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UWorld Step 2 Days > Day 9 > Flashcards

Day 9 Flashcards

1
Q

who gets posterior urethral valves

A

ONLY BOYS

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2
Q

young kid with recurrent UTIs, what anomaly should be on differential?

A

vesicouretal reflux

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3
Q

what happens in vesicouretal reflux?

A

get kidney scarring and blunted calcyes along with recurrent UTIS

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4
Q

what is rx for stimulant toxicity?

A

lorazepam

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5
Q

what is treatment of molloscum in adults? kids?

A

liquid nitrogen in adults

reassurance in kids

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6
Q

what is complication of epidural that progresses slowly after it is removed?

A

spinal epidural hematoma

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7
Q

describe symptoms of spinal epidural hematoma

A

will progress slowly, tenderness over back with neuro changes of legs

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8
Q

what is imaging for spinal epidural hematoma?

A

MRI

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9
Q

what is rx of spinal epidural hematoma?

A

surgery

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10
Q

what is management of Serotonin syndrome?

A

stop serotonergic meds, give benzo if needed, the cyproeheptadine

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11
Q

what is longterm complication of hemophilia in joints?

A

hemophilia arthropathy

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12
Q

should dextrose be in fluid boluses? any age?

A

NO not at any age

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13
Q

how do vagal maneuvers end SVT?

A

slow AV node conduction pathway

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14
Q

what is standard for post exposure prophylaxis for varicella?

A

if immunized nothing
if not immunized but immunocompetent then vaccine
if not immunized and immunocompromised then VZIG

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15
Q

when are varicella vaccines

A

1 and 4 years old

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16
Q

what abx for human bite?

A

augmentin

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17
Q

what is normal vaginal pH?

A

3.8-4.5

18
Q

what is ph of candida vaginosis?

A

normal

19
Q

what is pH of trich and BV?

A

4.5+ basic

20
Q

does tamponade cause hyper or hypotension?

A

hypotension…muffled heart sounds and JVD

21
Q

persistent oxygen requirement in premature baby after mechanical ventilation is what?

A

bronchopulmonary dysplasia

22
Q

what is cxr findings in bromchopulmonary dysplasia?

A

haziness and decreased lung volumes

23
Q

what is rx of sporotrichosis?

A

itraconazole

24
Q

what is sign of sporotrichosis?

A

skin papule that ulcerates and puts out fluid then can move up lymphatic tract

25
Q

what are sx of hodgkin lymphoma?

A

B symptoms, mediastinal mass, painless lymphadenopathy

26
Q

what are reasons for doxy ppx after tick bite?

A

if it was a deer tick
longer than 36 hour attachment
within 72 hours of tixk removal
must meet them all

27
Q

if patient getting chlamydia multiple times in a row…what is happening?

A

sex with untreated partner

28
Q

what are two qualifications for status epilepticus?

A

2 seizures without appropriate return to neuro baseline or seizure of more than 5 minutes

29
Q

what is rx of status epilepticus? 2 things

A

benzos to stop it then fosphenytoin or valproate or leviteracetam to prevent more

30
Q

how long is brief psychotic disorder?

A

a day to month `

31
Q

describe diagnosis of schizophreniformdisorder

A

1-6 months of schizophrenia symptoms

32
Q

describe schizoaffective disorder

A

mood episodes with psychotic features and 2+ weeks of only psychotic features

33
Q

elderly with hyperthyroid should get what rx?

A

methimzole

34
Q

what i hyperthyroid rx in pregnancy?

A

PTU first trimester then methimazole after

35
Q

malignant hyperthermia has what classic lab finding?

A

sky high CK

36
Q

bugs you see in CGD?

A 
burkholderia
nocardia
aspergillus
staph aureus
serratia
37
Q

which stage of labor can epidural extend?

A

2nd stage

38
Q

what abx for acute endocarditis?

A

vancomycin

39
Q

when can ECV be done?

A

37 weeks plus

40
Q

who gets an ECV?

A

patients without contraindications to vaginal delivery and who are breech

41
Q

what are Cardio contraindications to pregnancy?

A

sx mitral stenosis
sx aortic stenosis
EF less than 30
PAH

UWorld Step 2 Days (23 decks)

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