarian insufficiency?

A

turners, radiation, fragile X

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26
Q

what is test to determine primary ovarian insufficiency?

A

lack of withdrawal bleeding with progesterone challenge test

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27
Q

what characteristics of pancreatic cysts are concerning for cancer?

A

thickened epithelium, size greater then 3cm, includes main pancreatic duct, solid components

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28
Q

what is treatment of Vtach in stable patient?

A

amiodarone

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29
Q

what is age cutoff for HPV vaccines?

A

ages 11-26

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30
Q

who should get Hep A vaccines?

A

IVDU, HIV, Men with men

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31
Q

when does ACE cause creatinine rise?

A

3-5 days after initiation

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32
Q

homocystinuria shares body features with what other disease?

A

marfan syndrome

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33
Q

lens go up or down in homcystinuria?

A

down

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34
Q

lens go up or down in marfan?

A

up

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35
Q

what are classic findings outside of marfanoid body habitus in homocytsinuria?

A

developmental delay, fair skin and blue eyes, and cerebrovascular accident

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36
Q

what are findings of congenital CMV in brain?

A

periventricular calcifications, ventirculomegaly and microcephaly

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37
Q

what is GI finding in congenital CMV?

A

intrahepatic calcifications and hepatosplenomegaly

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38
Q

what are long term sequelae of congenital CMV?

A

sensorineural hearing loss, developmental delay and seizures

39
Q

what TB med causes peripheral neuropathy?

A

isoniazid

40
Q

what is treatment of bacillary angiomatosis?

A

erythromycin

41
Q

what is mainstay of COPD treatment?

A

anti cholinergic and anti muscarinic meds, sometimes combined with beta agonist

42
Q

what is treatment of post infarct pericarditis?

A

supportive only…no NSAIDs

43
Q

what are three classic findings of wiskott aldrich syndrome?

A

thrombocytopenia (small platelets too), eczema and recurrent infections

44
Q

what is issue in WAS?

A

cytoskeleton problem

45
Q

what is treatment of WAS?

A

stem cell transplant

46
Q

what are cutoffs for bacterial rhinosinusitis in kids for fever/symptoms?

A

fever longer than 3 days, recurrent fever, sx longer than 10 days

47
Q

what is difference in brain calcifications from Zika and CMV?

A

CMV is periventricular, zika is intracerebral

48
Q

what hormone is elevated in sertoli leydig ovarian tumor?

A

testosterone

49
Q

what is treatment of sertoli leydig tumor?

A

surgical remobal

50
Q

when do you treat GERD in infants?

A

if FTT present

51
Q

what is rx of GERD in infant?

A

thicken food, consider antacids

52
Q

what is rash of celiacs?

A

dermaitis herpetiformis

53
Q

what is rash of IBD?

A

erythema nodosum

54
Q

what increases murmur of hypertrophic cardiomyopathy?

A

valsalva, sudden standing

55
Q

what are signs of renal vein thrombosis?

A

abdominal pain, fever and hematuria sudden onset

56
Q

what is renal vein thrombosis associated with?

A

nephrotic syndromes, specifically membranous nephropathy

57
Q

what is best test for nephrotic syndrome

A

urine spot protein; creatinine ratio

58
Q

what are the four nephrotic syndromes?

A

FSGS, membranous, amyloid, minimal change, and membranoproliferative

59
Q

what is rx for tinea versicolor?

A

ketoconazole or selenium sulfide

60
Q

what are the severe features of preeclampsis?

A

headaches, BP greater than 160 or 110, Cr 1.1+, platelets less than 100k, elevated liver enzymes

61
Q

executive dysfunction is an early sign of what type of dementia?

A

vascular dementia

62
Q

what are common SEs of lithium

A

tremors, nephrotoxic, leukocytosis, diabetes insipidus, `

63
Q

soft and single S2 during inspiration is characteristic of what?

A

severe aortic stenosis

64
Q

what 2nd gen antipsychotic often leads to prolactin elevation?

A

risperidone

65
Q

in hypothalamic amenorrhea, what are levels of GnRH, Estrogen and LH/FSH?

A

all low

66
Q

what is inheritance of becker and duchenne muscular dystrophy?

A

X linked recessive

67
Q

what is inheritance of classic myotonic muscular dystrophy?

A

atuosomal dominant

68
Q

what is clinical presentation of classic myotonic muscular dystrophy?

A

age 15-30 get facial and distal muscle weakness

69
Q

what are some co-occurring issues in classic myotonic muscular dystrophy?

A

cardiomyopathy, dysphagia, testicular atrophy

70
Q

garlic breath is a finding of what?

A

arsenic poisoning

71
Q

what are findings in arsenic poisoning?

A

acutely get vomiting and diarrhea, then chronically can get stocking glove neuropathy and hyper/hypopigmentation

72
Q

what is treatment of catatonia?

A

benzos

73
Q

after d and c for hydatiform mole, what is management?

A

serial hcg measurement and contraception for 6 months

74
Q

what should be given for afib in patient with WPW?

A

procainamide or ibutilide

75
Q

what is treatment of cryptococcal meningitis in patient with HIV?

A

ampho B then high does fluconazole then low dose fluconazole

76
Q

what age and smoking status for AAA screening?

A

65-75, any smoking history

77
Q

what is treatment of tinea capitits?

A

oral griseofulvin

78
Q

what are findings of alopecia areata?

A

patchy non scarring hair loss thats not very itchy

79
Q

what is treatment of alopeca areata?

A

intralesional corticosteroids

80
Q

what is rx of narcolepsy

A

modafinil

81
Q

what is CT head finding in preeclampsia?

A

bilateral frontal lobe edema

82
Q

describe the difference in delayed and early sleep wake disorders

A

delayed basically means cant fall asleep at night and tired in am, early means fall asleep early and have morning insomnia

83
Q

what are features of an amniotic fluid embolism?

A

shock, DIC, respiratory failure, coma/seizures

84
Q

what is management of amniotic fluid embolism?

A

respiratory and hemodynamic support

85
Q

what is second line therapy for uterine atony after massage and oxytocin?

A

trenaxemic acid

86
Q

what amount of blood is considered massive hemoptysis?

A

600ml or 100ml/hr

87
Q

how should patient with massive hemoptysis be managed?

A

get bronchoscopy for potential treatment

88
Q

what heart issues can babys of moms with diabetes have?

A

hypertrophic cardiomyopathy

89
Q

what happens to hypertrophic cardiomyopathy in babies of diabetic moms?

A

will go away as baby gets to about 1 year old

90
Q

what age does transient hypogammaglobulinemia occur?

A

6months

91
Q

do infants with transient hypogammaglobulinemia respond to vaccines?

A

YES

92
Q

scleroderma renal crisis can cause what heme issues?

A

thrombocytopenia, schistocytes, DIC or HUS picture

93
Q

what are findings in menieres disease

A

vertigo, sensorineural hearing loss, and tinnitus

UWorld Step 2 Days (23 decks)

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