USMLEasy 2 Flashcards

1
Q

Diagnosis of chronic bronchitis?

A

Cough for 3+ months/year for 2 years

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2
Q

Drugs that benefit acute mania?

Drugs for maintenance?

A

Neuroleptics

Li, valproate, carbamazepine, lamotrigine

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3
Q

Cytogenic analysis?

A

Analysis of chromosomes

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4
Q

Drugs that cause hematuria?

A
#penicillins/cephalosporins, 
#sulfonamides
#phenytoin
#cyclophosphamide, 
anticoagulants, and nitrofurantoin
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5
Q

Reaction to an allergen that suggests anaphylaxis risk with subsequent exposure?

A

Toxic systemic reactions (nausea, vomiting, headache, vertigo, convulsions, fever)

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6
Q

Specific use of antiviral therapy in oral/genital herpes?

A
#Reduces viral shedding
#Reduces risk of HIV transmission
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7
Q

Drugs that can cause hyperprolactinemia?

A
#Benzodiazepines
#SSRIs
#Tricyclic antidepressants
#Phenothiazines (antipsychotics)
#Busipirone (anti anxiety)
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8
Q

Side effect of Accutane? Side effect that warns discontinuing the medication?

A
#Dry skin
#Joint aches
#Worsening of acne

Worsening of acne

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9
Q

Pap testing in HIV-positive patients?

A

Every six months

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10
Q

How to pair hypertensive medications?

A

ACE/beta blocker + CCB/diuretic

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11
Q

Definition of chronic sinusitis? Empiric Therapy?

A

Symptoms that persist beyond three months

#fluoroquinolones or amoxicillin/clavulanate
#Amoxicillin or cephalosporin
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12
Q

When is a urine culture indicated?

A

clinical suspicion but negative UA

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13
Q

Pt with cirrhosis – most likely cause of hyponatremia?

A

Elevated ADH

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14
Q

Diabetic medication that causes edema?

A

Insulin sensitizers (-glitazones)

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15
Q

Went to begin MAI prophylaxis?

A

CD4 count below 75

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16
Q

AST double ALT?

A

Alcoholic hepatitis

17
Q

Antidepressant that avoids sexual side effects?

A

Bupropion

18
Q

Best pharmacotherapy for alcohol abuse relapse prevention?

A

Acamprosate

19
Q

Antilipid medication that’s most beneficial on triglycerides?

A

Fibrate

20
Q

Patient with suggested pharyngitis has uvula edema – suggestive of? Treatment?

A

Group a hemolytic strep; amoxicillin

21
Q

Patient in contact sport had episode of acute numbness and tingling from neck down to hand. Resolved within a few minutes. Management?

A

If no neurologic deficits and normal range of motion, Pt can return to play without restriction

22
Q

How to tell the difference between basal cell carcinoma and molluscum contagiosum?

A

BCC has telangiectasias

23
Q

Lesbians are more likely to get what STIs?

Less likely to get which STIs?

A

Bacterial vaginosis and HIV

Genital warts and genital herpes

24
Q

Risks for obstructive lung disease?

Restrictive lung disease?

A

Asthma, cigarette smoking, bronchitis, bronchiolitis

Occupational exposures (cotton dust, grain dust, hay mold), severe scoliosis, obesity, pregnancy

25
Q

Use of progestin challenge with amenorrhea?

A

If bleeding afterwards, patient has sufficient estrogen and amenorrhea is likely due to anovulation (PCOS)

26
Q

4 signs of acute bacterial cystitis?

A
#frequency
#Hematuria
#Dysuria
#back pain
27
Q

Causes of primary amenorrhea?

A
#Gonadal dysgenesis (Turner's)
#Hypothalamic failure (anorexia, excessive exercise, stress)
#Pituitary failure (head trauma, shock, pituitary adenoma, craniopharyngioma)
28
Q

Effectiveness of emergency contraceptives? Contraindications?

A

85%

No medical contraindications

29
Q

Absolute contraindications for estrogen replacement therapy? Relative contraindications?

A

Breast cancer, abnormal genital bleeding, active thromboembolic disorder

Migraine, history of thromboembolism, hypertriglyceridemia, uterine leiomyoma, uterine cancer

30
Q

Antihypertensive class most likely to cause urinary leakage and urgency?

A

Beta blocker

31
Q

Native American patients – higher prevalence of what health issues?

A
#Diabetes
#Obesity
#Alcoholism
#Suicide
32
Q

Most likely infecting organism from a cat bite?

A

Pasturella

33
Q

Which condition is most associated with recurrent sinusitis?

A

Allergic rhinitis

34
Q

Best initial pain management regimen?

A

Standing and PRN Short acting narcotic