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UWorld Step 2 Days > Day 3 > Flashcards

Day 3 Flashcards

1
Q

what abx for UTI in kids?

A

cefixime

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2
Q

what is rx of acute stress disorder?

A

CBT

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3
Q

what is duration of acute stress disorder?

A

3 days to 1 month

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4
Q

what is rx for pseudoe gout?

A

intraarticular steroids, colchicine and NSAIDs

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5
Q

what type of gout comes on with overuse?

A

psueodgout

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6
Q

two treatments for OCD?

A

SSRI and CBT

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7
Q

young girl with ovarian mass and precocious puberty likely has what tumor?

A

granulosa cell tumor

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8
Q

granulosa cell tumors produce what?

A

estradiol and inhibin

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9
Q

what is histology of granulosa cell tumor?

A

call exner body

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10
Q

what are clinical features of granulosa cell tumor?

A

precocious puberty, AUB, breast tenderness and post meno bleeding

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11
Q

what is genotype of androgen insensitivity syndrome?

A

46 XY

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12
Q

what sex organs does androgen insensitivity syndrome have/

A

phenotypically female but without female internal organs, will have cryptorchid testis

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13
Q

paravertebral mass in a kid

A

neuroblastoma

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14
Q

what is treatment of anti cholinergic toxicity?

A

physostigmine

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15
Q

what are signs of anti cholinergic toxicity?

A

confusion, hallucination, tachycardia, tachypnea, dilated pupils, dry mucus membranes

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16
Q

what should ED do for patient with chemical burn to eye?

A

wash with saline profusely

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17
Q

what is rx of minimal change disease/

A

steroids

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18
Q

what is pathophys of minimal change disease?

A

t cell mediated cytokine release that leads to podocyte effacement

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19
Q

postdural puncture headache is treated how?

A

will resolve on own, but if not can give dural blood patch

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20
Q

describe character of syphillis bump?

A

single ulcer with indurated borders and non purulent base

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21
Q

what is characteristic finding of lymphogranuloma venerum?

A

small shallow ulcers that turn into painful buboes

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22
Q

what are four cardinal findings of strep throat?

A

fever sore throat anterior cervical lymphadenopathy and tonsillar exudated

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23
Q

gray vesicles/ulcers in childs oropharynx, should make you think of what? what causes this?

A

herpangina…coxsackievirus

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24
Q

what is herpetic gingivostomatitis?

A

herpes in the mouth…which causes vesicles and pain and fever

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25
Q

what is main difference between herpetic gingivostomatits and herpangina?

A

herpangina is in oropharynx (posterior) and herpetic gingivo is anterior mouth and tongue

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26
Q

define PPROM

A

37 weeks or less rupture of membrane before onset of labor

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27
Q

what do you give for PPROM less than 34 weeks?

A

if fetus OK give abx and steroids, if fetus not OK deliver

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28
Q

what do you give for PPROM more than 34 weeks?

A

deliver

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29
Q

what are common complications of PPROM?

A

infection, abruption, cord prolapse, preterm labor

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30
Q

what are risk factors for developing PPROM?

A

genitourinary infection, prior PPROM

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31
Q

what is treatment of invasive aspergillosis?

A

voriconazole and capsofungin

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32
Q

what is classic triad of invasive aspergillosis?

A

hemptysis,chest pain and fever

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33
Q

decribe a case control study

A

take diseased and non diseased and retrospectively compare risk factor exposure

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34
Q

describe retrospective cohort study

A

take ppl with risk factor and without, and compare disease incidence

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35
Q

describ cross sectional study

A

take ppl with risk factor and without, and estimate disease prevalence

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36
Q

does case control study use relative risk or odds ratio?

A

odds ratio

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37
Q

dysphagia, jaw jerk reflex and tongue fasciculations should make you think of what?

A

ALS

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38
Q

what is a skin finding of amyloidosis?

A

peri orbital purpura

39
Q

what can worsen graves disease eye issues?

A

radioactive iodine

40
Q

what is MOA of 2nd gen antipsychotics?

A

D2 and Serotonin 2a receptor blockers

41
Q

what is rx for anorexia?

A

nutrition and therapy

42
Q

patients in preterm labor at less than 32 weeks require what drugs?

A

indomethacin
betamethasone
Mg sulfate
penicillin

43
Q

why is mg sulfate given in preterm labor less than 32 weeks?

A

to prevent cerebral palsy

44
Q

why is indomethacin given in preterm labor less than 32 weeks?

A

slow contractions

45
Q

why is betamethasone given in preterm labor less than 32 weeks?

A

lug maturity

46
Q

what is a complication of giving indomethacin in preterm labor?

A

oligohydramnios

47
Q

what is an anatomic contraindication to IUD?

A

bicornuate uterus…big fibroids

48
Q

baby thats 2-7 days old comes in with lots of bruises, what is leading diagnosis?

A

vitamin K deficient bleeding

49
Q

what are PT/PTT and platelets in vitamin k deficient bleeding of newborn?

A

PT and PTT up, platelets are normal

50
Q

what movement is limited in SCFE?

A

internal rotation of the hip

51
Q

what are symptoms of central cord syndrome?

A

sensory disturbances of upper extremity and upper extremity weakness…not so much lower extremity since in outer parts of SC

52
Q

who gets central cord syndrome?

A

elderly with pre-existing cervical spine degenerative changes

53
Q

what are symptoms of ehrlichiosis?

A

fever headache myalgia chills and neurologic issues

54
Q

what are lab finding in ehrlichiosis?

A

leukopenia, thrombocytopenia, elevated liver enzymes

55
Q

what is rx for ehrlichiosis?

A

doxycycline

56
Q

where is ehrlichiosis found?

A

SE and central USA

57
Q

what is phenotype and genotype of mullerian agenesis?

A

46 XX, will have normal external anatomy but wont have uterus or cervix….will have functioning ovaries

58
Q

what is most common presenting symptom of mullerian agenesis?

A

amenorrhea

59
Q

early diastolic murmur best heard at left upper sternal border is what?

A

aortic regurgitation

60
Q

what muscles does suprascapular nerve innervate?

A

supraspinatus and infraspinatus

61
Q

what can cause suprascapular nerve entrapment?

A

backpack use

62
Q

what are sx of suprascapular nerve entrapment?

A

shoulder abduction and external rotation weakness

63
Q

what is treatment of P vera?

A

phelbotomy and hydroxyurea

64
Q

what are topical antifungals for tinea corporis?

A

clotrimazole or terbinafine

65
Q

does measles rash include palms and soles?

A

NO

66
Q

what is prodrome of measles?

A

cough, coryza, conjunctivits and koplik spots

67
Q

when does rash of measles onset? where?

A

2-4 days into illness, onsets at face and spreads caudally

68
Q

what is treatment of acute bacterial prostatitis?

A

6wks of bactrim of fluoroquinolon e

69
Q

what is first line med for a fib in hyperthyroidism?

A

propanolol

70
Q

how does placenta accreta appear on US?

A

placental lacunae and myometrial thinning

71
Q

what are two risk factors for placenta accreta?

A

vasa previa and previous endometrial surgery

72
Q

3 options for malaria prophylaxis?

A

atovaquone and praguinil, doxy or mefloquine

73
Q

infants with galactosemia have increased risk for what type of sepsis?

A

e coli sepsis

74
Q

what are symptoms of galactosemia?

A

jaundice, hepatomegaly, nausea and vomiting, failure to thrive

75
Q

what is eye finding in galactosemia?

A

cataracts

76
Q

what are lab findings in galactosemia?

A

increased liver enzymes, bilirubin
low glucose
metabolic acidosis
urine reducing substances

77
Q

what is management of seborrheic keratoses?

A

watch them…no reason to excise

78
Q

what do you do with vaccines in premature babies?

A

give them as usual

79
Q

what is antibody attacking in myasthenia gravis?

A

Ach receptor in post synaptic cell

80
Q

does weaken worsen or improve with activity in myasthenia gravis?

A

worsens

81
Q

what is treatment for myasthenia gravis?

A

pyridostigmine

82
Q

what else should you check for in patient with myasthenia gravis?

A

thymoma

83
Q

two treatments for altitude sickness

A

acetazolamide and dexamethasone

84
Q

dendritic ulcers on fluroscein staining is classic finding of what?

A

herpes keratitis

85
Q

what are sx of herpes keratitis?

A

pain photophobia tearing and blurred vision

86
Q

what is management of polyhydramnios?

A

if patient is asymptomatic..nothing…if patient is symptomatic then amnioreduction

87
Q

what are symptoms of a pinealoma?

A

limited upward gaze and upper eyelid retraction

headache, N/V

88
Q

where does a flutter originate?

A

cavotricuspid isthmus

89
Q

what are features of dyshydrotic eczema?

A

recurrent episodes of itchy vesicles on hands and feet

90
Q

where does dyshidrotic eczema occur?

A

on hands and feet

91
Q

what is rx for dyshidrotic eczema?

A

strong steroids and emollients

92
Q

are sarcoid granulomas caseating?

A

NO

93
Q

what valve area constitutes severe aortic stenosis?

A

1cm or less

UWorld Step 2 Days (23 decks)

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