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step 2 > 8/8 and 8/9 > Flashcards

8/8 and 8/9 Flashcards

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1
Q

young female needle drainage doesn’t get rid of breast cyst next step

A

evaluate for bc with core needle biopsy

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2
Q

signs of hyper metabolic state in burn injury

A

tachycardia
hypertension
increased gluconeogenesis and insulin resistance, elevated protein and lipid catabolism, causing elevated body temp

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3
Q

when does mittelschmerz occur

A

middle of menstrual cycle (days 10-14)- corresponds to ovulation

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4
Q

tx for post partum endometritis

A

clindamycin and gentamicin

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5
Q

ovarian rupture but stable tx

A

observation

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6
Q

where does dermatitis herpetiformis show up

A

elbows, knees, back, butt- tx = dapsone and gluten fee diet

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7
Q

Endometrosis increases risk for

A

infertility

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8
Q

unilateral breast discharge test

A

ultrasound, plus minus mammogram

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9
Q

first line open angle glaucoma agent

A

latanoprost a topical prostaglandin

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10
Q

eye exam straight lines appear curved

A

macular degeneration

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11
Q

what is sympathetic ophthalmia

A

damage to good eye after penetrating injury uncovers hidden antigens

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12
Q

long term complications of sjogre syndrome

A

non-hodgkins lymphomas
corneal damage
dental caries

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13
Q

why is there an s4 in aortic stenosis sometimes

A

high resistance generated by stenosed valves causes concentric hypertrophy and stiffening of the LV

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14
Q

Beta blocker overdose signs and symptoms

A

bradycardia, hypotension,hypoglycemia, delirium, seizures, cariogenic shock

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15
Q

BB overdose tx

A

IVF and atropine followed by glucagon if no improvements

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16
Q

cholesterol crystal embolism interesting lab finding

A

eosinophilia and low complement

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17
Q

clinical findings for papillary muscle rupture(day 3-5)

A

severe pulmonary edema

new holosytolic murmur

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18
Q

Interventricular septum rupture clincal findings

A

chest pain

new holosystolic murmur bi v failure, shock, Left to right ventricular shunt

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19
Q

free wall rupture clinical features

A

chest pain, shock, distant heart sounds from tamponade

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20
Q

LVA clinical ft

A

subacute ♥️ failure and stable angina

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21
Q

what class is ondansetron

A

serotonin 5HT antagonist

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22
Q

MCHC in hereditary spherocytocis

A

⬆️

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23
Q

what cells are in hairy cell leukemia

A

clonal B cells

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24
Q

cytopenia in hairy cell

A

pan

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25
massive splenomegaly no lymphadenopathy cancer
hairy cell
26
ALL cells
lymphoblasts- small cells with scant cytoplasm
27
what does G6PD have on smear
bite cells and Heinz bodies(hemoglobin so dark red)
28
MOA for type 2 HIT
antibody mediated platelet activation
29
signs of HIT
thrombocytopenia and arterial and venous thrombosis
30
what is salvage therapy
therapy used when standard therapy fails
31
spleen role in immune system
antibody facilitated phagocytosis
32
how to tell apart leukemioid reaction from CML
leukemoid has higher late neutrophil precursors (metamelocytes, bands)
33
EPO in polycythemia vera
low
34
iron levels in thalassemia
⬆️
35
why does lack of intrinsic factor cause b12 microcytic anemia
causes impaired DNA synthesis
36
possible complications of cervical conization
cervical stenosis, cervica incompetencee, and preterm delivery
37
tx of BV in pregnancy
still metro
38
contraindication to raloxifene
hx of vte
39
what type of coagulopathy is DIC
consumptive
40
what is peyronie disease
fibrous plaque in penis causes painful curvature
41
thyroid storm features
``` fever tachycardia htn arrhythmia agitation/delerium/seizure coma lid lag n/v/d/jaundice ```
42
most important modifiable RF for pancreases cancer
smoking
43
most common of sick sinus syndrome
degeneration of SA node and replacement with fibrous tissue
44
+clostridum septicum next test
colonoscopy- associated with colon cancer so is strep Boris
45
tx for diphenhydramine overdose
physostigmine
46
chronic arsenic poisoning signs and symptoms
hypo/hyper pigmentation, hyperkeratosis, stocking and glove neuropathy
47
snake bite normal labs what do you do?
observe for 12-24 hours with repeat coagulation studies-Crotalidae polyvalent immune Fab has a lot of anyphlaxis so avoid if you can
48
why HTN in hyperthyroid
increased myocardial contractility
49
which MEN syndrome has marfanoid
MEN 2B
50
tx for central DI
Desmopressin
51
meds for diabetic gasteroporesis
metocloprimide or erythromycin
52
LArge fiber nueropathy sensory loss
pressure and proprioception
53
large fiber neuropathy exam
diminished ankle reflex, reduced vibration, light tough, proprioception
54
small fiber neuropathy sensory loss
pain and temp
55
diabetes meds for weight loss and CV benefits
GLP-1 (-tide)and SGLT-2(-flozin)
56
prolactinoma tx
dopamine agonist like cabergoline or bromocriptine
57
how long to take bisphosphanates
5 years after this risk of atypical fractures increases
58
vit d deficiency causes a ____ in Ca and phos and a ___ ion PTH
decrease | increase
59
what type of complications does tight MEDICAL glycemic control lower
microvascular like nephropathy and retinopathy. Diet controlled helps micro and macro
60
ACTH and Cortisol in secondary adrenal insufficiency
down
61
ACTH primary adrenal insuficenct
⬆️
62
cortisol primary adrenal insufficiency
⬇️
63
what mineral helps Ca2+ absorption
Mg2+
64
Why is T3 low in euthyroid sick syndrome
decreased peripheral conversion of t4 to t3
65
acromegaly cardio findings
concentric left ventricular thickening
66
milk alkali symptoms
``` n/v constipation polyuria polydipsia nuropsych sx ```
67
indications for cell free DNA testing
``` Maternal Age greater than or equal to 35 abnormal maternal serum screening sonogram that looks like aneuploidy previous aneuploidy baby parental balanced robertsonian translocation ```
68
CCB overdose stuff
Brady, hypotension , HYPERGLYCEMIA

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