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step 2 uworld > June 9 > Flashcards

June 9 Flashcards

1
Q

Management of catatonia?

A

Benzo’s

ECT

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2
Q

alcohol causes a ___ peripheral neuropathy

A

toxic

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3
Q

presentation of alcohol neuropathy?

A

bilateral pain, tingling, numbess of feet

  • loss of deep tendon reflexes
  • loss of light touch, vibration
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4
Q

what type of antibiotic is amikacin?

A

aminoglycoside

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5
Q

which presents more acutely, CMS pneumonitis or PCP?

A

CMV (PCP is more indolent)

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6
Q

A woman in labour has intraamniotic infection but her and baby are both stable. Method of delivery?

A

Augmentation of labour - SVD

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7
Q

can ABO incompatibility effect the first pregnancy?

A

yes

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8
Q

can ABO incompatibility effect the first pregnancy?

A

yes

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9
Q

in which condition is micropthalmia seen? (small eyes)

A

PATAU

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10
Q

is micropthalmia (small eyes) seen in edwards?

A

NO

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11
Q

is fever within 6 hr of surgery likely from infection?

A

NO - could be from tissue damage, blood products, malignant hyperthermia

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12
Q

is placental abruption a complication of PPROM?

A

yes

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13
Q

are glucocorticoids useful for treating acute liver failure?

A

no - increase risk of infeciton

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14
Q

diagnosis of tinea pedis?

A

KOH prep

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15
Q

findings on KOH prep of tinea pedis?

A

branched, segmented hyphae

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16
Q

which disease are synthetic cannabinoids useful for?

A

HIV cacexia

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17
Q

s1q3t3 on ecq =

A

pulmonary embolism

18
Q

does smoke exposure cause methemoglobinemia?

A

NOOO

19
Q

what causes methemoglobinemia?

A

exposure to oxidizing agents (nitrates, dapsone, anesthetics)

20
Q

what is the state of Fe in methemoglobinemia

A

Fe 3+ (as opposed to Fe2+ which is normal)

21
Q

what poisonings does smoke exposure cause?

A

CYANIDE AND CARBON MONOXIDE

22
Q

path of cyanide poisoning?

A

Binds Fe3+ preventing reduction to Fe2+ and blocks ATP from oxidative phosphorylation

23
Q

what does pronator drift indicate?

A

UMN / corticospinal pyramidal tract disease

24
Q

mannitol is contraindicated in..

A

HF and pulmonary edema

25
Q

acetelzolamide can help prevent which type of kidney stone?

A

uric acid (because it alkalinizes the urine)

26
Q

why may patients with diabetes mellitus get sialadenosis?

A

fatty infiltration of parotid glands

27
Q

can you give the varicella vaccine during pregnancy?

A

no

28
Q

is the MRR vaccine safe for breastfeeding mothers?

A

yes

29
Q

path of wilson disease?

A

mutation in ATP7B -> copper accumulation in liver ->leakage into blood

30
Q

path of hereditary hemochromatosis?

A

increased absorption of iron in the intestine

31
Q

which antibiotics cannot be used in myasthenia gravis?

A

aminoglycosides

32
Q

how do you treat a child <8 with lyme disease?

A

amoxicillin

33
Q

what type of reaction is the rash caused by scabies?

A

type IV hypersenisitivity reaction to mite feces

34
Q

bullous pemphigoid has anitbodies againt…

A

hemidesmosomes

35
Q

cause of alport syndrome?

A

X linked mutation in Type IV collagen

36
Q

path of goodpasture syndrome?

A

autoantibodies against type IV collagen in basement membrane and alveoli

37
Q

what is c-anca

A

antineutrophilic cytoplasmic antibodies

38
Q

waht is p-anca?

A

perinuclear antineutrophil cystoplasmic antibodies

39
Q

c-ANCA =

A

PR3anca

40
Q

p-ANCA =

A

MPO-anca

41
Q

s1q3t3 on ecq =

A

pulmonary embolism

42
Q

pathology of myopathy in Cushings syndome?

A

catabolic effects leading to muscle atrophy

step 2 uworld (57 decks)

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