Rapid Review Preview #15 (Day 14) Flashcards Preview

Step 2 DIT Rapid Review > Rapid Review Preview #15 (Day 14) > Flashcards

Flashcards in Rapid Review Preview #15 (Day 14) Deck (20):
1

1st line & 2nd line tx moderate hypercalcemia

IV Hydration; 2nd line - Loop diuretics

2

45 yo M p/w acute flank pain & hematuria

Nephrolithiasis

3

Test r/o urethral injury

Retrograde cystourethrogram

4

75 yo M p/w fatigue, LAD, splenomegaly, isolated lymphocytosis

CLL

5

Meningitis dx in neonate - most likely organisms & empiric tx

(1) GBS (2) E. coli (3) Listeria; Amp/Gent

6

Bone pathology: onion skinning of bone on X-ray

Ewing sarcoma

7

Skin cancer: varying degrees of scaling & ulceration

Squamous cell carcinoma

8

Premalignant lesion from sun exposure that can lead to squamous cell carcinoma - Tx

Actinic keratosis; 5-FU or cryoablation (liquid ablation)

9

Tx DKA

Fluids, Insulin, Replace electrolytes (K, Mg, Phosphates); Once glucose down to normal, continue w/ insulin & add glucose until normal anion gap; Check for absent ketones to confirm resolution

10

Weakness, n/v, weight loss, new hypopigmentation; Labs: hyponatremia, hyperkalemia - Dx & Tx

Addison's disease; Glucocorticoids & mineralcorticoids (Fludrocortisone)

11

Sacral illitis - Dx

Ankylosing spondylitis (p/w bamboo spine on x-ray)

12

Child p/w midline neck mass

Thyroglossal duct cyst

13

Child p/w lateral neck mass

Brachial cleft cyst

14

Med tx IBD

5-ASA +/- Sulfasalazine; If w/ sulfalazine = mesalamine (combo not work unless broken by bacteria in terminal ileum & colon, so 5-ASA in small bowel disease v. mesalamine in terminal ileum/colon); Steroids for acute exacerbations

15

Mallory Weiss v. Boorheave

MW: superficial tear of esophageal mucosa; B: full thickness, esophageal rupture (life-threatening)

16

Tx TTP

Large volume plasmapharesis, steroids, antiplatelet drugs

17

Which of following elevated in DIC: Hct, platelets, fibrinogen, fibrin split products, D-dimer

Fibrin split products & D-Dimer increased; Hct, platelets, & fibrinogen decreased

18

EKG finding assoc w/ hypothermia

J wave (small positive deflection after QRS wave)

19

Infx assoc w/ cold agglutinins

IgM: Mycoplasma pneumoniae (maybe also Infectious mononucleosis?)

20

Sign suggests radial nerve damage w/ humeral fracture

Wrist drop & loss of thumb abduction

Decks in Step 2 DIT Rapid Review Class (111):