NBME 10 Flashcards

1
Q

what is issue in ataxia telangiectasia?

A

DNA repair gene

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2
Q

rx of delusional disorder?

A

AP and psychotehrapy

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3
Q

what drug of abuse can cause nystagmus?

A

PCP

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4
Q

if patient outside of 4.5 hour window with an acute stroke, what med do you guve?

A

aspirin

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5
Q

patient has lymphadenitis with granulomas on biopsy, what is bug?

A

mycobacterium avium

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6
Q

what is rx for mycobacterium aviu lyphadenitis?

A

remove the lymph node

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7
Q

what age to start screening for lipids?

A

35-40

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8
Q

pt with HIV has 6mm TB test, what is next step?

A

CXR, if not active then treat latent disease

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9
Q

what is common treatment regimen for latent TB?

A

9mos of isoniazid

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10
Q

mirabegron is used to treat whatbladder issue?

A

overactive bladder

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11
Q

patient with late term fetal demise should have what in late term of next pregnancy?

A

fetal non stress test every week after 32 week s

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12
Q

what is test to monitor for diabetic nephropathy?

A

urine microalbumin

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13
Q

when do you use ANOVA?

A

when comparing 3 or more groups

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14
Q

when do you use chi square test?

A

two qualitative variables

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15
Q

can brain dead patient be let go without family permission?

A

you bet

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16
Q

patient has persistently high hcg after d and c, what is going on?

A

gestational trophoblastic neoplasia

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17
Q

what are sx of gestational trophoblastic neoplasia?

A

abdominal pain, vaginal bleeding and high hcg

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18
Q

epinephrine and what for anaphylaxis?

A

normal saline

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19
Q

first line rx of ttp?

A

plasmapheresis

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20
Q

griseofulvin and terbinafine both have what significant side effect?

A

hepatotoxicity

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21
Q

does OCP use increase or decrease risk of ovarian cancer?

A

increase

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22
Q

what are the risk factors for ovarian cancer?

A

pretty mch the same as breast cancer

23
Q

what are two forms of leishmaniasis?

A

visceral and cutaneous

24
Q

describe cutaneous leishamniasis

A

small papule turns into big ulcer

25
Q

describe viscerla leishmaniasis

A

slow onset fever, malaise, weight loss and organomegaly

26
Q

what is rx of whipple disease?

A

ctx and then bactrim for a year

27
Q

what AB is + in PBC?

A

antimitochondrial

28
Q

what is rx of PBC?

A

ursodeoxycholic acid

29
Q

what is rx of post partum thyroiditis?

A

metoprolol if they are symptomatic, nothing if not

30
Q

what causes gestational diabetes?

A

human placental lactogen

31
Q

3 possible meds for cardiogenic shock

A

dobamine, dobutamine and NE

32
Q

what is rx of MS between episodes?

A

interferon beta therapy

33
Q

what bug causes seborrheic derm? what is rx?

A

malassezia…ketoconazole

34
Q

any dental ppx for patients with no spleen?

A

NO

35
Q

what is only potential cure for SCID?

A

stem cell transplant

36
Q

what are clinical manifestations of chediak higashi syndrome?

A

frequent infection
peripheral neuropathy
albinism and neurologic dysfunction

37
Q

what abx known for causing agranulocytosis

A

bactrim

38
Q

does TCA cause hypo or hypertension?

A

will cause hypotension

39
Q

what is hyphema

A

accummulation of blood in anterior chamber of ey

40
Q

what causes hyphema?

A

blunt trauma to eye

41
Q

what are sx of hyphema?

A

blurred vision and pain

42
Q

low neutrophils and infection in patient with RA is what?

A

felty syndrome

43
Q

3 groups that get dental work ppx

A

previous endocarditis, currently has prosthetic valve, has unrepaired congenital heart lesion

44
Q

CT angiogaphy is also known as what?

A

spiral CT scan

45
Q

what is lamivudine used to treat?

A

Hep B

46
Q

what are treatment regimens for Hep C/

A

ledipasvir-sofosbuvir and glecaprevir-pibrentasvir

47
Q

what is FeNa in pre renal AKI?

A

less than 1%

48
Q

do pregnant patients get Tdap? if so when?

A

yes…when 27-36 weeks pregnant

49
Q

what is biggest risk with amniocentesis?

A

PPROm

50
Q

aside from gabapentin, what else can help with neuropathic pain? medication wise

A

nortyptiline…TCAs

51
Q

what is a type II error?

A

conclude there is no difference between null and hypothesis when there really is

52
Q

what tells you whether type II error is likely?

A

power of the study…which is based in sample size…low sample size low power

53
Q

what is rx of IBS-d for the diarrhea specifically?

A

loperamide

54
Q

first line therapy of pituitary prolactinoma regardless of sex?

A

bromocriptine