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Kaplan Step 2 CK > Incorrect questions > Flashcards

Incorrect questions Flashcards

1
Q

Time for adjustment disorder to resolve once stressor is identified?

A

= 6mo

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2
Q

When are most congenital diaphgramatic hernias detected?

A

Prenatally with screening US

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3
Q

Initial managment of ITP crisis?

A
  1. Steroid infusion

2. If no response to steroid infusion, give IVIG

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4
Q

Tx of HTN in scleroderma pt?

A

ACEi - captopril

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5
Q

Green/gray frothy, malordious discharge, Dx and Tx?

A

Trichomionasis
Motile/flagelated org on wet prep
Single dose 2 g Metronidazole

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6
Q

Cheesy, thick, white vaginal discharge, no odor, Dx and Tx?

A

Vaginal candidisasis
Branching hyphae
Topical/oral antifungal

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7
Q

Positive “whiff” test, Dx, Tx, complications?

A

Bacterial vaginosis - Gardeneralla vaginalis
KOH test - fishy odor
1 week Metronidazole
Disurfram like reaction - avoid OH

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8
Q

Best Dx test for intussucption?

A

Air contrast barium enema

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9
Q

How can prinzmetal angina be ruled out?

A

No response to ergovine

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10
Q

Sunburst appeaerance?

A

codmans triangle, osteosarcoma

long bones

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11
Q

osteosarcoma associations?

A

RB

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12
Q

onion skin appearance?

A

ewings sarcoma

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13
Q

Punched out lesions?

A

MM

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14
Q

Lytic bone lesions?

A

Mets to bone

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15
Q

cystic lesion surrounded by inflammatory findings?

A

abscess

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16
Q

CA-125 positive?

A

Malignant teratomas

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17
Q

LDH and CA-125 positive tumors?

A

Dysgerminomimas

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18
Q

beta-hCG turmors?

A

Choriocarcinoma

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19
Q

Testestesterone producing tumors?

A

Sertoli-leydig

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20
Q

Estrogen producing tumor?

A

Granulosa-theca

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21
Q

Sickle cell acute crisis feared complication?

A

CVA

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22
Q

Exchange trasfusion indications in sickle cell patients?

A

Lung infarction
priapism
Ischemic CVA
Retinal infarction

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23
Q

Explain mixing studies?

A

PTT corrects - factor deficiency

PTT does not correct - inhibiting factor (lupus, factor inhibing antibody)

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24
Q

Tx baby exposed to TB?

A

INH 3 mo then reavulate

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25
Q

Managmnet of imminent rupture AAA?

A

Emergent abdominal laparatomy

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26
Q

Imporntat hydroxychloroquine s/e and managmnet?

A

retinopaty

Frequent eye exams

27
Q

What should be monitored during methotrexate Tx?

A

LFT - hepatitis and hepatic fibrosis

28
Q

Tx eclampsia?

A

Deliver

29
Q

Tx hirsprungs disease?

A

1st - diverting colostomy containgin bowel with ganglionic cells
2nd - aganglionic segment removed by puilling though the rectum

30
Q

Acute, severe chest pain in ED?

A

Unstable angina

31
Q

Mentions Chest pain that is worse laying down and imporoves sitting up, young <40 yro, most accurate test?

A

Pericarditis

EKG with ST elevation everywhere excpet PR depression

32
Q

Sharp, pleuritic pain, tracxhael deviation, most accurate test?

A

pneumothoraz

CXR

33
Q

Nonexertional chest pain, early in the morning, ST elevation?

A

Prinzmetal angina

34
Q

Mentions chest wall tenderness, most accurate test?

A

costochondritis

PE

35
Q

Mentions cough, sputum, hemoptysis, most accurate test?

A

PNA

CXR

36
Q

Mentions Raditatiopn to back, unequal BP in arms, most accurate test?

A

Aortic dissection
CXR w/widened mediastinum
Chest CT/MRI/TEE - confirms Dz

37
Q

Mentions Epigastric discomfort, pain imporves with meals, most accurate test?

A

Duodenal ulcers

Endoscopy

38
Q

Mentions bad taste, cough, hoarsness, most accurate test?

A

GERD

Response to PPIs, Aluminum hydroxide and magnesiumn hydroxice, viscous lidocaine

39
Q

Sudden onset SOB, tachycardia, hypoxia, most accurate test?

A

PE

Spiral CT, V/Q scan

40
Q

CABG indications?

A

3 vessel Dz
Left main
2 Vessel in DM

41
Q

> 10 mmHg decrease in BP on inspiration?

A

Pulsus paradoxis (tamponade)

42
Q

Increase in JVP on inspiration?

A

Kussumul sign - constrictive pericarditis

43
Q

Triphasic scratchy noise?

A

Rub - pericarditis

44
Q

Continuous “machinery” murmur?

A

PDA

45
Q

S4 gallop?

A

Ischemia, stiffened left ventricle

46
Q

PMI displaced into axilla?

A

CArdiomyopathy and LV dysfunction

47
Q

ST elevation II, III, aVf?

A

Inferior wall MI

48
Q

ST depression V1 and V2?

A

Posterior MI

49
Q

St elevation V2-V4?

A

Anterior wall MI, highest mortality

50
Q

PR segment >200 msec?

A

1st degree AV block

51
Q

RBBB vs LBBB, prognosis?

A

RBBB begnin vs LBBB

52
Q

Time to detect CK-MB?

A

4-6 hrs

53
Q

CK-MB remains elevated for how long?

A

1-2 days

54
Q

Time to detect troponin?

A

4-6 hours

55
Q

Troponin remains elevated for how long?

A

10-14 days

56
Q

Time to detect myoglobin?

A

1-4 hours

57
Q

Myoglobin remains elevated for how long?

A

1-2 days

58
Q

PCI standard of care?

A

PCI within 90 min of arriving in ED with chest pain

59
Q

Absolute contraindications for thrombolytics?

A

Major Bleed - brain, GI
Surgery within past 2 weeks
Severe HTN&raquo_space;180/>110
Nonhemorrhagic stroke with past 6mo

60
Q

Indications for thrombolytics?

A

STEMI within 12 hrs

New LBBB

61
Q

MoA abciximab?

A

Glycoprotein IIb/IIIa inhibitors

62
Q

MoA Tirofiban?

A

Glycoprotein IIb/IIIa inhibitors

63
Q

MoA Eptifibatide?

A

Glycoprotein IIb/IIIa inhibitors

64
Q

Glycoprotein IIb/IIIa MoA and use?

A

Inhibit platelet aggregation

use in ACS who undergo stenting

Kaplan Step 2 CK (1 decks)

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