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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
describe viscerla leishmaniasis
slow onset fever, malaise, weight loss and organomegaly
26
what is rx of whipple disease?
ctx and then bactrim for a year
27
what AB is + in PBC?
antimitochondrial
28
what is rx of PBC?
ursodeoxycholic acid
29
what is rx of post partum thyroiditis?
metoprolol if they are symptomatic, nothing if not
30
what causes gestational diabetes?
human placental lactogen
31
3 possible meds for cardiogenic shock
dobamine, dobutamine and NE
32
what is rx of MS between episodes?
interferon beta therapy
33
what bug causes seborrheic derm? what is rx?
malassezia...ketoconazole
34
any dental ppx for patients with no spleen?
NO
35
what is only potential cure for SCID?
stem cell transplant
36
what are clinical manifestations of chediak higashi syndrome?
frequent infection peripheral neuropathy albinism and neurologic dysfunction
37
what abx known for causing agranulocytosis
bactrim
38
does TCA cause hypo or hypertension?
will cause hypotension
39
what is hyphema
accummulation of blood in anterior chamber of ey
40
what causes hyphema?
blunt trauma to eye
41
what are sx of hyphema?
blurred vision and pain
42
low neutrophils and infection in patient with RA is what?
felty syndrome
43
3 groups that get dental work ppx
previous endocarditis, currently has prosthetic valve, has unrepaired congenital heart lesion
44
CT angiogaphy is also known as what?
spiral CT scan
45
what is lamivudine used to treat?
Hep B
46
what are treatment regimens for Hep C/
ledipasvir-sofosbuvir and glecaprevir-pibrentasvir
47
what is FeNa in pre renal AKI?
less than 1%
48
do pregnant patients get Tdap? if so when?
yes...when 27-36 weeks pregnant
49
what is biggest risk with amniocentesis?
PPROm
50
aside from gabapentin, what else can help with neuropathic pain? medication wise
nortyptiline...TCAs
51
what is a type II error?
conclude there is no difference between null and hypothesis when there really is
52
what tells you whether type II error is likely?
power of the study...which is based in sample size...low sample size low power
53
what is rx of IBS-d for the diarrhea specifically?
loperamide
54
first line therapy of pituitary prolactinoma regardless of sex?
bromocriptine

UWorld Step 2 Days (23 decks)

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