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USMLE step2 > Kaplan Qbank > Flashcards

Kaplan Qbank Flashcards

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USMLE® Step 1 flashcards
1
Q

leatd poisoning treatment in kids

A

level below 70:succime

over 70:EDTA and BAL

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2
Q

animal bite antibiotic

A
  • amoxi clav

- 2 line: clinda + doxy a fluoroquinolone or TMP/SMX

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3
Q

DUB treatmetn

A

stable: high dose orally estrogen-progestero
unstable: IV stronge

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4
Q

most common cause of hypertension in children

A

renal disease

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5
Q

SAAG below 1.1

serum albumin- acitis albumin

A
  • cancer
  • infection(except SBP)
  • nephrotic
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6
Q

treatment of choice for tularemia

A

streptomycin

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7
Q

speckled appearance US of the heart

A

amyloiodosis

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8
Q

best initial test for pulmonary hypertension

A

US

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9
Q

biliary colic with normal galllbladder, and dilated common bile duct

A

Sphincter of oddi dysfunction(SOD)

  • do a ERCP
  • gold standerd: sphincter manometry
  • complication:biliar pain and pancreatitis
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10
Q

quervain tenosynovitis

A

abductor pollicis longus and extensor pollicis brevis

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11
Q

lumpectomy

A

only in tumor less than 4 cm

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12
Q

IUGR type in a chronic maternal disease

hypertension,DM,SLE, cardiovascular disease

A

DECREASED PLACENTAL PERFUSION

normal head -small abdominal circumference

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13
Q

cryptococcal antigen assay in CSF

A

do it when you have highly suspicion of cryptococcal meningitis and a negative indian ink .

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14
Q

best treatment option for localized ( no invacion of capsule) carcinoma of the prostate

A

radical prostatectomy

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15
Q

patient with slowly developing with severe hypernatrenia, best IV fluid for rehydrate

A

5% dextrose in 0.45% sodium chloride

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16
Q

EKG findings in princemetal angina

A

ST elevation

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17
Q

diagnosis confirmation for HSV encephalitis

A

PCR of the CSF for HSV

18
Q

Diagnosis of EVB mononuclosis

A

Heterophil antibodies if negative order a igM for VCA(viral capsid antigen)

19
Q

first line treatment for A.baumannii pneumonia

A

imipenem

20
Q

AECB in patients with COPD results from S.pnuemo and moraxella …. drug of choice

A

amoxi/clav

other choices

  • fluoroquinolones
  • macrolides
  • cephalosporins
21
Q

most common presentation of HOCM

A

DYSNEA

-AD
-chormosome 14 mutation
DxEcho
Tx:BB,CCB and surgery

22
Q

difference between botulism and Miastenia gravis

A

botulism has dilated pupils and increase in muscle fiber contraction in EMG

23
Q

acute pyelonephritis managment

A

if inpatient IV Abx , after 24-48 of no fever, discharge home to complete 14 days of oral Abx.

24
Q

admission criteria for pyelonephritis

A
  • concer of sepsis, pregnancy, old age, other medical illnes
  • noncompliance
  • cannot tolerate oral intake
  • severe illness
  • uncertain diagnosis.
25
Q

traetment for neonatal apnea

A

iv Theophylline o cafeine

26
Q

euthyroid sick syndrome

A

low T3 and T4 and a normal or midly elevated or mildly decreased TSH level

27
Q

hospitalization criteria for PID

A

pregnancy

  • temperature above 39
  • IUD
  • evidence of pelvic abscess
28
Q

best study to confirm amebic liver abscess

A

serum antibodies

29
Q

best study for Normal pressure hydrocephalus

A

CT and Spinal tab

30
Q

firts line treatment for HEG

A

1-.pyridoxine-doxylamide
2-.promethazine
3-.ondansetron

31
Q

ABG on COPD acute exacerbation

A 
respiratory acidosis ( CO2 retencion)
(ashtma exacerbation present with respiratory alkalosis)
32
Q

lyme treatment in children under 8 y

A

amoxicilin

33
Q

rickettsia treatment for child

A

DOXYCYCLINE

34
Q

first step to Dx HOCM

A

TTE and HOLTER

35
Q

digitalis toxicity … next best step

A

check electrolites

36
Q

pancreatic metastasis treatmetn

A

chemoretherapy

37
Q

most common cause of epistaxis in children

A

nose picking-induce-trauma

38
Q

best initial step for syphilis

A

NONTREPONEMAL SEROLOGIC STUDIES

  • VDRL
  • ART(Automated regain test)
  • rapid plasma reagin (RPR)
  • recombinant antigen test(ICE)
39
Q

fixed drug eruption assoaciation

A

sulfas,anticonvulsants,NSAIDs,Pseudoephedrine and tetacyclines

40
Q

most sensitive test for neurosyphilis

A

FTA on CFS

41
Q

achalasia manometry results

A

decreased peristalsis and elevated resting LES pressure

42
Q

best step for organic erecttile dysfunction

A

obtain testosterone,prolactine and glucose level

USMLE step2 (21 decks)

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