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Uworld Buzz step2 > NBME sicular > Flashcards

NBME sicular Flashcards

1
Q

difficulty combing hair - think?

A

polymyositis

- or at least muscle problems

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2
Q

bilateral hilar fullness - think?

A

sarcoidosis

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3
Q

sarcoidosis –> ?

A

Inc Ca

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4
Q

ill defined palpable soft masses high in the scrotum + infertility = think?

A

Varicoceles

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5
Q

why do pregnant women get UTIs?

A

Urinary stasis

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6
Q

pain relieved by vomiting + bowel sounds dec + distended, tender, and tympanic abdomen - think?

A

SBO

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7
Q

impetigo treatment?

A

Topical Abx treatment that covers staph

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8
Q

prevention of contrast hurting kidneys?

A

Fluids

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9
Q

/meds used in gout (4)

A

Acute

  • colchicine
  • NSAIDs

Chronic

  • allopurinol
  • probenicide
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10
Q

Widened mediastinum - worried about what vessel?

A

Aorta

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11
Q

Most common drug for delirium?

A

Haloperidol

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12
Q

long bone break + petechial hemorrhage - think?

A

fat embolism

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13
Q

alternating amplitude of QRS think?

A

Tamponade

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14
Q

Treat cardiac tamponade w/?

A

Pericardial window pericentesis

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15
Q

depression + episode of mania - think?

A

bipolar

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16
Q

retinal hemorrhage - think?

A

child abuse

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17
Q

bilateral nystagmus + weird behavior - think?

A

PCP

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18
Q

creepy on drugs think?

A

PCP

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19
Q

Hyperosmolar non-ketotic Coma main symptoms?

A
  • DM
  • no ketones
  • high sugar
  • postural hypotension (bc of dehydration)
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20
Q

Hyperosmolar non-ketotic coma is?

A

Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus (predominantly type 2) in which high blood sugars cause severe dehydration, increases in osmolarity (relative concentration of solute) and a high risk of complications, coma and death.

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21
Q

Mediastinal mass + weakness + diplopia think?

A

Myasthenia gravis

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22
Q

disease effects acetylcholine receptors?

A

Myasthenia Gravis

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23
Q

Myasthenia gravis effects what?

A

acetylcholine receptors

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24
Q

weakness w/ use?

A

Myasthenia gravis

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25
URI + ascending weakness - think?
Gullian Barre
26
Demyelinnation of axons?
Guillan barre
27
mysthenia gravis + mediastinal mass - think?
Thymoma
28
MCHC high? (2)
Spherocytosis (coomb -, fam hx) | Autoimmune hemolytic anemia (coombs +)
29
What high lab values associated w/ pancreatitis? (3)
- lipase - amylase - triglycerides
30
kernig sign positive - think?
Meningitis
31
test for zenckers?
Barium swallow
32
regurg undigested food + halitosis - think?
zenckers diverticula
33
salmon colored skin rash, non-pruritic + joint stuff?
JIA
34
back pain + steroids - think?
compression fracture
35
wide based gait - where problem?
cerebellum
36
wide based gait problem, smoking or alcohol main problem?
Alcohol!
37
crackles in all lung fields - think?
pulmonary edema (CHF)
38
Treatment of Pulmonary edema?
"NOMADS"
39
very high temp + very high CK - think (2)?
Malignant hyperthermia Heat stroke - differentiate by risk factors and presentation in stem
40
digoxin --> what abnl serum conc?
Dec K
41
cancer --> what abnl serum conc?
hyperCalcemia
42
Carotid artery >70% stenosis --> treat?
Endarterectomy
43
remove clothing after exposure?
Organophosphates
44
Treatment of organophosphates?
- atropine +/- pralidoxine (if given w/in hours)
45
preload down but murmur intensity up think?
HOCUM
46
ABO v Rh incompatability?
ABO - mild | Rh - severe
47
What part of lung do pseudomonas like?
Upper
48
bilateral, diffuse, hazy densities with cephalization of the pulmonary vasculature and perihilar fullness - think?
Acute respiratory distress syndrome
49
PCOS, treat infertility w/?
clomiphene
50
watery diarrhea w/ no PMNs think?
enterotoxic E.coli
51
what causes granuloma inguinale?
Klebsiella granulomatis
52
What causes lymphogranuloma venereum?
Chlamydia
53
What causes chancroid?
H. ducreyi
54
hallucination of bugs crawling on or from under skin (formication)? (3)
- Withdrawal from alcohol - Intoxication w/ Meth - Intoxication w/ Cocaine (or cocaine like substances)
55
Really fat w/ hypoxemia - think?
alveolar hypoventilation
56
old woman w/ nipple problem?
paget's disease
57
yellow fluid from nipple w/o masses or calcifications?
Don't worry it's physiologic discharge
58
C3 should be high or low in lupus?
LOW
59
preeclampsia worry--> test for what other disease?
HELLP
60
isolate Right sided heart failure is?
Cor Pulmonale
61
Angioedema + multiple episodes with stress (ie illness) --> think?
c1 esterase deficiency
62
gram + line infection --> treat?
vanc
63
Wiskott aldrich syndrome main findings (3)?
``` WATERS Wiskott Aldrich Thrombocytonpenia Eczema Recurrent Sinusitis ``` [Ig stuff too]
64
Most common cause of bronchiectasis?
Recurrent infection
65
cough up blood + cysts + recurrent infx - think?
bronchiectasis
66
low BP + cold and clammy - think?
Hypovolemia
67
hair loss due to Vit def?
Zinc
68
Treatment of Hep C?
Interfuron alpha
69
low serum Na and high urine Na --> think?
SIADH
70
Low serum Na high urine Na --> think?
Polydipsia
71
clubbing - think?
lung ca
72
pain + bleeding + 3rd trimester - think?
Abruption
73
high albumin in urine treat?
ACE inhibitors

Uworld Buzz step2 (11 decks)

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