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Step 2 CK > Vol. 4 > Flashcards

Vol. 4 Flashcards

1
Q

B2 deficiency sxs

A

Angular cheilosis, stomatitis, glossitis, normocytic anemia, seborrheic dermatitis

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2
Q

Hairy cell leukemia pathology

A

Dry tap, TRAP stain +,

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3
Q

Hairy cell tx

A

Cladribine

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4
Q

BUN/Cr ratio increased by what

A

Dehydration, GI bleed, steroid use

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5
Q

Rubella classic triad

A

Cataracts, PDA, Hearing loss

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6
Q

valproate contraindication

A

liver disease

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7
Q

FTA-ABS

A

syphilis confirmatory test

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8
Q

Acute Liver failure definition

A

Severe liver injury with encephalopathy and impaired synthetic function (INR>1.5) in a pt without cirrhosis

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9
Q

Amebic liver abscess cause

A

Entamoeba histolytica, in Mexico

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10
Q

Cerebellar dysfunction in alcoholism

A

Gait instability, truncal ataxia, dysdiadochokinesia, hypotonia, intention tremor

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11
Q

Most common nephropathy associated with HIV

A

focal segmental glomerulosclerosis

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12
Q

tick-borne paralysis

A

they release a neurotoxin that causes an ascending flaccid paralysis with no autonomic or CSF changes

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13
Q

Treating carcinoid

A

Octreotide, surgery for liver mets

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14
Q

TTP and HUS symptoms

A

????

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15
Q

Ulnar nerve entrapment

A

Leaning on elbows

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16
Q

Membranoproliferative glomerulonephritis histology

A

dense intramembranous deposits that stain for C3 (dense deposit disease). Persistent activation of complement leading to renal disease.

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17
Q

saline responsive met. alkalosis examples

A

Vomiting, diuretics, laxatives

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18
Q

tx saline responsive met. alk.

A

NS infusion to increase volume and stop maintenance phase.

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19
Q

Waterhouse-Friderichsen syndrome

A

Meningococcemia + sudden petechiae and vasomotor collapse from Adrenal hemorrhage

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20
Q

Friedreich ataxia progression

A

neurological (dysarthria, ataxia) in young individual with scoliosis, feet deformities who dies from cardiomyopathy

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21
Q

Squamous cell lung cancer paraneoplastic

A

PTH-rP

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22
Q

1st and 2nd most common sites of arterial aneurysms

A
  1. Popliteal 2. Femoral
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23
Q

can alzheimer’s have gait impairment?

A

Yes, NPH will have gait impairment as a prominent symptom early on

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24
Q

Phenytoin and vitamin relationship

A

Leads to low Folate

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25
Q

When to screen for Hep C in people

A

IVDU and Blood transfusion before 1992

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26
Q

Cause of malignant otitis externa

A

Pseudomonas

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27
Q

Which side adnexal torsion more common

A

Right side

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28
Q

Describe Patau’s appearance

A

Cleft lip, polydactyly, hypotelorism, visceral and genital anomalies

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29
Q

Describe Edward’s appearance

A

Low birth weight, closed fists with fingers overlapping, microcephaly, prominent occiput, micrognathia, Rocker-Bottom feet

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30
Q

Hereditary Spherocytosis triad

A

Hemolytic anemia, jaundice, splenomegaly

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31
Q

tx for RSV bronchiolitis

A

palivizumab

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32
Q

When to treat FLu with oseltamavir

A

Within 48 hrs of symptoms

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33
Q

McCune-Albright appearance

A

Precocious puberty, cafe-au-lait spots, bone defects (polyostotic fibrous dysplasia)

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34
Q

McCune-Albright mnemonic

A

3 Ps: Precocious puberty, Pigmentation, Polyostotic fibrous dysplasia

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35
Q

Migratory thrombophlebitis

A

Trousseau sign, sign of pancreatic cancer

36
Q

Pancreatic CA presentation

A

Constant and gnawing epigastric pain worse at night, anorexia with weight loss, jaundice

37
Q

Deliberate burn injury signs

A

sharp demarcation, uniform burn depth, spared flexor surfaces

38
Q

Wegener’s is also called

A

Polyangiitis with granulomatosis

39
Q

Wegener’s Ab

A

C-ANCA

40
Q

Wegener’s triad

A

Systemic vasculitis, upper/lower airway disease, glomerulonephritis

41
Q

wegener’s treatment

A

cyclophosphamide

42
Q

Carcinoid presentation

A

Flushing, telangiectasias, bronchospasm, and TR

Can see diarrhea

43
Q

Carcinoid dx

A

Elevated 24 hr urinary 5-hydroxyindoleacetic acid

44
Q

Isolated hyperCa followup

A

PTH level

45
Q

Kallman syndrome presentation

A

Anosmia and no puberty, defect of migration of GnRH cells

46
Q

Endometriosis 3 Ps

A

dyspareunia, dysmenorrhea, dyschezia

47
Q

What to do with cat, dog, ferret bite for rabies concern

A

Quarantine animal and don’t do PEP if animal is fine

48
Q

FSGS assocations

A

african americans, hispanics, obesity, HIV, heroin use

49
Q

Minimal change disease risk factors

A

NSAIDs, lymphoma

50
Q

Membranoproliferative GN risk factors

A

Hepatitis B&C, lipodystrophy

51
Q

Membranous GN

A

Adenocarcinoma (e.g. breast, lung); NSAIDs; hep B; SLE

52
Q

Does placenta previa have pain?

A

No

53
Q

difference between alzherimers and pseudodementia

A

Alzheimers arent bothered by the deficits, they confabulate

54
Q

CF appearance

A

recurrent sinopulmonary infections, nasal polyps, digital clubbing

55
Q

Precocious puberty ages

A

Girls

56
Q

Chorioamnionitis diagnosis

A

Maternal fever and >1 of uterine tenderness, fetal or maternal tachy, malodorous amniotic fluid, purulent vaginal discharge

57
Q

C section for chorioamnionitis?

A

NO, just expedite delibery and use broad spectrum abx

58
Q

Ovarian torsion and bleeding?

A

NO

59
Q

Ovarian torsion vs. cyst rupture

A

Cyst rupture during rigorous coitus or exercise, NO N/V like in torsion

60
Q

Osteitis fibrosa cystica

A

Caused by extremely high PTH (like from Cancer), affects upper extremities and skull, brown tumors

61
Q

Unilateral cervical lymphadenitis tx

A

Clindamycin

62
Q

Extrarenal manifestations of ADPKD

A

Berry aneurysms, hepatic cysts (Most common), valvular heart dz (MVP and AR), diverticulosis, abd. wall and inguinal hernia.

63
Q

tumors of Beckwith-Wiedemann syndrome

A

Hepatoblastoma, Wilms tumor. Screen with AFP and u/s

64
Q

What’s inside amebic liver abscess

A

sterile, just treat with flagyl

65
Q

post-flu PNA

A

staph aureus

66
Q

ACA stroke sxs

A

motor weakness, LE > UE, sensory deficits, incontinence (this is a cortical sign)

67
Q

Cat-scratch disease tx

A

azithromycin

68
Q

cat-scratch dz hallmark

A

tender, regional LAD

69
Q

Felty syndrome

A

long term, severe RA with neutropenia and splenomegaly

70
Q

methotrexate adjunct to minimize side effects

A

folic acid

71
Q

endocardial fibroelastosis

A

idiopathic, diffuse fibroelastic thickening of the LV endocardium, occurs in first 2 yrs of life, restrictive cardiomyopathy

72
Q

hemochromatosis heart disease

A

dilated cardiomyopathy, HF, and conduction abnormalities (sick sinus syndrome)

73
Q

COPD and oxygen patients

A

PaO2

74
Q

When to suspect babesiosis

A

tick bite, with evidence of hemolysis in pt who is splenectomized

75
Q

Complication of bronchiolitis

A

if

76
Q

Order of dx for low back pain

A

observation/conservative for 4-6 wks, back Xrays and ESR, then MRI

77
Q

Gonococcal vs. chlamydial conjunctivitis

A

Gonococccal is 2-5 days, Chlamydia is 5-14 days

78
Q

erythromycin ointment for kids eyes

A

only prevents gonococcal conj.

79
Q

Causes of normal to high PTH in hyperCA

A

primary & tertiary hyperPTH, familial hypercalcemic hypocalciuria, lithium-induced, teriparitide

80
Q

MCC of hyperCa in ambulatory patients

A

primary hyperPTH

81
Q

pathognomonic of Crohn’s dz

A

non-caseating granulomas

82
Q

Crohn’s dz signs

A

transmural, skip lesions, cobblestone appearance to colon, creeping fatty appearance of mesentery, fistulas, fissures, and perianal disease

83
Q

Characteristics of UC

A

Crypt abscesses

84
Q

UC rectal involvement

A

ALWAYS

85
Q

CRC and CD

A

NO, the association is with UC

86
Q

How often to screen for CRC in CD

A

8 yrs after diagnosis and every year afterwards

Step 2 CK (6 decks)

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