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UWorld Step 2 Days > Day 4 > Flashcards

Day 4 Flashcards

1
Q

what are sx of TCA overdose?

A

seizures, tachycardia, hypotension, QRS prolongation, anticholinergic effects

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2
Q

3 most common drugs that cause drug induced hemolytic anemia

A

penicillin
cephalosporin
NSAIDs

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3
Q

what antipsychotics cause hyperprolactinemia?

A

usually is frst gen and risperidone

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4
Q

what are signs of MDMA/ecstasy intoxication?

A

hypertension, tachycardia, hyperthermia, hallucnations, euphoria sexual desire

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5
Q

what can ecstasy cause that is deadly?

A

serotonin syndrome

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6
Q

what is natural course of genital herpes?

A

usually resolves on own in a couple weeks

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7
Q

are systemic symptoms like fever common with genital herpes?

A

yes

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8
Q

what should be done for patient with cat bite?

A

augmentin and ensure Tdap is within last 5 years

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9
Q

what two hemolysis disorders have high MHCH and loss of central pallor?

A

AIHA and hereditary spherocytosis

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10
Q

which of AIHA and HS has positive direct coombs test?

A

AIHA

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11
Q

what is rx of acute splenic sequestration crisis?

A

resuscitate with fluid and then RBCs, do splenectomy later

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12
Q

when does HSV encephalitis in infant usually present? how?

A

2-3 weeks of age, will have seizures, lethargy and poor feeding

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13
Q

when does stress urinary incontinence in post partum period become worrisome?

A

more than 6 weeks after delivery

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14
Q

what is treatment of stress urinary incontinence?

A

pessary or midurethral sling

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15
Q

list the 5 medications that should be given to patient who presents with NSTEMI or unstable angina

A

beta blocker, nitrate, aspirin, clopidogrel, heparin, statin

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16
Q

what is fitz hugh curtis syndrome?

A

perihepatitis from STD

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17
Q

what is null value of relative risk?

A

1.0

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18
Q

Relative risk is used in what type of study?

A

cohort

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19
Q

diffuse scaly skin that is itchy should make you think of what?

A

ichythosis vulgaris

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20
Q

what is issue in ichythosis vulgaris?

A

filaggrin gene messed up

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21
Q

what are sx of ichythosis vulgaris?

A

onset of diffuse scaly skin in childhood that itches

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22
Q

what is rx of ichythosis vulgaris?

A

long baths and mositurizers to remove scaled

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23
Q

what age should bedwetting stop by?

A

5

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24
Q

what is an S3 associated with?

A

dilated LV….likely heart failure with reduced EF

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25
what is rx of bulimia?
CBT and SSRI
26
what is rx of binge eating disorder?
CBT
27
what are signs/sx of friedrichs ataxia?
ataxia, limb weakness, loss of reflexes, loss of position and vibratory sense
28
when does friedrichs ataxia onset?
adolescent
29
how is friedrichs ataxia inherited?
AR
30
what is cardiac issue in friedrichs ataxia?
hypertrophic cardiomyopathy
31
what is fetal tachycardia?
above 160
32
are lymph nodes tender or non tender in EBV?
tender
33
what is active form of Vit D?
1,25 Vit D
34
where does Vit D get 25 from?
liver
35
where does vit D get 1 from?
kidney
36
what does 1,25 vit D actually do?
help Gi tract absorb calcium
37
what is first line rx of ankylosing sponylitis?
NSAIDs
38
name some scenarios you should give RHo D vaccine?
``` 28-32 weeks and negative mom ectopic pregnancy 72 hours after spontaneous abortion 72 hours after delivery of positive baby\ hydatidiform mole ```
39
if you have fetal death after 20 weeks what is management plan?
if 20-24 weeks then DC if greater than 24 induce delivery
40
amiodarone can cause what common side effects?
``` hyper or hypothyroid elevated liver enzymes interstitial pnuemonitis peripheral neuropathy skin color changes ```
41
what is issue when patient taking antipsychotic is restless?
called akithisia
42
what is rx of akathisia?
decrease antipsychotic dose and add a beta blocker
43
what is rx of acute dystonia?
benztropine and diphenhydramine
44
what is rx of tardive dyskinesia?
deutetrabenazine
45
normal kid develops sudden onset left upper quadrant severe pain and has free fluid in abdomen, what happened?
atraumatic splenic rupture
46
if GBS status is unknown, what are indications for penicillin in pregnant patient?
if less than 37 weeks, intrapartum fever, ORM for 18 hours or more
47
what are complications/risks of short interval pegnancy?
PPROM anemia preterm delivery low birth weight
48
what is displacement?
transferring feelings to person/object of lesser value
49
what is projection?
attributing owns feelings to others
50
what is sublimation?
channeling impulses into socially acceptible pursuits
51
what is reaction formation?
transforming unwanted feelings into the opposite...hate someone but act like you love them
52
what are ototoxic effects of aminoglycosides?
bilateral but not symmetric hearing loss imbalance positive head thrust test
53
what is head thrust test? positive means what?
inability to maintain visual fixation during forced head thrust...aminoglycoside toxicity sign
54
what is rx for oral leukoplakia?
biopsy to rule out cancer then watch
55
what is rx of delusional disorder?
antipsychotics and CBT
56
what is duration of delusional disorder?
1 month or more
57
what is rx of bells palsy?
steroids
58
if you are worried about ectopic pregnancy but dont see anything on TVUS, what should you do?
if bhcg less than 3000 then repeat in 2 days, if greater then repeat TVUS in 2 days
59
what is imaging for hydrocephalus in infant?
CT of head
60
what are sx of hydrocephalus in baby?
poor feeding, inactivity and comiting
61
what are signs of hydrocephalus in baby?
bulging fontanelle, prominent scalp veins and widely spaced sutures, rapid head growth
62
what should you do with a kid who had a febrile seizure?
reassure and send them home
63
patients with sickle cell trait can experience what renal issues?
hematuria, papillary necrosis, hyposthenuria
64
CLL patient has anemia, what is going on?
immune mediated hemolysis..warm agglutinin disease
65
what is major SE of hydroxyurea?
myelosuppression
66
what is inital step in tretament of tylenol intoxication?
charcoal and tylenol levels
67
what is treatment of tylenol intox once you have high level?
n acetylcysteine

UWorld Step 2 Days (23 decks)

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