USMLEasy Flashcards

1
Q

Test to determine Meniscal Tear?

A

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

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2
Q

Antibody positive in early Hep B infection, but negative in chronic infection?

A

IgM anti-HBc

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3
Q

Criteria for IBS?

A
#12 weeks of symptoms in last year
 #Pain relieved by defecation
#onset with change in stool frequency
#onset with a change in the shape
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4
Q

Drugs to relieve dyspnea in terminal lung cancer pt?

A

opiates

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5
Q

Mechanism of bisphosphonates?

A

inhibit osteoclast activity

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6
Q

Poor prognostic sign of exercise stress test?

A
#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
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7
Q

Extra-articular symptoms of RA?

A
#Vasculitis
#dry eyes
#dyspnea
#cough
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8
Q

After cat bite, when to hospitalize?

A
bite involves:
#tendon
#joint capsule
#bone
#hand
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9
Q

Environmental modifications to help people with allergies?

A
#low humidity
#Enclosing bedding with allergen impermeable covers
#laundering bedding in hot water
#no carpets
(#air filters not helpful)
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10
Q

If BP over 160/90 and failure of lifestyle modifications, next step?

A

2 drug combination (Thiazide + something else)

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11
Q

ASCUS on Pap smear - next step?

A
#Repeat in 5 months and 1 year OR
#HPV testing OR
#Colposcopy

(if HPV negative, low risk - just redo PAP smear in one year)

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12
Q

Triggers for HSV outbreak?

A
#Fever
#Infection
#UV light exposure
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13
Q

Primary HSV symptoms?

A
#gingivostomatitis with or without cutaneous or perioral lesions
#Fever, malaise, adenopathy
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14
Q

First line therapies for smoking cessation?

A
#nicotine replacement 
#bupropion
#varenicline
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15
Q

When not to use nicotine replacement for smoking cessation?

A

unstable angina

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16
Q

When not to use bupropion for smoking cessation?

A

seizures

17
Q

Second line therapies for smoking cessation?

A

Clonidine

18
Q

Cocaine withdrawal symptoms?

A

depression and fatigue (no other physiologic withdrawal)

19
Q

patient with peripheral vestibular disorder - treatment? Mechanisms?

A

Antihistamines (suppress the vestibular end organ receptors and inhibit activation of the vagal response)

20
Q

Factors that decrease likelihood of UTI?

A
#absent dysuria
#absent back pain
#history of vaginal discharge
#history of vaginal irrittation
21
Q

Unilateral Edema - ddx?

A

DVT or cellulitis

22
Q

NYHA classes?

A
  1. no limitation of activity
  2. slight discomfort with ordinary activity
  3. discomfort with less than ordinary activity
  4. symptoms at rest
23
Q

Drugs for postherpetic pain?

A

Anticonvulsants (valproic acid, carbamazepine, gabapentin)

24
Q

Pt with hematuria with normal pyelogram and urine culture - when to test? what tests?

A

Over 40

cystoscopy or renal biopsy

25
Q

Drug to d/c before stress testing?

A

B-blocker

26
Q

Be careful giving St. Johns wart to patients with?

A

SSRI (can cause serotonin syndome)

27
Q

Be careful with giving Ginkgo boloba to patients with?

A

aspirin/antiplatelet agents (antiplatelet effects)

28
Q

Lab value that suggest chronic liver disease (as opposed to acute)?

A

low albumin

29
Q

Tx of WPW? When to treat?

A

radiofrequency ablation; symptomatic

30
Q

SIde effects of -glitazone?

A

Edema