Brainscape's Knowledge GenomeTM

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


See full index

Usmle กู อย่างละ 100ข้อ > USMLE 2 ชุด 10 > Flashcards

USMLE 2 ชุด 10 Flashcards

You may prefer our related Brainscape-certified flashcards:
USMLE® Step 1 flashcards
1
Q 
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?

A

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

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

Meniscal tear

A

docking or catching

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

36 yo PPD ได้ 12 mm

not treat

A

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

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

autism

A

you are correct that child mildstone

i like to get more test

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

DM
acute panc
Livedoreticularis
AKI

RISK for ?

A

cholesterol emboli

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

urinalysis envelop shape

A

ethylene glycol (urine calcium oxalate crystal)

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

dec CBC
dec PLt
dec WTB

IX?

A

bone marrow Bx
ALL
bone pain lymph(+25%), blast (<5)
hepatosplenomeg

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

s/p OR BT 2 U, BM stransplant
2 wk after = rash bloodly diarrhea hepatitis

DX?

A

Graft Vs Host

activation of DONOR T LYMPHOCYTE

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

SAIDH

TX?

A

Fluid restriction

lab hyponat
serum osm <275
u osmole >100

urine NA >40

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

Amebic abscess

A

Metronidazole is ok no need for drain?

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

Echinococcus

A

aspirate + albendazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q 
42yo
joint pain
finger pain
DOB
dark urine 
fever
ESR + RF elevate

DX?

A

infective endocarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q 
65 yo L thigh pain inc BP
pain on ROM
inc alkaline phosphatase
cortical thicken femur 
DX?
A

paget
CC : hearing loss arthritis spinal stenosis

IX xray osterolytic lesion scleroticx

TX bisphosphonate

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

8 mo fever

A

LP no CT

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

orthostatic hypotension from hypovolumia

A

dec renal perfusion

aldosterone inc Na resorb K excrete
dec urine osm

Fractional excretion Na <1%

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

Multiple sclerosis from

A

Low Vit D smoking cold clinate
transcient neuro
UHTHOFF + LHERMITTE
IOP

17
Q

Vaccine –> GBS

A

Ascending symmetric paralysis

18
Q

HSV

A

bell palsy

19
Q

HIV prophylaxis

A

<200 - PCP= TMPSMX
<150- HISTO= Itraconazole
<100 TOXO = TMPSMX
<50 MAC = Azithro

200-150-100-50
T-I-T-Z

20
Q

sucide บอกว่าไม่เป็นไร

A

Involuntary hospitalized (individual)

21
Q

Cyclosporin

SE

A

Gum hyperplasia
nephrotic inc K
Neuro tox - HA BOV
Hypergly

inhibit interleukin 2

22
Q

LV failure

which drug improve survival

A

ACE
ARB
BB
Mineralocorticoid receptor antagonist

23
Q

Swell ankle feel low energy
hypotension
13 MI 17
21 yo

hypocholesterolemia
dehydrate renal, elyte depleteion
hypercarotenemia

DX?

A

Anorexia

มี osteopenia

24
Q

EEG =

sharp triphrasic sync

A

creutzfeld Jakob

spongiofrom enceph โดย Prion

25
Q

spinal epidural abscess
staph ok มี 10 ;yo
vack feet lower E tingling numb

IX?

A

MRI

26
Q

OA initial TX

A 
NSAID 
topical NSAID
steroid
hyaluronic 
surgery
27
Q

ALL + pregnancy แต่ไม่อยาก chemo

A

Obtain court order for chemo

28
Q

53 yo + BPV

A

endometrial biopsy ไม่ต้อง UTZ

29
Q

75 yo high pitch ringing bilat sensory HL

A

presbycusis

30
Q

32 yo 14 wk AOG DM1
Ht
Proteinuria from?

A

DM neph

31
Q

delusion

A

> 1 mo longer

32
Q

Brief psycho

A

<1 Mo

33
Q

trauma no ab pain
แต่ UA + 50-100CBC
IX?

A

CT หา renal trauma

Retrograde cystouretherogram
if + gross hematuria 
diff urinating
bloody meatus
suprapubic pain
34
Q

MS

TX?

A

Methyl prednisolone , plasma exchange

CT= periventricular white matter corpus callosum

35
Q

lead poisoning Cap blood leak

IX

A

venous lead level

EDTA dimer for lead 45 ++

36
Q

MSA band ischemia

IX?

A

CT angio

37
Q

alcohol hepatitis

LAB

A

inc GGT
inc ferritin
AST 230
ALT 110

38
Q

17 yo leg pain thigh running

A

sickle cell

avascular necrosis femor head

Usmle กู อย่างละ 100ข้อ (10 decks)

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