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1
Q

Meralgia paresthetica

A

lateral femoral cutaneous nerve comp inguinal lig, car rides, tight pants/belts

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2
Q

Drug-induced type 1 hypersensitivity rxn

A

Anti-histamine unless s/s resp distress/systemic stuff give IM epi/steroids

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3
Q

Oculomotor nerve palsy

A

PUPIL DILATED aneurysm get CTA

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4
Q

Fat embolism

A

Pulm edema can mimic ARDs

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5
Q

Pronator drift

A

pyramidal

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6
Q

Bartonella disseminated

A

HIV purple papules (vascularized) –> pedunculated nodules, +constitutional sx wt loss/night sweats, +hypodense liver lesions/other organ involvement, dx culture, tx doxy

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7
Q

Macular degeneration

A

Grid test wavy lines

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8
Q

Acute necrotizing mediastinitis

A

Retropharyngeal abscess, danger zone posterior mediastinum

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9
Q

Tracheobronchial injury

A

Chest trauma, PTX air leak, bronchoscopy

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10
Q

Thiazide SE

A

Hyperglycemia (insulin resistance) but still first line ALLHAT

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11
Q

Heat stroke

A

Inadequate thermoregulation

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12
Q

Paroxysmal nocturnal hemoglobinuria

A

40yo, CD55 CD59 –> hemolytic anemia (+/- other cytopenia), venous thrombus abd + cerebral, dx flow cyto tx hematopoetic stem cell tplant

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13
Q

Frostbite

A

Warm in WATER

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14
Q

Cervical spinal injury

A

C3-5 innervate diaphragm, trauma pt w/ resp distress–> intubate (orotracheal w/ manual stabilization)

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15
Q

Trigeminal neuralgia

A

NOT A VIRUS (on the test)

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16
Q

Pt in a fire

A

CO + cyanide (hydroxocobalamin, sodium thiosulfate)

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17
Q

Positive predictive value

A

Chance if TEST IS POSITIVE, really have the dz –> true positives/total positives

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18
Q

Paraphymosis

A

REDUCTION OF FORESKIN manual or surgical

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19
Q

Hypothyroidism in pregnancy

A

NL PT: inc total T4, nl-slightly high free T4, low TSH (2.5, 3.0), euthyroid (hyperemesis gravidarum transient hyperthyroid)
PT W/ HYPOTHYROIDISM: inc levothyroxine dose 30% monitor q4w

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20
Q

Panic disorder

A

SSRI 1st line, don’t put BZD on the test

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21
Q

Uric acid

A

Crohn’s dz bicarb losses from diarrhea make urine more acidic = urate kidney stones (also oxalate by different mech)

22
Q

Hernias

A

Indirect: infants, LATERAL to inf epigastric a, deep ring, processus vaginalis
Direct: old guys, direct, MEDIAL, superficial ring, transversalis fascial defect
Femoral women always needs to be fixed high risk of incarceration, SBO

23
Q

Legionella pneumonia

A

Levofloxacin (CAP + diarrhea)

24
Q

Fibroids

A

Dx saline-infused sonogram

25
Q

Adjustment disorder

A

CAN’T DX IF PT MEETS CRITERIA FOR MDD

26
Q

Miller Fisher Syndrome

A

GBS variant ophthalmoplegia, ataxia, weakness usually no paralysis

27
Q

DM drugs for pts w/ co-occurring cardiovascular dz

A

GLP-1 agonists (glutide) + SGLT2-inhibitors (gliflozin)

28
Q

DM ophthalmoplegia

A

CNIII ischemia PUPILARY DILATION preserved

29
Q

Thyroid and birth control

A

Increased binding proteins=inc total T4 but nl free T4/euthyroid state

30
Q

Myelodysplastic syndrome

A

PMNs HYPOsegmented, hypogranulation, pancytopenia (anemia, hematoma, infxns), h/o chemo/radiation, dx BM bx, tx hem stem cell tplant

31
Q

Polymyalgia rheumatica vs glucocorticoid-induced myopathy

A

PR is PAINFUL, GIM weakness

32
Q

Prosthetic valve

A

THROMBUS DOESN’T HAVE TO BE SEPTIC

33
Q

ESRD MC cause of death

A

cardiovascular dz (infx 2nd MC)

34
Q

Secondary Raynaud’s

35
Q

Hodgkin lymphoma

A

<30y chemo/rad 18x lung ca risk, acute leukemia, non-HL

36
Q

Axillary nerve injury

A

Anterior shoulder dislocation, deltoid

37
Q

Case-control vs cohort

A

CC groups are dz no dz, cohort groups are exposure/no exposure

38
Q

Migraine

A

ACUTE nonresp NSAID, SQ triptan EXCEPT IF PT HAS HEART DZ give prochlorperazine/other antiemetic

39
Q

NPH

A

Urinary urgency early, poor CSF absorption

40
Q

Syphillis vs B12

A

Syph hyporeflexia ARGYLL ROB PUPIL non reactive to light +react to accom, B12 hyperreflexia/UMN

41
Q

Smoking pre-op

42
Q

TIA vs MS

A

CV RFs + 24/48h

MS sx 1-3w

43
Q

TMP

A

Hyper K enac?? Who knew

44
Q

Ascertainment bias

A

TYPE OF SELECTION BIAS not reporting bias

45
Q

Lupus can have fever?

A

YES GET ANA basically any time there’s a photosensitive rash + systemic sx, leukopenia w/ fever is odd for infx (diss gon PUSTULAR rash, EBV also can have rash)

46
Q

Brain abscess

A

Preceding URI/tooth infx, staph a strep viridans anaerobes, broad abx (metro, Ctx vanc)

47
Q

When is acute otitis externa a big deal?

A

Necrotizing, pt DM, jaw pain, granulation tissue, IV cipro

48
Q

Lung resection post op mortality

A

FEV1, DLCO <40% ng

49
Q

Turner syndrome preggo

A

Aortic dissection

50
Q

Progressive multifocal leukoencephalopathy vs HIV-dementia

A

JC virus, focal lesions, HAND=rep of HIV in the brain, diffuse white matter hyperintensities on MRI

51
Q

Myopathies

A 
Painful = PR, polymyositis
Eyes/face = MG
Absent DTRs = LE (or endo)
Esophageal sx = polymyositis
Dry mouth = LE

STEP 2 AG (16 decks)

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