USMLEasy 2

Question 1

Diagnosis of chronic bronchitis?

Answer 1

Cough for 3+ months/year for 2 years

Question 2

Drugs that benefit acute mania?

Drugs for maintenance?

Answer 2

Neuroleptics

Li, valproate, carbamazepine, lamotrigine

Question 3

Cytogenic analysis?

Answer 3

Analysis of chromosomes

Question 4

Drugs that cause hematuria?

Answer 4

#penicillins/cephalosporins, 
#sulfonamides
#phenytoin
#cyclophosphamide, 
anticoagulants, and nitrofurantoin

Question 5

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

Answer 5

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

Question 6

Specific use of antiviral therapy in oral/genital herpes?

Answer 6

#Reduces viral shedding
#Reduces risk of HIV transmission

Question 7

Drugs that can cause hyperprolactinemia?

Answer 7

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

Question 8

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

Answer 8

#Dry skin
#Joint aches
#Worsening of acne

Worsening of acne

Question 9

Pap testing in HIV-positive patients?

Answer 9

Every six months

Question 10

How to pair hypertensive medications?

Answer 10

ACE/beta blocker + CCB/diuretic

Question 11

Definition of chronic sinusitis? Empiric Therapy?

Answer 11

Symptoms that persist beyond three months

#fluoroquinolones or amoxicillin/clavulanate
#Amoxicillin or cephalosporin

Question 12

When is a urine culture indicated?

Answer 12

clinical suspicion but negative UA

Question 13

Pt with cirrhosis – most likely cause of hyponatremia?

Answer 13

Elevated ADH

Question 14

Diabetic medication that causes edema?

Answer 14

Insulin sensitizers (-glitazones)

Question 15

Went to begin MAI prophylaxis?

Answer 15

CD4 count below 75

Question 16

AST double ALT?

Answer 16

Alcoholic hepatitis

Question 17

Antidepressant that avoids sexual side effects?

Answer 17

Bupropion

Question 18

Best pharmacotherapy for alcohol abuse relapse prevention?

Answer 18

Acamprosate

Question 19

Antilipid medication that’s most beneficial on triglycerides?

Answer 19

Fibrate

Question 20

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

Answer 20

Group a hemolytic strep; amoxicillin

Question 21

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

Answer 21

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

Question 22

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

Answer 22

BCC has telangiectasias

Question 23

Lesbians are more likely to get what STIs?

Less likely to get which STIs?

Answer 23

Bacterial vaginosis and HIV

Genital warts and genital herpes

Question 24

Risks for obstructive lung disease?

Restrictive lung disease?

Answer 24

Asthma, cigarette smoking, bronchitis, bronchiolitis

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

Question 25

Use of progestin challenge with amenorrhea?

Answer 25

#If bleeding afterwards, patient has sufficient estrogen and amenorrhea is likely due to anovulation (PCOS) #If no bleeding, not enough estrogen

Question 26

4 signs of acute bacterial cystitis?

Answer 26

``` #frequency #Hematuria #Dysuria #back pain ```

Question 27

Causes of primary amenorrhea?

Answer 27

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

Question 28

Effectiveness of emergency contraceptives? Contraindications?

Answer 28

85% No medical contraindications

Question 29

Absolute contraindications for estrogen replacement therapy? Relative contraindications?

Answer 29

Breast cancer, abnormal genital bleeding, active thromboembolic disorder Migraine, history of thromboembolism, hypertriglyceridemia, uterine leiomyoma, uterine cancer

Question 30

Antihypertensive class most likely to cause urinary leakage and urgency?

Answer 30

Beta blocker

Question 31

Native American patients – higher prevalence of what health issues?

Answer 31

``` #Diabetes #Obesity #Alcoholism #Suicide ```

Question 32

Most likely infecting organism from a cat bite?

Answer 32

Pasturella

Question 33

Which condition is most associated with recurrent sinusitis?

Answer 33

Allergic rhinitis

Question 34

Best initial pain management regimen?

Answer 34

Standing and PRN Short acting narcotic