USMLEasy 2 Flashcards
Diagnosis of chronic bronchitis?
Cough for 3+ months/year for 2 years
Drugs that benefit acute mania?
Drugs for maintenance?
Neuroleptics
Li, valproate, carbamazepine, lamotrigine
Cytogenic analysis?
Analysis of chromosomes
Drugs that cause hematuria?
#penicillins/cephalosporins, #sulfonamides #phenytoin #cyclophosphamide, anticoagulants, and nitrofurantoin
Reaction to an allergen that suggests anaphylaxis risk with subsequent exposure?
Toxic systemic reactions (nausea, vomiting, headache, vertigo, convulsions, fever)
Specific use of antiviral therapy in oral/genital herpes?
#Reduces viral shedding #Reduces risk of HIV transmission
Drugs that can cause hyperprolactinemia?
#Benzodiazepines #SSRIs #Tricyclic antidepressants #Phenothiazines (antipsychotics) #Busipirone (anti anxiety)
Side effect of Accutane? Side effect that warns discontinuing the medication?
#Dry skin #Joint aches #Worsening of acne
Worsening of acne
Pap testing in HIV-positive patients?
Every six months
How to pair hypertensive medications?
ACE/beta blocker + CCB/diuretic
Definition of chronic sinusitis? Empiric Therapy?
Symptoms that persist beyond three months
#fluoroquinolones or amoxicillin/clavulanate #Amoxicillin or cephalosporin
When is a urine culture indicated?
clinical suspicion but negative UA
Pt with cirrhosis – most likely cause of hyponatremia?
Elevated ADH
Diabetic medication that causes edema?
Insulin sensitizers (-glitazones)
Went to begin MAI prophylaxis?
CD4 count below 75
AST double ALT?
Alcoholic hepatitis
Antidepressant that avoids sexual side effects?
Bupropion
Best pharmacotherapy for alcohol abuse relapse prevention?
Acamprosate
Antilipid medication that’s most beneficial on triglycerides?
Fibrate
Patient with suggested pharyngitis has uvula edema – suggestive of? Treatment?
Group a hemolytic strep; amoxicillin
Patient in contact sport had episode of acute numbness and tingling from neck down to hand. Resolved within a few minutes. Management?
If no neurologic deficits and normal range of motion, Pt can return to play without restriction
How to tell the difference between basal cell carcinoma and molluscum contagiosum?
BCC has telangiectasias
Lesbians are more likely to get what STIs?
Less likely to get which STIs?
Bacterial vaginosis and HIV
Genital warts and genital herpes
Risks for obstructive lung disease?
Restrictive lung disease?
Asthma, cigarette smoking, bronchitis, bronchiolitis
Occupational exposures (cotton dust, grain dust, hay mold), severe scoliosis, obesity, pregnancy
Use of progestin challenge with amenorrhea?
If bleeding afterwards, patient has sufficient estrogen and amenorrhea is likely due to anovulation (PCOS)
4 signs of acute bacterial cystitis?
#frequency #Hematuria #Dysuria #back pain
Causes of primary amenorrhea?
#Gonadal dysgenesis (Turner's) #Hypothalamic failure (anorexia, excessive exercise, stress) #Pituitary failure (head trauma, shock, pituitary adenoma, craniopharyngioma)
Effectiveness of emergency contraceptives? Contraindications?
85%
No medical contraindications
Absolute contraindications for estrogen replacement therapy? Relative contraindications?
Breast cancer, abnormal genital bleeding, active thromboembolic disorder
Migraine, history of thromboembolism, hypertriglyceridemia, uterine leiomyoma, uterine cancer
Antihypertensive class most likely to cause urinary leakage and urgency?
Beta blocker
Native American patients – higher prevalence of what health issues?
#Diabetes #Obesity #Alcoholism #Suicide
Most likely infecting organism from a cat bite?
Pasturella
Which condition is most associated with recurrent sinusitis?
Allergic rhinitis
Best initial pain management regimen?
Standing and PRN Short acting narcotic
