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UWorld Step 2 Days > Day 13 > Flashcards

Day 13 Flashcards

1
Q

what is rx of TTP?

A

plasmapharesis
steroids
rituximab

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2
Q

what are classic findings in TTP

A 
low platelets
HUS
renal failure
fever
neuro manifestations
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3
Q

what commonly happens to kidneys in pregnancy?

A

they get natural hydronephrosis

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4
Q

what maternal hormones are elevated in T21?

A

bhcg and inhibin A

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5
Q

what are signs of phenytoin toxicity?

A

ataxia
horizontal nystagmus
dysmetria
increased reflexes

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6
Q

male patient with CF is infertile, why?

A

no semineferous tubules

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7
Q

shipyard workers have what exposure that is concerning for lungs?

A

asbestos

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8
Q

what is management of pulmonary stenosis in young person?

A

balloon valvulotomy

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9
Q

what other heart sound can be associated with severe mitral regurgitation?

A

an S3

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10
Q

what is rx of dressler syndrome?

A

NSAID and colchicine

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11
Q

atrial tachycardia with second degree AV block is from what?

A

digoxin toxicity

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12
Q

if pressures in heart chambers are about equal, what is going on?

A

cardiac tamponade

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13
Q

define active phase arrest in stage 1 of labor

A

4 hours of no cervical change with adequate contractions

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14
Q

if patient is symptomatic from sinus bradycardia, what should you give?

A

atropine

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15
Q

what is first line therapy for severe hypercalcemia?

A

fluids (NS)

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16
Q

what can be given with fluids to help lower calcium?

A

calcitonin

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17
Q

in addition to calcitonin, what other med can help lower calcium?

A

bisphosphonates

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18
Q

pregnant patient that just deluvered suddenly has fever, hypoxia crackles in both lungs is experiencing what?

A

chemical pneumonitis from aspiration

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19
Q

what are indications for bone imaging in diabetic foot ulcer?

A

if large greater than 2cm
if deep like exposed bone
if lasted longer than 2 weeks

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20
Q

what are three tests for diagnosing hypercortisolism?

A

late night salivary cortisol
24 hour urine cortisol
low dose dexamethasone suppression test

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21
Q

what is a common tumor that secretes EPO?

A

RCC

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22
Q

what are EPO levels in primary polycythemia?

A

LOW

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23
Q

abx for postpartum endometritis

A

clinda and gent

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24
Q

what blood cancer can cause testicular enlargement?

A

ALL

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25
Q

what can ALL cause in chest?

A

anterior mediastinal mass

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26
Q

what part of brain can be seen as atrophied on scan with Alzheimers?

A

temporal lobe

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27
Q

what parkinsons med is associated with acute angle closure glaucoma?

A

trihexphenidyl

28
Q

what is moa of trihexyphendiyl?

A

anti cholinergic medication

29
Q

what is Moa of pramipexole?

A

dopamine agonist

30
Q

5 Ps of lichen planus

A

purple/pink
pruritic
polygonal papules
plaques

31
Q

rx for lichen planus?

A

roids

32
Q

when do kids with beta thal present?

A

usually 6-12 months as amount of fetal Hgb decreases

33
Q

what is rx for beta thal major?

A

chronic transfusion therapy and chelation

34
Q

atlantoaxial instability is associated with what?

A

down syndrome

35
Q

what is rx of atlantoaxial instability?

A

joint fusion

36
Q

findings of beta blocker toxicity

A

hypotension
bradycardia
bronchospasm
AMS

37
Q

what happens to sugar levels in beta blocker toxicity?

A

LOW

38
Q

what is rx of beta blocker overdose?

A

atropine
glucagon and
fluids

39
Q

what is the only resting tremor really?

A

parkinsons

40
Q

is parkinsons tremor more likely to be symmetric or asymmetric?

A

asymmetric

41
Q

do uric acid stones like basic or acidic urine?

A

acidic

42
Q

what is appearance of uric acid stones on xray?

A

trick…they are radiolucent so you cannot see them

43
Q

two rx for refractory neuroleptic malignant syndrome

A

bromocriptine and dantrolene

44
Q

will P vera only show erythrocytosis?

A

no all cell lines usually elevated

45
Q

in addition to itching, what are some other sx of p vera?

A

splenomegaly, facial plethora

46
Q

what is rx of p vera?

A

phlebotomy and hydroxyurea

47
Q

what is treatment of acute hypotension during labor?

A

mom on left side and phenylephrine

48
Q

what SSRI in elderly and those with cardiac issues?

A

sertraline

49
Q

what is viral load of HIV that determines labor management?

A

1000

50
Q

if above 1000, what is management of HIV mom at time of delivery?

A

csxn, with normal therapy plus zidovudine

51
Q

if below 1000, what is management of HIV mom at time of delivery?

A

normal therapy and vaginal delvery

52
Q

infant to mom with viral HIV load greater than 1000 needs what?

A

full ART therapy

53
Q

infant to mom with viral HIV load less than 1000 needs what?

A

zidovudine

54
Q

abx for epiglottitis?

A

vanc and ceftriaxone

55
Q

what is imaging for epiglottitis?

A

lateral neck xra

56
Q

name some weird associations with celiac disease

A 
iron deficiency anemia
osteoporosis
peripheral neuropathy
depression/anxiety
atrophic glossitis
57
Q

peroneal nerve injury is due to what type of injury?

A

proximal fibula

58
Q

peroneal nerve injury symptoms?

A

loss of sensation in posterolateral leg and dorsolateral foot, foot drop and decreased eversion

59
Q

rx of staph scalded skin syndrome?

A

vanc or nafcillin

60
Q

findings of staph scalded skin syndrome?

A

fever, generalized erythema and blisters then nikolsky sign

61
Q

what is rash of scarlet fever like?

A

fine pink sandpaper like rash in flexural regions…it does not blister

62
Q

what causes scarlet fever?

A

strep pyo

63
Q

sausage link retinal veins///

A

waldenstroms macroglobulinemia

64
Q

using population level data is what type of study?

A

ecological study

65
Q

heart defects in marfans

A

MVP and aortic root dilation

UWorld Step 2 Days (23 decks)

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