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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
Q

what is rx of bulimia?

A

CBT and SSRI

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26
Q

what is rx of binge eating disorder?

A

CBT

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27
Q

what are signs/sx of friedrichs ataxia?

A

ataxia, limb weakness, loss of reflexes, loss of position and vibratory sense

28
Q

when does friedrichs ataxia onset?

A

adolescent

29
Q

how is friedrichs ataxia inherited?

A

AR

30
Q

what is cardiac issue in friedrichs ataxia?

A

hypertrophic cardiomyopathy

31
Q

what is fetal tachycardia?

A

above 160

32
Q

are lymph nodes tender or non tender in EBV?

A

tender

33
Q

what is active form of Vit D?

A

1,25 Vit D

34
Q

where does Vit D get 25 from?

A

liver

35
Q

where does vit D get 1 from?

A

kidney

36
Q

what does 1,25 vit D actually do?

A

help Gi tract absorb calcium

37
Q

what is first line rx of ankylosing sponylitis?

A

NSAIDs

38
Q

name some scenarios you should give RHo D vaccine?

A 
28-32 weeks and negative mom
ectopic pregnancy
72 hours after spontaneous abortion
72 hours after delivery of positive baby\
hydatidiform mole
39
Q

if you have fetal death after 20 weeks what is management plan?

A

if 20-24 weeks then DC if greater than 24 induce delivery

40
Q

amiodarone can cause what common side effects?

A 
hyper or hypothyroid
elevated liver enzymes
interstitial pnuemonitis
peripheral neuropathy
skin color changes
41
Q

what is issue when patient taking antipsychotic is restless?

A

called akithisia

42
Q

what is rx of akathisia?

A

decrease antipsychotic dose and add a beta blocker

43
Q

what is rx of acute dystonia?

A

benztropine and diphenhydramine

44
Q

what is rx of tardive dyskinesia?

A

deutetrabenazine

45
Q

normal kid develops sudden onset left upper quadrant severe pain and has free fluid in abdomen, what happened?

A

atraumatic splenic rupture

46
Q

if GBS status is unknown, what are indications for penicillin in pregnant patient?

A

if less than 37 weeks, intrapartum fever, ORM for 18 hours or more

47
Q

what are complications/risks of short interval pegnancy?

A

PPROM
anemia
preterm delivery
low birth weight

48
Q

what is displacement?

A

transferring feelings to person/object of lesser value

49
Q

what is projection?

A

attributing owns feelings to others

50
Q

what is sublimation?

A

channeling impulses into socially acceptible pursuits

51
Q

what is reaction formation?

A

transforming unwanted feelings into the opposite…hate someone but act like you love them

52
Q

what are ototoxic effects of aminoglycosides?

A

bilateral but not symmetric hearing loss
imbalance
positive head thrust test

53
Q

what is head thrust test? positive means what?

A

inability to maintain visual fixation during forced head thrust…aminoglycoside toxicity sign

54
Q

what is rx for oral leukoplakia?

A

biopsy to rule out cancer then watch

55
Q

what is rx of delusional disorder?

A

antipsychotics and CBT

56
Q

what is duration of delusional disorder?

A

1 month or more

57
Q

what is rx of bells palsy?

A

steroids

58
Q

if you are worried about ectopic pregnancy but dont see anything on TVUS, what should you do?

A

if bhcg less than 3000 then repeat in 2 days, if greater then repeat TVUS in 2 days

59
Q

what is imaging for hydrocephalus in infant?

A

CT of head

60
Q

what are sx of hydrocephalus in baby?

A

poor feeding, inactivity and comiting

61
Q

what are signs of hydrocephalus in baby?

A

bulging fontanelle, prominent scalp veins and widely spaced sutures, rapid head growth

62
Q

what should you do with a kid who had a febrile seizure?

A

reassure and send them home

63
Q

patients with sickle cell trait can experience what renal issues?

A

hematuria, papillary necrosis, hyposthenuria

64
Q

CLL patient has anemia, what is going on?

A

immune mediated hemolysis..warm agglutinin disease

65
Q

what is major SE of hydroxyurea?

A

myelosuppression

66
Q

what is inital step in tretament of tylenol intoxication?

A

charcoal and tylenol levels

67
Q

what is treatment of tylenol intox once you have high level?

A

n acetylcysteine

UWorld Step 2 Days (23 decks)

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