Mixed final study Flashcards Preview

Shelf Exams/USMLE Step 2 CK > Mixed final study > Flashcards

Flashcards in Mixed final study Deck (35):
1

What drug can you use if INR is subtherapeutic on Warfarin?

Rivaroxaban (works in 2-4 hrs)

2

What are the features of Zinc deficiency and what puts patients at risk?

Alopecia, abnormal taste, bullous, pustulous lesions, surrounding orifices/extremities, impaired wound healing

patients on TPN or Jejunal resection

3

What endocrine abnormality is associated with Amiodarone?

Hypo/hyperthyroid

4

How do you treat HF associated with HTN?

Suppl O2, IV furosemide, consider nitro

5

What arrhythmia is most specific to digitalis toxicity?

Atrial tachy with AV block

6

Most common side effects of Epo therapy?

Worsening HTN, HAs, flu like sx

7

How can hypokalemia worsen hepatic encephalopathy?

Low K increases renal ammonia production

8

What are the signs of alcohol withdrawal?

Agitation, delirium, seizures, tachycardia, HTN, fever

9

What may be the cause of hypopituitarism with mild/mod increase in prolactin?

Nonfunctioning gonadotroph adenoma

10

Treatment for acute cystitis uncomplicated?

Nitrofurantoin, Bactrim, fosfomycin

11

What treatment for Grave's can worsen opthalmopathy? How can you avoid?

Radioactive iodine therapy, because transient rise in thyroid hormones, pretreat with glucocorticoids

12

Which fungal infections are ubiquitous in all regions of the country and can show pulmonary nodule with halo sign?

aspergillosis

13

What markers can be found in patients with viral arthritis?

Positive RF, weakly positive ANA

14

What is the chronicity of arthritis from RA or SLE?

chronic conditions, resolve in >4weeks

15

What is the most likely cause of contact lens associated keratitis?

Gram negatives like Pseudomonas and Serratia

16

How do you differentiate SJS from TEN?

SJS 30%

17

What are the recommended vaccines for traveling to north africa?

Hep A/B, typhoid, polio booster

18

How can you differentiate fibromyalgia from polymyositis and polymyalgia rheumatica?

FM - Young middle aged, no lab abnormalities
PM - elevated muscle enzymes
PR - very high ESR, >50yo

19

What is indication for chest tube placement with parapneumonic effusion, and what can confirm the need for this?

Empyema - low pH of effusion fluid is indicative

20

What medication shouldnt be given in patients who have MI HF w/ flash pulmonary edema? What should they get?

beta-blockers, give furosemide

21

What test should all patients with cirrhosis get every 6 months? What test should they get at least once in the beginning of their care?

RUQ ultrasound to look for HCCa
EGD at least once to look for varices

22

What are the signs of opioid withdrawal?

dilated pupils, piloerection, dysphoria, myalgias, abdominal pain

23

What are the features of delirium tremens? How can you prevent?

Chlordiazepoxide (Librium)

DT = HTN, tachycardia, agitation, hallucinations (bugs crawling), fever

24

What should be initiated while waiting for imaging studies when suspecting epidural spinal cord compression?

IV Steroids

25

What is osteitis deformans?

Paget disease

26

What are the effects of hydrochlorathiazide to LDL, blood glucose, triglycerides, calcium?

Increased LDL, trigs, hyperglycemia

Decreased Ca

27

What skin finding is found with mycoplasma infection?

Erythema multi forme

28

What are the skin findings of porphyria cutanea tarda?

Painless blisters, increased skin fragility, facial hypertrichosis and hyper pigmentation

29

Which bacterial infections are most associated with cystoscopy?

Enterococcus

30

What is the criteria for doing a rapid strep antibody?

Two or more of tonsillar exudates, tender anterior adenopathy, fever, and absence of cough

31

What does increased residual lung volume indicate?

Obstructive process

32

How do you manage risk for strep bacteremia in patients with splenectomy?

Vaccines for pneumo and meningococcal before, penicillin ppx 3-5 years out

33

What is needle thoracostomy used for?

Emergently for life threatening pneumothorax

34

Which patients are at an increased risk for septic arthritis?

Elderly, previous joint disease (gout, OA, implant, but especially RA), IV drug use, diabetes

35

What is the preferred drug used to treat Hep B?

Tenofovir