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STEP 2 > USMLE Step 2 CK > Flashcards

USMLE Step 2 CK Flashcards

1
Q

resting tremor lesion

A

basal ganglia

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2
Q

intention tremor lesion

A

cerebellar hemisphere

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3
Q

hyperorality, hypersexuality, disinhibited behavior lesion

A

bilateral amygdala

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4
Q

personality changes lesion

A

frontal lobe

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5
Q

agraphia, acalculia, finger agnosia

A

dominate parietal

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6
Q

PBC test

A

Antimitochondrial Ab AMA, ANA

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7
Q

PBC tx

A

Ursodeoxycholic acid UDCA

Liver Transplant

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8
Q

PSC test

A

+P-ANCA

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9
Q

PSC tx

A

transplant

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10
Q

PBC epi, patho

A

women, autoimmmune associated with Sjogren, CREST, RA, intrahepatic ducts only

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11
Q

PSC epi, patho

A

Men, UC, Intra/Extrahepatic ducts, not autoimmune, cholangiocarcinoma, “beads on a string” ERCP

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12
Q

Crigler Najjar syndrome type II tx

A

phenobarbital

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13
Q

autoimmune hep type 1 lab

A

ANA, anti-smooth muscle antibodies(ASMA)

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14
Q

autoimmune hep type 2 lab

A

liver-kidney-microsomal(LKM) antibodies or liver cytosol antigen

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15
Q

autoimmune hep tx

A

glucocorticoids +/- Azathioprine

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16
Q

Tumor Marker Hepatocellular Ca

A

AFP

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17
Q

Tumor Marker Colon Ca

A

CEA

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18
Q

Tumor Marker Gastric Ca

A

CEA

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19
Q

Tumor Marker Pancreatic Ca

A

CA 19-9, CEA

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20
Q

Tumor Marker Ovarian Ca

A

CA-125

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21
Q

spherocytosis labs

A

low mcv, high MCH and RDW
abnormal eosin-5-maleimide binding
Increased osmotic fragility on acidified glycerol
ankyrin defect

22
Q

iron def vs. thalasemia lab

A

MCV decreased both,

Iron increased RDW normal with thal

23
Q

tetralogy heart sounds

A

harsh systolic LUSB,

single S2

24
Q

dermitits herpatiformis tx

25
Q

Hep C manifestations

A

Skin porphyria cutanea tarda: fragile skin photosensitive, vesicles and erosions on dorsum of hand
Renal: MPG
Heme: essential mixed cryoglobulinemia: (90% have Hep C) immune complexes causing purpura and arthralgias

26
Q

SS smear finding

A

Howell Jolly bodies due to spleenic infarct in first few years of life

27
Q

B12 vs Folate

A

B12: increased methylmalonic acid
Both: increased Homocysteine

28
Q

sinusitis most common bacteria

29
Q

macular degeneration vision test

A

straight lines appear wavy

30
Q

Non cardiac chest pain relieved by nitrates

A

Diffuse Esophageal Spasm

31
Q

interstitial lung disease test finding

A

increased AA gradient

32
Q

stable angina tx

A

BB: 1st line can add CCB if needed

ASA, Statin, Nitro also

33
Q

hydroxychloroquine sfx

A

eye damage: retinopathy

34
Q

When and how to treat ITP

A

Kids if bleeding, Adults: Plt

35
Q

pain on light touch after stroke

A

Thalamus (VPL)(Very Painful to Light touch)

36
Q

Edwards heart defect

A

VSD, Election=18

37
Q

Lyme Treatment

38
Q

Electrical Alterans

A

Pericardial Effusion

39
Q

variceal hemmorage first 3 things to give

A

fluids, IV octeotride, antibiotics

40
Q

neonate with cyanosis, Left axis deviation, small r waves

A

tricuspid atresia

41
Q

Only senario to get Tetanus IG

42
Q

Decrease Warfarin effect

A

inducers, Greens, ginseng, carbamaz, ocp, st. john wart, rifampin

43
Q

Increase Warfarin effect

A

P450 inhibitors, acetam, nsaids, amiodoraone, cimetidine, cranberry, ginko, omeprazole, ssri

44
Q

Hep B nephotic

A

membranous nephropathy

45
Q

FAST scan +

A

laparotomy

46
Q

Fast Scan inconclusive

47
Q

V2-4

A

Anterior, LAD

48
Q

V1-3

A

Septal, LAD

49
Q

II, III AvF

A

Inferior, Posterior Descending or marginal branch

50
Q

I avl v4-6

A

Lateral, LAD or circumflex

51
Q

V1, V2 depression

A

Posterior, PD

52
Q

IIH tx

A

acetazolemide

STEP 2 (2 decks)

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