Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

UWorld Step 2 > Rheum/Ophtho - Rd 2 > Flashcards

Rheum/Ophtho - Rd 2 Flashcards

1
Q

What kind of arthritis causes dactylitis? What is this?

What special feature?

A

Psoriatic, dactylitis = sausage fingers

Look for NAIL involvement —> onycholysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Fibromyalgia presents w/trigger point tenderness, where are these areas?

Treat how?

A

Mid trap, lateral epicondyle, costochondral junction, greater trochanter

Low-impact exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes localized pain over the anteromedial tibia and is exacerbated by pressure from the opposite knee while lying on the side?

A

Pes anserinus Pain Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PMR is treated with what 1st line?

If it doesn’t work what is next?

A

Exercise therapy

Amitryptiline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Episcleritis is assoc w/what?

A

RA and IBD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Young woman that has anterior knee pain especially when walking up and down the stairs that is not relieved by using NSAIDs has what?

Treat how?

A

Patellofemoral syndrome

Strengthen VMO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pemphigus vulgaris has antibodies against what?

What special feature?

Histopath?

A

Desmosomes (connect to other cells, NOT at the BM)

Nikolsky’s sign

Tombstone cells, acantholysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cherry hemangioma occur in whom?

A

Old people

B9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is seen on microscopy of bulbous pemphigoid?

A

IgG and C3 deposits along the BM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a firm, flesh-colored, dome-shaped, umbilicated papule?

Pts w/what are higher risk?

A

Molluscum contagiosum

impaired cellular immunity (HIV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pathognomonic for dermatofibroma?

A

Dimple in center

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Dot blot hemorrhages indicate what?

A

Diabetic retinopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Fundoscope shows yellow, white, fluffy hemorrhagic lesions along the vasculature indicate what?

A

CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Corneal vesicles and dendritic ulcers indicate what?

A

Herpes Simplex keratitis

Especially the Dendritic ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a hordeolum?

D/t what?

A

Stye

S aureus or sterile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for subconjuctival hemorrhage?

A

Reassurance

17
Q

How does open angle glaucoma present?

CF?

A

Asymptomatic in earlier stages, MC in AA’s
Inc prevalence in pt w/FHx of glaucoma and diabetes

Cupping of optic disc, loss of PERIPHERAL vision

18
Q

What presents in infant and over age 40 w/inflammatory changes in the medial canthal region of the eye? Sometimes there will be purulent drainage from the puncture

A

Dacryocystitis

19
Q

How to treat central retinal artery occlusion?

MC d/t what?

A

Ocular massage and high flow O2

Carotid artery embolus

20
Q

What presents w/a red eye that has photophobia, tearing and diminished visual acuity?

Fundoscope shows hyperemia, hazy “flare” in aqueous humo, layering of white cells in ant. Chamber

A

Anterior uveitis

Assoc w/IBD, sarcoidosis, AS

21
Q

Pt that wears contact lenses and then has painful, red eye and opacification has what?

A

Pseudomonas assoc keratitis

22
Q

What presents as a sudden loss of vision and onset of floaters w/dark red glow and loss of fundus details?

MC cause?

A

Vitreous hemorrhage

Diabetes

23
Q

What causes rapidly progressing b/L necrotizing retinitis in HIV pt?

Fundoscope reveals widespread, pale, peripheral lesions, sx include keratitis and conjuctivitis

A

HSV retinitis

24
Q

How can you tell the difference between HSV and CMV retinitis?

A

CMV is PAINLESS

25
Q

Dendriform corneal ulcers and a vesicular rash indicate what?

A

Herpes Zoster ophthalmicus

26
Q

What refers to a bacterial or fungal infection w/in the eye, particularly vitreous?

Presents w/pain and dec visual acuity

A

Post-op endophthalmitis

27
Q

24 year old man that presents w/nonproductive cough for 2 months, dull back pain and CXR that shows pulmonary nodules and retroperitoneal LAD, what is the most likely diagnosis?

A

Testicular cancer that has METs

Key finding is retroperitoneal LAD

28
Q

How to tell the difference bw epididymitis and prostatitis?

A

Epididymitis has scrotal pain, swelling, tenderness, PURULENT urethral discharge

Chronic prostatitis has dysuria, pain on ejaculation, sterile urine w/NO to mild tenderness

29
Q

Pt w/b/L nonfocal chest tenderness and diffusely nodular breasts and is 25 y/o has what?

A

Fibrocystic changes

UWorld Step 2 (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions