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Step 2 > Missed questions 3 > Flashcards

Missed questions 3 Flashcards

1
Q

CHADS2 score >2 tx

A

warfarin or dabigitran

1 or 2 = asa or warfarin

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2
Q

Next step in pt w/ hemoptysis >600ml

A

Intubate & Bronch

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3
Q

Rubella vaccine right b4 pregnancy

A

Reassurance

Infection w/ rubella = abortion or IVIG

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4
Q

Pleural effusion w/ glucose <30

A

Empyema - WBC/bacteria

RA

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5
Q

Severe cough –> subcutaneous emphysema 1st step?

A

CXR to r/o tension pneumo

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6
Q

Recent leg trauma –> sudden pain, swelling –> purple, bullae and drainage

A

Necrotizing fasciitis

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7
Q

crops of small, tender, erythematous nodules on shins and calves

A

Erythema induratum = TB

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8
Q

Pounding, racing heart beat worse when supine or laying left side

A

AR

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9
Q

Arrest of labor timeframe

  1. w/ adequate contractions (>200 montevideo)
  2. poor contractions
A
  1. 4+ hrs

2. 6+ hrs

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10
Q

Back and thigh pain hrs b4 menses

A

Primary dysmenorrhea = inc PGs

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11
Q

Unnecessarily detailed answered that deviate from topic —> returns to topic (vs. tangentiality)

A

Circumstantiality

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12
Q

1st step in claudication work-up?

A

ABI - <0.9 = abnormal

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13
Q

Vulvar pruritis, thin white skin “cigarette paper”

A

Lichen SCLEROSIS –> punch bx for SCC

Tx = high steroid cream

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14
Q

Sinusitis, bronchiectiasis, situs inversus

A

Kartagener’s

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15
Q

Work-up for minimal BRBPR <50 y/o

A

Anoscopy

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16
Q

CI to breastfeeding

A 
Substance abuse including etOH
HIV
Breast herpes or VZV
Chemo
Untx TB
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17
Q

Asthma >2/wk, nighttime 3-4/mo

A

Mild = albuterol + steroid

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18
Q

Daily asthma, weekly nighttime

A

Moderate = albuterol + steroid + long b2

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19
Q

Expansile and eccentric lytic are in distal femur

A

“soap bubble” = Giant cell tumor of bone –> surgery

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20
Q

Low complement GN

A

PSGN
Lupus
MPGN
Mixed cryoglobulinemia

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21
Q

Dense intramembranous deposits that stain for C3

A

MPGN = activation of alternative compliment pathway

22
Q

Drug to avoid/1st tep in management of STEMI in II, III, aVF + JVD, hypotension

A

Inferior or RIGHT MI –> stop nitro & give NS bolus

23
Q

Type of bilirubinemia if urine dipstick is +

A

Conjugated

24
Q

Dullness on percussion w/ INC breath sounds

A

Consolidation

25
Q

1d post SAH complication

3d post SAH complication

A

1 = rebleed

3 = vasospasm

26
Q

Fetal macroglossus, umbilical hernia, hemihyperplasia (vs. hypothyroid)

A

Beckwith-Wiedman syndrome –> US for WILMS or hepatoblastoma

27
Q

1 nephrotic in adults & its complication

A

Membranous & renal vein thrombosis

28
Q

Tx prolonged QT

A

Proper Ca, K, Mag

PROPANOLOL +/- pacemaker

29
Q

Normal lecthin/sphingomyelin ratio

A

> 2

if <2 and b/w 24-34 wks = give steroids

30
Q

Tetrad: hyperCa, renal failure, anemia, bone lesions

A

MM - “CRAB”

> 4g gap in total protein and albumin*
Inability to produce effective Abs –> recurrent infections

31
Q

Small round hyperchromic RBCs w/o central pallor

A

Hereditary spherocytosis
INC MCHC, RDW
Coombs -

32
Q

Absent CD55

A

PNH = complement destruction

33
Q

1 complication of PUD

A

Hemorrhage

34
Q

Tx chronic HBV

A

Tenofovir or Entecavir

35
Q

TPN complications

A

Central line infection = #1
Refeeding - HypoK, Mag, Phos
Fluid overload

36
Q

IC pt w/ rapidly progressing skin lesion –> nodules or bullae w/ central necrosis/blackness

A

Ecthymia gangrenosum = PA

37
Q

Loss of radial pulse on inspiration

A

Pulsus paradoxus = TAMPONADE

38
Q

ACTH cortisol excess vs. Adrenal cortisol excess in Cushing syndrome

A

ACTH –> hyperpigmentation, no dexa suppresion

39
Q

Cervix 5cm but only 1cm more in 3 hrs next step?

A

Protraction = Amniotomy

40
Q

Tense bullae

A

Bullous Pemphigoid

41
Q

Man with staring spells, confusion and dragging leg afterword

A

Complex partial seizure = temporal lobe epilepsy

42
Q

PAD ABI

A

0.9-0.4

<0.4 = severe ischemia

43
Q

URI 2wks ago now experiencing CHF sx dx?

A

Myocarditis –> dilated cardiomyopathy

44
Q

Kid w/ severe abd pain, vomiting blood, dark stool, low BP ingestion?

A

Iron toxicity

45
Q

1 sepsis in sickle cell

A

Strep Pneumo

46
Q

When to give endocarditis ppx?

A

Prosthetic valves, prior IE, congenital heart disease ONLY - 1 dose amoxicillin

NOT w/ bicuspid, or acquired valve disease

47
Q

CCBs for rapid AFIB

A

Diltiazem

Verapamil

48
Q

Pre-term labor –> pulmonary edema cause?

A

B-agonist (terbutaline, ritodrine) for tocolysis

49
Q

Slow DM nephropathy

A

BP control…….<130/80 with ACE

50
Q

Diarrhea (hypoK, Mag) + new AFIB tx w/ sotalol + sudden onset syncope cause?

A

Sotalol –> QT prolongation + hypoK –> torsades

Tx = mag sulfate

51
Q

Hormone responsible to GDM

A

Human placental lactogen

52
Q

Tx hypersexual behavior, exhibitionism

A

Medroxyprogesterone acetate

Step 2 (20 decks)

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