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UWorld Step 2 Days > Day 14 > Flashcards

Day 14 Flashcards

1
Q

what is kidney stone size that almost always passes on its own?

A

less than 5 mm

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2
Q

sx of idiopathic intrcranial hypertesnion

A

headache
vision changes
papilledema
pulsatile tinnitus

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3
Q

what is work up of idiopathic intrcranial hypertesnion ?

A

start with CT of head to rule out lesions, then do LP

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4
Q

who gets idiopathic intrcranial hypertesnion ?

A

fat women of child bearing age

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5
Q

a cecal volvulus is treated how?

A

surgical correction

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6
Q

a simoid volvulus is treated how?

A

endoscopic detorsion

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7
Q

who gets sigmoid volvulus? who gets cecal volvulus?

A

old ppl get sigmoid an dyoung get cecal

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8
Q

features of congenital syphillis

A

desquamating rash on hands and feet
rhinorrhea
skeletal defects

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9
Q

features of congenital toxoplasmosis

A

chrioretinitis
diffuse intracranal calcification
hydrocephalus

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10
Q

how long are manic episodes?

A

have to be greater than 1 week

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11
Q

what is alternative to penicillin for syphillis?

A

doxycycline except if neurosyhpilis then use ceftriaxone

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12
Q

what is time requirement for GAD diagnosis?

A

6 months!!!

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13
Q

is luekocyte alk phos high in CML or leukemoid reaction?

A

leukomoid reaction is high and CML is low

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14
Q

does leukomoid reaction or CML have basophilia?

A

CML

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15
Q

what is null hypothesis of an ANOVA that compares three means?

A

that all means are the same…so if p value significant then assume all means are not the sam e

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16
Q

what should be done for patient with caustic ingestion?

A

remove clothing, secure airway, CXR and then endoscopy

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17
Q

patients with lewy body dementia have hig sensitivity to what drugs?

A

antipsychotics

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18
Q

what should be prescribed with niacin to prevent flushing issue?

A

aspirin

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19
Q

what is niacin usually prescrbed for?

A

hypertriglyceridemia

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20
Q

what liver lesion can rupture and cause hemorrhagic shock?

A

hepatic adenoma

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21
Q

iron ingestion causes what kind of metabolicissue?

A

anion gap met acidosis

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22
Q

what should weight and height be by 12 months of age?

A

weight should triple and height increase by 50%

23
Q

what is cause of hypotension in right sided MI?

A

decreased right contractility

24
Q

what is drug for urge incontinence and moa?

A

oxybutynin and anti muscarinic

25
Q

what bug can cause GI upset and fetal demise?

A

listeria

26
Q

what foods have listeria in it?

A

raw meets, deli meats, unpasteurized dairy products

27
Q

patient has progressively worsening GERD and vomiting after gastric bypass, what is happening?

A

anastamotic stenosis

28
Q

what is rx of anastomotic stenosis of gastric bypass?

A

EGD to dilate it

29
Q

features of FAS?

A

microcephaly
smooth palpebral fissures
smooth phillthrum

30
Q

if patient has active HSV lesion can they have trial of labor?

A

NO

31
Q

classic triad of biliary cyst?

A

RUQ pain, RUQ mass, jaundice

32
Q

risk factors for placenta previa

A

prior csxn
advanced maternal age
multiple gestations

33
Q

explain pregnancy weight gain

A

normal BMI 25-35 lbs
skinny girl 28-40
high BMI 15-25
obese 15

34
Q

what are complications of inadequate weight gain during pregnancy

A

low birth weight and pre term delivery

35
Q

how does tetanus toxoid cause tetanus?

A

inhibits inhibitory GABA glycine molecules from entering the synaptic clef

36
Q

rx of tetanus

A

tetanus IG, toxoid and ABX

37
Q

rx of onychomychosis

A

terbinafine or itraconazole

38
Q

what is a howell jolly body?

A

RBC DNA remnant

39
Q

who gets howell jolly bodies?

A

asplenic

40
Q

what causes basophilic stippling?

A

lead poisoning

41
Q

what is basophilic stippling?

A

precipitation of rRNA

42
Q

what can you use for ovulation stimulation in PCOS as last line therapy?

A

letrozole

43
Q

rx of botulism

A

equine antitoxin

44
Q

what is classic feature of botulism?

A

descending paralysis

45
Q

two things to give for aspiring OD

A

sodium bicarb and charcoal

46
Q

what are early sx of aspirin OD?

A

N/v and abdominal pain

47
Q

what is management of emphysematous cholecystitis?

A

REMOVE

48
Q

spiral fracture of distal tibia is what?

A

toddlers fracture…normal

49
Q

what is finding of hsv encephalitis on MRI

A

temporal lobe hemorrhage/edema

50
Q

can HIV be passed in breast milk?

A

you bet

51
Q

signs of HIV infection in baby?

A

FTT
chronic diarrhea
lymphadenopathy

52
Q

what is surgical indication in NEC?

A

pneumoperitoneum….NOT pneumatosis intestinalis

53
Q

how is leg positioned in posterior dislocation?

A

internally rotated and shortened

54
Q

what nerve is injured in posterior hip doslocation?

A

sciatic

UWorld Step 2 Days (23 decks)

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