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USMLE step2 > UWORLD > Flashcards

UWORLD Flashcards

1
Q

intial treatment for SIADH

A

fluid restriction

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2
Q

ischemi hepatic injury

A

in a setting of hypotension and hemorragic shock

BRUTAL INCREASE IN TRANSAMINASES

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3
Q

msot common casue of infertility in women in the fourth decade of life , and still have menstrual period

A

decrease in ovarian reserve

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4
Q

shoulder damage in trauma , what does it means?

A

chemical peritonitis, (blood , urine, pancreatic enzimes)

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5
Q

acute diskinesia treatmen

A

anticholinergic(benztropin) or antihistaminics(diphenhydramine)

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6
Q

causes of intosuception in younger and older boys

A 
young= peyer partches
older= mercket diverticulum
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7
Q

first consideration in miopathy( unexplained elevation in CPK )

A

hypothyrodism or hyperthyrodisim

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8
Q

PCP treatment and dexametazone indication

A

TMP-SMX

O2 When PaO235

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9
Q

msot reliable predictic sign of opiod intoxication

A

decrease in respiratory rate

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10
Q

complications of primary billiary cholangitis

A

metabolic bone disease,malabsorption,hepatobiliary malignancy

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11
Q

leading cause of cerebral palsy

A

prematuriry

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12
Q

weight loss
behavioral changes
erythema of de nasal turbines

A

cocaine abuse

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13
Q

O2 indication in patients with COPD

A

PaO255%) and PH can be started at PaO2

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14
Q

second generation antypsychotids

A 
risperidone
olanzapine
quetiapine
clozapine
aripriprazole
ziprazidone
paliperidone
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15
Q

msot common cause of urinary retention in elderly man

A

BPH

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16
Q

neonate with

  • hopnatremia/hypernatremia
  • poor feeding
  • irritability or letargy
  • jaundice

DX and Tx

A

SEPSIS

Rx: ampi and genta

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17
Q

Crying infant arching of the back during or after feeding

A

sandifer Sx( GERD)

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18
Q

elevated pulmonary pressure
elevated righ atrial pressure
normla capillary wedge pressure

A

PE

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19
Q

asymptomatic elevation of AKP in elderly patient

A

paget disease of the bone

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20
Q

total loss of motor function below the lession and bilateral lost of pain and temperature uppon burst fracture of a vertebre

A

anterior cord Sx

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21
Q

burning pain and paralysis of upper paralysis with relative sparing of lower extremitis uppon hyperxtension lession

A

central cord SX

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22
Q

Tx for brain mets
solitaty:
multiple:

A

solitary: Cx
multiple: radiation of the head

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23
Q

fever
leukocytosis
left upper cuadrant pain

A

splenic abscess most commonly associated with endocarditys (S.aureus)

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24
Q

first line treatment for idiopathyc intracraneal hypertension

A

acetazolamide +/- fusosemide

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25
Q

digitais most common arrythmia

A

atrial tachycardia with AV block

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26
Q

breastfeeding failure jaundice

A

jaundice, dehydratation,

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27
Q

nephrotic syndrome in afro and latinos

A

focal segmental

HIV and obesity related

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28
Q

nephrotic syndrome in white patinets

A

membranous

Hep B retaled

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29
Q

acute onset back pain and shock symtomps

A

rupture of a AAA

30
Q

mewtabolic acidosis
abdominal pain
hematemesis

A

iron overdose

31
Q

Acalculous cholecistitis

A

in severe ill patients with cholestasis

32
Q

look for Hep C in..

A

patients tranfused before 1992

33
Q

multiple system atrophy(shy-Drager syndrome)

A
  • parkinsonism
  • autonomi dysfunction
  • widespred neurologycal sign
34
Q

Riley-Day syndrome(familiar disautonomia)

autosomic ressesive

A

gross disfunction of autonomic nervious system ande severe orthostatic hypotention.

35
Q

chron disease antibodies

36
Q

fanconis anemia

A

aplasic anemia
abnormla thumbs
hypogonadism
hypo/hyperpigmentation

37
Q

most common cause of sepsis in sickle cell anemia

A

S.pneumonie

38
Q

Patient with down syndrome and UPN synptoms

A

atlantoaxial instability

39
Q

mini mental value sugestive of dementia

A

less than 24

40
Q

CURB 65

A 
confusion
Uremia(BUN >30)
RR(>30 or pO2 less than 60, ph65
0-1 points:HOME
2 or more:admission
41
Q

O2 indication for pt with PCP

42
Q

ph

A

suggest empyema(need chest tube)

43
Q

HAP(24 h after admission or after 90 hospitalization in the last 90 days) tx

A

cover for gram negative bacili

  • cefepime or ceftazidime
  • piperacillin
  • imipenem,meropenem, or doripenem
44
Q

Ventilator associated pneumonia RX

A 
1-.antpseudomol 
-cefepime or ceftazidime
-piper 
-imipenem,meropenem,doripene,m
PLUS
2-.secodun antipseudomnola
-aminoglucposide or fluroquinolone
PLUS
3-.methicillin-resistant antistaphylococcal agent
-vanco or linezolid
45
Q

lung abscess Rx

A

clindamycin or penicillin

46
Q

PCP first,second and third line treatment

A

1-.TMP/SMX
2-.clinda and primaquine
3-.pentamidine

47
Q

HS pupura biopsy finding

A

leukocytoclastic vasculitis

48
Q

distributive shock causes(VASODILATION) warm extremities

A
  • sespsis
  • anaphylaxis
  • adrenal insufficiency
  • drugs reaction
  • CNS injury
49
Q

carpal tunnel syndrome, substance acumulation and associations

  • RA
  • Hypothyroidism
  • Pregnancy
A
  • RA(tenosynovial inframation)
  • Hypothyroidism(matrix susbstances like mucin or mucopolysaccharides)
  • Pregnancy(fluid acumulation)
50
Q

unique cloranphenicol indication

A

H-flu meningitis in scholars.

51
Q

acute hep C treatmetn

A

interferon,ribavirin and boceprevir or telaprevir

52
Q

hypertention,hyperglycemia and wieght gain(obesity)

A

cushing syndrome

53
Q

only antipsychotic in pregnancy

A

Lurasidone

54
Q

fanconis anemia

A

pancitopenia + NO thumbs,horseshoe kidene

55
Q

pure red cell aplasia with three falanges thumb

A

Diamont-Blackfan anemia

56
Q

infection of submandibular and sublingual glands

A

ludwings angina

-most common cause of death Aphixia

57
Q

alcohol liver dease

A

AST/ALT>2

trasminases elevated but

58
Q

seminoma

A

NO AFP elevation

59
Q

chronic diarrhea
hypokalemia
hypocloremia
mass on pancreas

60
Q

specific therapy for angioedema

A

ecallantide

61
Q

steroid indication in PCP

A

PO2 less than 70

A-a gradient above than 35

62
Q

epididimitis treatment

A

antibiotics and testicular elvation

63
Q

most common cause of early functional deterioration in liver transplan

A

technical problems

do a biliary ultrasound and doppler of the vascular anastomosed vessels

64
Q

testicular tumor with elevetad AFP

A
  • yolk sac(looks like glomeruli)

- embrional carcinoma(higly indiferenciated)

65
Q

testicular tumor with elevated ALP

66
Q

testicular tumor with elevated B-hCg

A
  • choriocarcinoma

- teratoma

67
Q

follicular carcinoma of teh thyroid treatment

A

-total thyroidectomy + postoperative radioactive iodine

68
Q

drowning treatmetn

A

ABC, oxigen, intubation (if needed) and CPAP

69
Q

treatment of choice for patients with amiodarone-induced hypothyroidism

A

levothyroidism supplementatio

70
Q

best initial therapy for CLL

A

fludarabine ( on stage II,III and IV)

stage (0 and 1) DO NOT TREAT

71
Q

most common infection causing stevens-johnson syndrome

A

mycoplasma Pneumoniae

72
Q

next step in a patient with raynaud phenomenon

A

Nail-fold microspcopy
if enlarged,distorted or paucity of capillary loops,ITS A SECONDARY CAUSE, most commonly mixed connective tissue disorder

USMLE step2 (21 decks)

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