USMLEasy Flashcards
Test to determine Meniscal Tear?
McMurray test - palpate the joint line with one hand and internally/externally rotate while flexing and extending the knee. This maneuver elicits a catch with pain at the joint line
Antibody positive in early Hep B infection, but negative in chronic infection?
IgM anti-HBc
Criteria for IBS?
#12 weeks of symptoms in last year #Pain relieved by defecation #onset with change in stool frequency #onset with a change in the shape
Drugs to relieve dyspnea in terminal lung cancer pt?
opiates
Mechanism of bisphosphonates?
inhibit osteoclast activity
Poor prognostic sign of exercise stress test?
#ST-segment depression at a heart rate less than 120 bpm #ST-segment depression greater than 2.0 mm #ST-segment depression lasting more than 6 minutes into recovery #poor systolic blood pressure, angina, ventricular tachycardia with exercise #ST-segment depression in multiple leads
Extra-articular symptoms of RA?
#Vasculitis #dry eyes #dyspnea #cough
After cat bite, when to hospitalize?
bite involves: #tendon #joint capsule #bone #hand
Environmental modifications to help people with allergies?
#low humidity #Enclosing bedding with allergen impermeable covers #laundering bedding in hot water #no carpets (#air filters not helpful)
If BP over 160/90 and failure of lifestyle modifications, next step?
2 drug combination (Thiazide + something else)
ASCUS on Pap smear - next step?
#Repeat in 5 months and 1 year OR #HPV testing OR #Colposcopy
(if HPV negative, low risk - just redo PAP smear in one year)
Triggers for HSV outbreak?
#Fever #Infection #UV light exposure
Primary HSV symptoms?
#gingivostomatitis with or without cutaneous or perioral lesions #Fever, malaise, adenopathy
First line therapies for smoking cessation?
#nicotine replacement #bupropion #varenicline
When not to use nicotine replacement for smoking cessation?
unstable angina