USMLE 2 ชุด 10 Flashcards
35 yo foot ball R knee pain knee bent foot plant + pop มี large effusion on knee can bend but cant straighten no extend yes flex
DX?
quadricep tendon rupture
from rectus femoris vastus laterais vastus medialis vastus intermedius
sudden contract defect above patella
ถ้า patella tear = palpate defect below IX : MRI
Meniscal tear
docking or catching
36 yo PPD ได้ 12 mm
not treat
5mm = HIV, known case, nodular CXR, immune suppression
10 mm - immigrant endemic, resident, employee, UI DM CKD children <4yo
15 mm- normal healty ppl
if + 3 mo IR
หรือ 6-9 mo I
หรือ 4mo R
autism
you are correct that child mildstone
i like to get more test
DM
acute panc
Livedoreticularis
AKI
RISK for ?
cholesterol emboli
urinalysis envelop shape
ethylene glycol (urine calcium oxalate crystal)
dec CBC
dec PLt
dec WTB
IX?
bone marrow Bx
ALL
bone pain lymph(+25%), blast (<5)
hepatosplenomeg
s/p OR BT 2 U, BM stransplant
2 wk after = rash bloodly diarrhea hepatitis
DX?
Graft Vs Host
activation of DONOR T LYMPHOCYTE
SAIDH
TX?
Fluid restriction
lab hyponat
serum osm <275
u osmole >100
urine NA >40
Amebic abscess
Metronidazole is ok no need for drain?
Echinococcus
aspirate + albendazole
42yo joint pain finger pain DOB dark urine fever ESR + RF elevate
DX?
infective endocarditis
65 yo L thigh pain inc BP pain on ROM inc alkaline phosphatase cortical thicken femur DX?
paget
CC : hearing loss arthritis spinal stenosis
IX xray osterolytic lesion scleroticx
TX bisphosphonate
8 mo fever
LP no CT
orthostatic hypotension from hypovolumia
dec renal perfusion
aldosterone inc Na resorb K excrete
dec urine osm
Fractional excretion Na <1%
Multiple sclerosis from
Low Vit D smoking cold clinate
transcient neuro
UHTHOFF + LHERMITTE
IOP
Vaccine –> GBS
Ascending symmetric paralysis
HSV
bell palsy
HIV prophylaxis
<200 - PCP= TMPSMX
<150- HISTO= Itraconazole
<100 TOXO = TMPSMX
<50 MAC = Azithro
200-150-100-50
T-I-T-Z
sucide บอกว่าไม่เป็นไร
Involuntary hospitalized (individual)
Cyclosporin
SE
Gum hyperplasia
nephrotic inc K
Neuro tox - HA BOV
Hypergly
inhibit interleukin 2
LV failure
which drug improve survival
ACE
ARB
BB
Mineralocorticoid receptor antagonist
Swell ankle feel low energy
hypotension
13 MI 17
21 yo
hypocholesterolemia
dehydrate renal, elyte depleteion
hypercarotenemia
DX?
Anorexia
มี osteopenia
EEG =
sharp triphrasic sync
creutzfeld Jakob
spongiofrom enceph โดย Prion
spinal epidural abscess
staph ok มี 10 ;yo
vack feet lower E tingling numb
IX?
MRI
OA initial TX
NSAID topical NSAID steroid hyaluronic surgery
ALL + pregnancy แต่ไม่อยาก chemo
Obtain court order for chemo
53 yo + BPV
endometrial biopsy ไม่ต้อง UTZ
75 yo high pitch ringing bilat sensory HL
presbycusis
32 yo 14 wk AOG DM1
Ht
Proteinuria from?
DM neph
delusion
> 1 mo longer
Brief psycho
<1 Mo
trauma no ab pain
แต่ UA + 50-100CBC
IX?
CT หา renal trauma
Retrograde cystouretherogram if + gross hematuria diff urinating bloody meatus suprapubic pain
MS
TX?
Methyl prednisolone , plasma exchange
CT= periventricular white matter corpus callosum
lead poisoning Cap blood leak
IX
venous lead level
EDTA dimer for lead 45 ++
MSA band ischemia
IX?
CT angio
alcohol hepatitis
LAB
inc GGT
inc ferritin
AST 230
ALT 110
17 yo leg pain thigh running
sickle cell
avascular necrosis femor head
