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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
Q

URI + ascending weakness - think?

A

Gullian Barre

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26
Q

Demyelinnation of axons?

A

Guillan barre

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27
Q

mysthenia gravis + mediastinal mass - think?

A

Thymoma

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28
Q

MCHC high? (2)

A

Spherocytosis (coomb -, fam hx)

Autoimmune hemolytic anemia (coombs +)

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29
Q

What high lab values associated w/ pancreatitis? (3)

A
  • lipase
  • amylase
  • triglycerides
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30
Q

kernig sign positive - think?

A

Meningitis

31
Q

test for zenckers?

A

Barium swallow

32
Q

regurg undigested food + halitosis - think?

A

zenckers diverticula

33
Q

salmon colored skin rash, non-pruritic + joint stuff?

34
Q

back pain + steroids - think?

A

compression fracture

35
Q

wide based gait - where problem?

A

cerebellum

36
Q

wide based gait problem, smoking or alcohol main problem?

37
Q

crackles in all lung fields - think?

A

pulmonary edema (CHF)

38
Q

Treatment of Pulmonary edema?

A

“NOMADS”

39
Q

very high temp + very high CK - think (2)?

A

Malignant hyperthermia
Heat stroke

  • differentiate by risk factors and presentation in stem
40
Q

digoxin –> what abnl serum conc?

41
Q

cancer –> what abnl serum conc?

A

hyperCalcemia

42
Q

Carotid artery >70% stenosis –> treat?

A

Endarterectomy

43
Q

remove clothing after exposure?

A

Organophosphates

44
Q

Treatment of organophosphates?

A
  • atropine +/- pralidoxine (if given w/in hours)
45
Q

preload down but murmur intensity up think?

46
Q

ABO v Rh incompatability?

A

ABO - mild

Rh - severe

47
Q

What part of lung do pseudomonas like?

48
Q

bilateral, diffuse, hazy densities with cephalization of the pulmonary vasculature and perihilar fullness - think?

A

Acute respiratory distress syndrome

49
Q

PCOS, treat infertility w/?

A

clomiphene

50
Q

watery diarrhea w/ no PMNs think?

A

enterotoxic E.coli

51
Q

what causes granuloma inguinale?

A

Klebsiella granulomatis

52
Q

What causes lymphogranuloma venereum?

53
Q

What causes chancroid?

A

H. ducreyi

54
Q

hallucination of bugs crawling on or from under skin (formication)? (3)

A
  • Withdrawal from alcohol
  • Intoxication w/ Meth
  • Intoxication w/ Cocaine (or cocaine like substances)
55
Q

Really fat w/ hypoxemia - think?

A

alveolar hypoventilation

56
Q

old woman w/ nipple problem?

A

paget’s disease

57
Q

yellow fluid from nipple w/o masses or calcifications?

A

Don’t worry it’s physiologic discharge

58
Q

C3 should be high or low in lupus?

59
Q

preeclampsia worry–> test for what other disease?

60
Q

isolate Right sided heart failure is?

A

Cor Pulmonale

61
Q

Angioedema + multiple episodes with stress (ie illness) –> think?

A

c1 esterase deficiency

62
Q

gram + line infection –> treat?

63
Q

Wiskott aldrich syndrome main findings (3)?

A 
WATERS
Wiskott 
Aldrich
Thrombocytonpenia
Eczema
Recurrent Sinusitis

[Ig stuff too]

64
Q

Most common cause of bronchiectasis?

A

Recurrent infection

65
Q

cough up blood + cysts + recurrent infx - think?

A

bronchiectasis

66
Q

low BP + cold and clammy - think?

A

Hypovolemia

67
Q

hair loss due to Vit def?

68
Q

Treatment of Hep C?

A

Interfuron alpha

69
Q

low serum Na and high urine Na –> think?

70
Q

Low serum Na high urine Na –> think?

A

Polydipsia

71
Q

clubbing - think?

72
Q

pain + bleeding + 3rd trimester - think?

73
Q

high albumin in urine treat?

A

ACE inhibitors

Uworld Buzz step2 (11 decks)

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