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step 2 uworld > mar 12 > Flashcards

mar 12 Flashcards

1
Q

can you treat acute prostatitis with nitrofurantoin?

A

no - it doenst have good prostatic penetration

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2
Q

how do you treat acute prostatitis?

A

a floroquinolone or TMP-SMX

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3
Q

which occurs first in parkinsons disease, the motor symptoms of dementa?

A

the motor symptoms

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4
Q

which occurs first in lewy body dementia, the motor symptoms or dementa?

A

the dementia

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5
Q

characteristics of lewy body dementia

A
  • cognitive fluctuations
  • visual hallucinations
  • alterations in consciousness
  • parkinsonian symptoms
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6
Q

what is the most common cause of small bowel obstruction?

A

adhesions

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7
Q

there is an increased risk for which neurological disorder in the early postpartum period?

A

MS

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8
Q

what is the class triad of symptoms seen in pheochromocytoma?

A

episodic hypertension, sweating, tachycardia

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9
Q

what will the glucose level be in pheochromocytoma?

A

elevated

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10
Q

how do catelcholamines effect insulin secretion?

A

they inhibit it

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11
Q

what is the initial step in testing for a pheochromocytoma?

A

measures urine or plasma metaneprhines

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12
Q

a hemineglect syndrome occurs when there is an infarct to…

A

the nondominant parietal lobe

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13
Q

psoriasis is commonly found on the ___ surfaces

A

extensor

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14
Q

what acid base disturbance is seen in cyanide toxicity?

A

metabolic acidosis

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15
Q

A patient with a high-velocity eye injury has no signs of corneal abrasian on routine exam. What should you do?

A

Fluorescien stain to visualize if there is an injury

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16
Q

clinical presentation of a varicocele?

A
  • soft scrotal mass (nontender, ‘bag of worms’)
  • subfertility
  • testicular atrophy
17
Q

why are varicoceles associated with mildly decreased fertility?

A

the backflow of venous blood likely causes a slightly increased temperature ->reduced sperm production, impaired spermatic motility

18
Q

do varicoceles transilluminate with a light?

A

NO

19
Q

do hydroceles transilluminate with a light?

A

yes

20
Q

what are complications are using large-volume crystalloid infusion?

A

coagulopathy (dilutes coag factors), acidosis, hypothermia and death

21
Q

instead of just using large-volume crystalloid infusion in a patient with hemorhage, what should you give instead?

A

blood products (after no more than 1L of crystalloid)

22
Q

when is bariatric surgery indicated?

A

BMI > 40
or BMI > 35 with weight-related morbidity
(after attempting non-surgical options)

23
Q

why does squatting help improve symptoms in tetrallogy of fallot?

A

it increases systemic vascular resistance -> more blood goes to the lung

24
Q

what is age related sicca syndrome?

A

age-related decline in exocrine output

25
Q

the majority of patients wiht Sjogrens syndrome have a positive ____

A

ANA

26
Q

A simple breast cyst that is asymptomatic. Management?

A

observation

27
Q

A simple breast cyst that is symptomatic. Management?

A

FNA

28
Q

FNA of a simple breast cyst reveals bloody fluid. Next step?

A

CORE NEEDLE BIOPSY

29
Q

FNA of a simple breast cyst is performed and the cyst persists. Next step?

A

CORE NEEDLE BIOPSY

30
Q

FNA of a simple breast cyst is performed and the fluid is clear and patient is now asymptomatic. Next step?

A

repeat ultrasound in 4-6 weeks

31
Q

a complication of a cardiac pacemaker is….

A

tricuspid regurgitation

32
Q

why does tricuspid regurgitation occur in some patients who have a pacemaker or defibrillator placed?

A

the right ventricular lead has to go through the triscuspid valve -> may damage the valve

33
Q

smudge cells are found in which type of cancer?

A

Chronic lymphocytic leukemia

34
Q

filamentous gram + rods with rudimentary branching =

A

actinomyces

35
Q

is several 1 cm lymph nodes in the neck a normal finding?

A

yes

step 2 uworld (57 decks)

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