6/7/13 Flashcards Preview

STEP II > 6/7/13 > Flashcards

Flashcards in 6/7/13 Deck (19):
1

Where shouldn't you inject epi prior to suturing?

any site of end-organ perfusion (e.g. digits, penis, nose, ear)

2

What do you call the complication of herpes zoster that causes neuropathic pain before and after the lesions?

postherpetic neuralgia

3

What agents can be used to treat post-herpetic neuralgia?

TCAs, gabapentin, and pregabalin

4

Name 2 TCAs.

Clomipramine, desipramine

5

What would be the most likely cause of sudden-onset, well-demarcted bleeding within a lobe of the cerebral cortex of an older person?

cerebral amyloid angiopathy

6

What sort of acute eye problem w/ pain, blurry vision, and increased intraocular pressure can arise secondary to anterior uveitis?

acute angle-closure glaucoma

7

Only hi-risk individuals should be screened for ovarian cancer. What are the first 2 steps, following Hx and PE, in screening hi-risk pts for ovarian cancer?

1) CA-125
2) TVS

8

BRCA-1 mutation and fam Hx are both risk factors for ovarian cancer. Name the 2 diseases that are also risk factors.

dermatomyositis and HNPCC

9

How long must anti-coagulation w/ warfarin be continued in pts following a pulmonary embolus?

3-6 mos

10

What is the best choice of anti-hypertensive in a pt. w/ htn and coronary artery disease?

β-blockers (metoprolol)

11

What is a good choice of medication for pts w/ coronary artery disease who require rate control, but cannot tolerate β-blockers (e.g. asthmatics)?

Verapimil, diltiazem

12

What 2 comorbidities are the main indications for using ACE-Is as first-line antihypertensives?

DM and CHF

13

What is the most common form of melanoma?

superficial spreading melanoma

14

What are 2 choices for treatment of HITT?

lepirudin and argatroban

15

In the pediatric po., microhematuria following minor trauma is suggestive of _______. The first step in workup is _______.

congenital anomaly of the GU system; US

16

_______ is a type of colonic dysfunction mimicking obstruction that is often seen in elderly pts who are not very active and are further immobilized by extra-abdominal surgery .

Ogilvie syndrome

17

What Abx should be administered to a pt with septic arthtritis but a negative Gram stain?

ceftriaxone and vancomycin
[cover Gram (-) (Gonococcus) and MRSA]

18

Theophylline has a very narrow therapeutic window. How would a drug interaction cause theophylline to surpass this window?

inhibition of CYP-450

19

What is the effect of macrolides on the CYP-450 system?

inhibition