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Step 2 CK > Uworld Set 3 > Flashcards

Uworld Set 3 Flashcards

1
Q

what are the 4 main causes of diarrhea in an HIV patient

A

cryptosporidium
mycobacterium avium complex
microsporidia
giardia

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2
Q

elevated ratio of alpha TSH subunit to beta suggests

A

pituitary adenoma

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3
Q

patient with known pituitary adenoma that has sudden acute headache visual field defects and decreased visual acuity

A

pituitary apoplexy

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4
Q

screening tool for ovarian mass in a postmenopausal patient

A

CA-125

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5
Q

why is needle aspiration of adnexal masses not recommended in postmenopausal patients

A

potential seeding of tumor cells

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6
Q 
dilated gas filled loops of bowel with no transition point
nausea
vomiting
abdominal distension
failure to pass flatus or stool
hypoactive or absent bowel sounds
A

paralytic ileus

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7
Q

distended stomach with succession splash

A

gastric outlet obstruction

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8
Q

common obstruction sdecondary to abdominal surgery but can be seen in retroperitoneal abdominal hemorrhage or inflammation intestinal ischemia and electrolyte abnormalities

A

paralytic ileus

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9
Q

precocious puberty
cafe au lait spots
multiple bone defects

A

McCune Albright syndrome

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10
Q

protein affected in mcCune Albright syndrome

A

G-protein cAMP kinase

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11
Q

cafe au lait spots with regular borders

axillary and genital freckles

A

von recklinhausen syndrome (NF1)

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12
Q

gastrointestinal tract polyposis and mucocutaneous pigmentation

A

peutz jeghers syndrome

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13
Q

sporadic phakomatosis characterized by mental retardation seizures visual impairment and port wine stain over trigeminal nerve

A

sturge weber

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14
Q

T/F McCune albright syndrome is associated with hjypercortisolism

A

T

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15
Q

two bugs testable in acute lymphadenitis

A

staph and strep

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16
Q

drug of choice for acute lymphadenitis

A

clinda

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17
Q

acute bilateral lymphadenitis

A

adenovirus (other URI bugs)

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18
Q

subacute unilateral lymphadenitis

A

non-TB mycobacterium (MAC)

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19
Q

acute LAD in the setting of poor dentition and caries

A

prevotella sp

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20
Q

LOW CO and BP in the context of increased PCWP

A

cardiogenic shock

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21
Q

elevated SVR in combination with normal BP CO and PCWP

A

compensated shock

22
Q

premature adrenarche pubarche severe cystic acne accelerated linear growth and advanced bone age

A

non classic CAH (21-hydroxylase deficiency)

23
Q

gonadotropin dependent precocious puberty with unilaterally enlarged testicle

A

leydig cell tumor

24
Q

marfans patient with acute onset chest pain radiating to the neck from anterior chest

A

aortic dissection (OR MI but in this patient population think dissection)

25
Q

what is the murmur associated with marfans patient showing symptoms of aortic dissection

A

aortic regurgitation

26
Q

upper limb defects such as deformities of the radius carpal bones and artial septal defect

A

Holt Oram syndrome

27
Q

smooth circular areas of hair loss without scaling

A

alopecia areata

28
Q

well demarcated inflammatory plaque scrring and alopecia

A

discoid lupus erythematosus

29
Q

pressure induced alopecia can occur after

A

surgery

30
Q

seborrheic dermatitis of the scalp is commonly referred to as

A

dandruff

31
Q

two female specific carcinomas seen with lynch syndrome

A

ovarian and endometrial

32
Q

clear cell renal carcinoma and pheochromocytoma are typically tested as a part of what syndromic cause

A

von hippel lindau

33
Q

inheritance pattern of MEN disorders

A

autosomal dominant

34
Q

normal A-a gradient

A

<15

35
Q

patient with breast tenderness, ovarian mass and thickened endometrial strip on pelvic US with postmenopausal bleeding

likely source
next step

A 
granulosa cell tumor
endometrial biopsy (need to rule out concurrent endometrial malignancy)
36
Q

pulmonary issues 2 weeks following initiation of a new antiarrhythmic

A

amiodarone induced interstitial pneumonitis

37
Q

aggressive behavior
virilization (male pattern baldness deepening voice clitoromegaly)
hypertension

A

exogenous steroid use (or CAH)

38
Q

nodulocystic acne
obesity
enlarged ovaries on exam
signs of insulin resistance

A

PCOS

39
Q 
what happens to the following in tumor lysis syndrome:
uric acid
K
phos
Ca
A

+
+
+
-

40
Q

why is the calcium low in tumor lysis syndrome

A

phosphate binds to the calcium

41
Q

two treatments for tumor lysis syndrome

A

allopurinol

IV fluid

42
Q

patient with SLE on prednisone with atraumatic hip pain with normal x ray findings

A

avascular necrosis of the femoral head

43
Q

test of choice in a patient with suspected osteonecrosis of the hip

A

MRI

44
Q

sudden vasomotor crash and skin hyperpigmentation in a young patient with disseminated meningococcal infection

A

waterhouse friedrickson syndrome

45
Q

acute epidydymitis age <35

A

gonorrhea

chlamydial

46
Q

acute epidydymitis age >35

A

e coli

47
Q

fever malaise myalgias followed by parotitis

A

mumps

48
Q 
thrombocytopenia
renal damage
confusion/AMS
fever
MAHA
A

TTP (CLASSSSSIC pentad)

49
Q

what is the treatment for TTP

A

plasmaphoresis

50
Q

what is the crucial last step in dx of TTp

A

peripheral blood smear

51
Q

eczema
regurgitation or vomiting
painless bloody stools in an infant

A

milk protein allergy

Step 2 CK (10 decks)

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