Random Subject Review Part I Flashcards Preview

USMLE Step Two > Random Subject Review Part I > Flashcards

Flashcards in Random Subject Review Part I Deck (235)
Loading flashcards...
1

complication of LP in patient with elevated intracranial presure

uncal herniation

2

diagnosis: child presents to ER with altered mental status, hypoglycemia, and lesions suggestive of chickenpox

rye's syndrome (hepatoencephalopathy)

3

symptoms of basilar artery stroke

cranial nerve deficits, altered mental status/coma, contralateral full body weakness and decreased sensation, vertigo

4

TCA overdose signs and management

anticholingeric symptoms, cardiac and CNS toxicity

treat cardiac with sodium bicarb, and CNS with benzos

5

treatment for lithium induced nephrogenic diabetes insipidus

HCTZ and amiloride (binds lithium stimulated sodium channels)

6

treatment of acute dystonia

anticholinergics (benadryl, benztropine)

7

treatment of tardive dyskinesia

discontinue typical antipsychotic, switch to atypical antipsychotic

8

EEG pattern seen in absence seizures

3 cycle/second spike and wave pattern

9

typical complaint of patient with retinal detachment

sudden painless onset of flashing lights, floaters, and shade coming down over vision unilaterally

10

treatment for benign paroxysmal positional vertigo

epply maneuver to reposition otoliths

11

todd's paralysis

post-ictal hemiparesis < 24 hours

12

drugs combined with SSRIs known for causing serotonin syndrome

SSRIs, SNRIs, MAOIs, levadopa, mepiridine, lithium, amphetamines, cocaine, ecstasy, LSD, st. john's wort

13

most common cause of sensorineural hearing loss

prebycusis (progressive symmetric high-frequency loss of the elderly)

14

most common cause of conductive hearing loss

otosclerosis

15

most common complication of recurrent otitis media

hearing loss

16

medications used in ADHD

stimulants, TCAs, buproprion, alpha-2 agonists (clonidine)

17

medications used in tourette's

fluphenazine, pimizide, tetrabenazine

18

most worrisome side effect of ADHD drug atomoxetine

increased suicidal ideation, hepatotoxicity

19

diagnosis: patient presents with hearing loss and vertigo, grayish-white "pearly" TM lesion apparent on PE

cholesteatoma

20

symptoms of basilar skull fracture

raccoon eyes (orbital fracture)
battle sign (bruising over mastoid process)
blood behind tympanic membrane
CSF coming out of nose or ears

21

diagnosis and next step: chest trauma, hypotension, JVD, and distant heart sounds

cardiac tamponade
pericardiocentesis

22

diagnosis and next step: chest trauma, JVD, hypotension, and respiratory distress

tension pneumothorax
needle decompression and chest tube placement

23

how to evaluate neck trauma

neck zone 1: CT angiogram
neck zone 2: surgical exploration
neck zone 3: CT angiogram and triple endoscopy

24

how to manage elevated ICP

elevated head of bed
lidocaine prior to intubation
mannitol
hyperventilation
decompressive surgery

25

next step: pelvic fracture, DPL shows blood in pelvis

emergent laparotomy

26

next step: pelvic fracture, DPL shows urine in pelvis

urgent laparotomy (bladder injury)

27

next step: pelvic fracture, DPL shows nothing but there is hemodynamic instability

suspect retroperitoneal hematoma, angiography with possible embolization

28

next step: blunt abdominal trauma, unstable vital signs, FAST shows fluid in pelvis

emergent laparotomy (assume it is blood)

29

next step: blunt abdominal trauma, unstable vital signs, FAST shows no fluid in pelvis

retroperitoneal hematoma, angiogram with possible embolization

30

next step: blunt abdominal trauma, unstable vital signs, FAST inconclusive

perform DPL