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Step 2 CK > UW: week 1 > Flashcards

UW: week 1 Flashcards

1
Q

Triad required for Dx of DKA?

A
  1. glc
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2
Q

When can you change to D5 1/2NS in treatment of DKA?

A

Once glc 200-250

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3
Q

When can you change to NPH in Tx of DKA?

A

Once recovered and taking Po

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4
Q

Indications for bicarb in tx of DKA? (3)

A

pH

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5
Q

MC bugs cultured in SBP? (2)

A

E coli + Klebsiella

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6
Q

EEG in absence seizure?

A

Generalized 3 Hx spike & wave, can be precipitated by hyperventilating during EEG

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7
Q

2 differences in atypical absence seizure (vs typical)

A
  1. lasts longer (typical just seconds)

2. slow spike and wave (

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8
Q

Key diff btwn absence seizure and complex partial seizure?

A

Post-ictal w/ CPS, not w/ absence

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9
Q

Dactylitis, nail pitting, arthritis worst in DIPs. Dx?

A

Psoriatic arthritis! Can occur w/o classic skin changes.

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10
Q

What confirms Dx of post-op acute mediastinitis?

A

Surgery revealing pus in the mediastinum

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11
Q

Tx of post-op acute mediastinitis? (4)

A

drainage, surgical debridement, immediate wound closure, prolonged Abx

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12
Q

How can you decrease risk of bowel ischemia 2/2 AAA repair?

A

Check sigmoid colon perfusion s/p IMA graft placement

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13
Q

ASx bacteruria in pregnancy- 4 possible Abx choices? When to get repeat UCx?

A

Nitrofurantoin, amoxicillin, amox-sulbactom, fosfomycin. Repeat UCx in 1 week and again monthly for rest of pregnancy

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14
Q

What feature of ASx bacteriuria in pregnancy would qualify you for daily suppressive therapy for rest of preg?

A

Persistent bacteriuria after 2 or more courses of therapy

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15
Q

Describe rash of measles

A

Blanching, red-brown maculopapular rash w/ cephalocaudal and centrifugal spread

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16
Q

6 Cpx of measles (w/ timeline of the 3 neuro ones)

A
  1. OM
  2. PNA
  3. AGE
  4. Encephalitis (w/in days)
  5. ADEM (w/in wks)
  6. SSPE (w/in yrs)
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17
Q

It’s normal to wet the bed until what age?

A

5 yo (but all the cool kids pee their pants)

18
Q

DDx for T-wave inversion (5)

A 
MI
Myocarditis
Old pericarditis
Myocardial contusion
Digoxin tox
19
Q

Septic arthritis if

A

Staph, GBS, GNR

Anti-staph (vanc or nafcillin) + either gent or cefotaxime

20
Q

Septic arthritis if >3 mo: name 3 MC bugs and best Abx regimen

A

Staph, GAS, strep pneumo

Pick 1 of: nafcillin, clindamycin, cefazolin, vanc

21
Q

What’s diagnostic and therapeutic for foreign body aspiration?

A

Bronch

22
Q

2 PE/CXR findings indicating partial obstruction in foreign body aspiration?

A

Hyperinflation

Air trapping on expiration

23
Q

3 PE/CXR findings indicating complete obstruction in foreign body aspiration?

A 
Atelectasis
Post-obstructive PNA
Localized bronchiectasis (late)
24
Q

3 GI DO a/w trisomy 21?

A

Hirschprung
Duodenal atresia
Imperf anus

25
Q

MC congenital heart defect in Edwards synd?

A

VSD

26
Q

Classic heart defect in Williams synd?

A

Supravalvular aortic stenosis

27
Q

Name the group of cardiac disorders a/w CATCH-22 syndromes and 3 specific examples

A

Conotruncal abnormalities: TA, ToF, interrupted aortic arch

28
Q

Natural timeline of neonatal displaced clavicular frx?

A

Spontaneous healing w/in 7-10d

29
Q

Workup of monosymptomatic enuresis? (2)

A

UA

Imaging if severe w/ recurrent UTI

30
Q

Tx order for monosymptomatic enuresis?

A

Behavioral changes > enuresis alarm > desmopressin > TCA

31
Q

6 major components of fetal hydantoin syndrome?

A

Midface hypoplasma, microcephaly, cleft lip/palate, digital hypoplasia, DD, hirsuitism

32
Q

Bowel Bx showing neutrophilic cryptitis?

A

IBD

33
Q

What does bowel Bx show in ischemic colitis?

A

Epithelial necrosis

34
Q

Tx of acute limb ischemia? (3)

A

STAT IV hep bolus-> hep IFN-> call vasc surg

35
Q

4 determinants of myocardial O2 demand?

A

Preload
Afterload
HR
Contractility

36
Q

Most important prognostic factor in STEMI?

A

Time until restored coronary blood flow

37
Q

Abs in primary biliary cirrhosis?

A

Anti-mitochondrial

38
Q

PBC is characterized by immune-mediated destruction of which type of ducts?

A

Intrahepatic

39
Q

2 components of tx of dermatitis herpetiformis?

A

Dapsone + gluten free

40
Q

SSSS: what’s the toxin and what does it target?

A

S aureus-> exfoliative toxin against desmoglein 1

41
Q

2 causes of hypoxemia w/ normal A-a grad, 2 causes of hypoxemia w/ incr A-a grad

A

Normal: reduced inspired O2 tension, alveolar hypoventilation
Incr: Diffusion limitation, shunt, V/Q mismatch

42
Q

Classic triad of ASA tox?

A

Fever + tinnitus + tachypnea

Step 2 CK (8 decks)

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