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UWorld Step 2 Days > Day 6 > Flashcards

Day 6 Flashcards

1
Q

what is primary risk for fetus with preeclampsia?

A

small for gestational age

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2
Q

define strabismus?

A

ocular misalignment

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3
Q

what is a hyperthyroid state that will have low iodine uptake in thyroid?

A

painless and subacute thyroiditis

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4
Q

when can you be diagnosed with gestational hypertension?

A

after 20 weeks, no proteinuria

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5
Q

mom with chronic hypertension at risk of what during pregnancy?

A

csxn, preeclampsia, abruption, hemorrhage

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6
Q

fibromylagia attacks what age woman?

A

20-50

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7
Q

what are PE signs of fibromyalgia?

A

tender points with widespread pain

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8
Q

what is rx of fibromyalgia?

A

regular exercise, good sleep and maybe NSAIDs

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9
Q

what is size cutoff for TB skin test in healthy patient with no risk factors?

A

15mm

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10
Q

what is size cutoff of TB test to treat in patient TB contact or HIV?

A

5mm

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11
Q

does placenta previa bleeding cause pain?

A

NO

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12
Q

what is management of placenta previa?

A

no intercourse, no digital exams, inpatient admits for bleedign episodes

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13
Q

what e coli causes bloody diarrhea?

A

shiga toxin e coli

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14
Q

what is risk factor for magnesium toxicity?

A

renal insufficiency

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15
Q

what are signs of magnesium toxicity”

A

hyporeflexia, nausea, vomiting, somnolence

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16
Q

what is rx of magnesium toxicity?

A

calcium gluconate

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17
Q

is pH low or high in BV?

A

high

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18
Q

describe treatment timeline of acute TB

A

2 months 4 drug, followed by 2 months of isoniazid and rifampin only `

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19
Q

three medication options for tourettes

A

VMAT2 (tetrabenazine) and clonidina and antipsychotics

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20
Q

what type of spinal lesions does prostate cance cause?

A

osteoblastic

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21
Q

what type of spinal lesions does MM and RCC cause?

A

mixed blastic and lytic

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22
Q

rx of pertussis

A

macrolide

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23
Q

patient with pancreatitis develops pleural effusion, what is cause?

A

fistula

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24
Q

when should patient with depression be candidate for indefinite therapy?

A

with 3+ episodes, severe depression, chronic dperession

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25
Q

patients with mullerian agenesis should be evaluated for what other abnormality?

A

renal abnormalities with renal US

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26
Q

what are causes of neuroleptic malignant syndrome?

A

antipsychotis, anti emetics

27
Q

what are sx of NMS

A

fever, AMS, lead pipe rigidity, dysautonomia

28
Q

what lab finding in NMS?

A

elevated CK and renal insufficiency

29
Q

what are first treatment steps of NMS?

A

stop offending meds, supportive care, if refractory give bromocriptne or dantrolene

30
Q

what nephrotic syndrome is associated with RA?

A

amyloid

31
Q

what are signs of lymphangitis?

A

tender red streaks on skin with tender lymphadenopathy

32
Q

what bug classically causes lymphangitis?

A

strep pyo and MSSA

33
Q

what abx for lymphangitis?

A

cephalexin

34
Q

what is treatment of peri anal strep infection

A

oral amoxicillin

35
Q

what are skin findings in peri anal strep?

A

bright sharply demarcated redness of perianal area

36
Q

what is management of persistent pulm HTN in infant?

A

oxygenation and ventilation along with inhaled nitric oxide

37
Q

what is rx of lichen sclerosus?

A

hig potency steroids

38
Q

who gets biopsy of lichen sclerosus?

A

new onset in an adult

39
Q

3 common meds that cause SIADH?

A

SSRI carbamazapine and NSAIDs

40
Q

which lung cancer causes SIADH?

A

small cell

41
Q

what are sx of brown sequard syndrome?

A

ipsilateral hemiparesis
ipsilateral proprioception and vibration loss
contralateral pain and temperature loss

42
Q

in a study, if a lot of ppl are lost to follow up, what is this called?

A

attrition bias…a form of selection bias

43
Q

what four things are measure in biophysical profile?

A

amniotic fluid
breathing movements
movement
tone

44
Q

what is abnormal score of biophysical profile?

A

less than 6

45
Q

how long is non stress test of fetus, what are you looking for?

A

20-40 minutes, 2+ accelerations

46
Q

how is imaging of developmental hip dysplasia managed?

A

less than 4 mos US, more than 4 montsh Xray

47
Q

what causes a urethral diverticulum?

A

recurrent uTIS

48
Q

what are sx of urethral diverticulum?

A

dysuria
dyspareunia
post void dribbling
ant vaginal wall mass

49
Q

how should you treat urethral diverticulum?

A

surgical treatment

50
Q

aside from ataxia, what else can happen with medulloblastoma as far as sx? why?

A

can have elevated ICP sx due to obstructive hydrocephalus

51
Q

what is rx of viral myocarditis in kids?

A

diuretics, inotropes as needed, IVIG maybe

52
Q

what is timeline of adjustment disorder?

A

has to be within 3 months of the stressor

53
Q

two lung manifestations of scleroderm

A

pulm HTN and interstitial lung disease

54
Q

what things is membranous nephropathy associated with?

A

Hep B, SLE, NSAIDs, malignancy

55
Q

optic disc hyperemia is unique to what poisoning?

A

methanol poisoning

56
Q

what are sx of cerebral venous thrombosis?

A

HA, vomiting, papilledema, seizures

57
Q

who is at risk for CVT?

A

pregnant, peri partum, thrombophilia, OCP users, malignanyc and infection

58
Q

what is imaging to confirm CVT?

A

MR venography

59
Q

what is rx of CVT?

A

heparin

60
Q

unilateral breast bloody discharge in older woman gets what imaging?

A

US and mammogram

61
Q

is gonoccocal early or late conunctivitis in newborn?

A

early

62
Q

what are signs of orbital compartment syndrome?

A

eye pain, diplopia and vision loss

63
Q

what is rx of orbital compartment syndrome?

A

urgent surgical decompression

UWorld Step 2 Days (23 decks)

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