Wrist Drop: - Nerve? - Motor & Sensory Fx? - Clinical Scenario?

Wrist Drop - Radial Nerve - Motor: Loss of wrist extension (Wrist Drop) - Sensory: Back of forearm, back of hand (first 3 digits) - Scenario: Humeral Fracture

Claw Hand - Nerve? - Motor & Sensory Fx? - Clinical Scenario?

Claw Hand - Ulnar Nerve - Motor: Loss of Finger Abduction - Sensory: Front and Back of last two digits - Scenario: Elbow Dislocation

Step 2 Secrets Flashcards by Rachel pereira

Colorectal CA screening in an ASx Patient w/ Colonoscopy

> 50 y/o for all studies Q10years

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Colorectal CA screening in Ulcerative Colitis Patient w/ Colonoscopy

Regardless of age, 1st Screening at 8 years s/p diagnosis, then Q1-2years thereafter. If patient has subtotal colectomy with minimal disease in Right colon, Can push to Q3-4 years

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Colorectal CA screening in FAP Patient w/ colonoscopy

Q1-2years if they have not had a colectomy.

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Flexible sigmoidoscopy for Colorectal CA screening in ASx Pt

> 50 y/o; Q5yrs

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Double - contrast Barium enema for ASx Pt Colorectal CA screening

> 50 y/o; Q5yrs

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CT Colonography for ASx Pt Colorectal CA screening

> 50 y/o; Q5yrs

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FOBT for ASx Patient Colorectal CA Screening

> 50y/o; Q1yr

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FICT for ASx Pt Colorectal CA Screening

> 50y/o; Q1yr (FICT: Fecal Immunochemical Testing)

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DRE can be used for what types of CA screening and at what interval?

DRE: Digital Rectal Exam; Colon, Prostate

>40y/o; Q1yr

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PSA test for Prostate CA Screening - interval?

> 50y/o; offer annually

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Pap Smear for Cervical CA Screening - interval?

Begin at 21yrs of age regardless of sexual history
Pap Smear Q1yr from 21-30y/o
Q2-3yrs for >30y/o + 3 neg. pap tests
If HPV test + Pap are all neg - Q3yrs

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Pelvic Exam for Gynecologic CA screening - interval?

21-64y/o; Annually - After 3 nml exams, Q3yrs

>65y/o, annually

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Endometrial CA screening - screening test + rec’s?

Endometrial biopsy at Menopause; No rev’s for routine screening if ASx

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Breast CA screening - Breast self exam rec’s?

> 20y/o; Benefits + Limitations discussed w/patient

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Breast CA screening - Physician physical exam rec’s?

Q3yrs

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Mammography rec’s for Breast CA screening

> 40y/o; Q1yr

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Lung CA Screening rec’s?

> 40y/o;
Sputum, CXR: ASx Patient = no screening recommended, even if high risk

CT Scan: 55-74y/o who have smoked > 30pack years

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CC localized to RUQ could indicate what organs?

RUQ: Gallbladder, biliary (cholecystitis, cholangitis), liver

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CC localized to LUQ could indicate what organs?

LUQ: Spleen

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CC localized to RLQ could indicate what organs?

RLQ: Appendix, PID, Colon, Ovarian Dx

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CC localized to LLQ could indicate what organs?

LLQ: Sigmoid colon (i.e. diverticulitis), PID, Ovarian Dx

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CC localized to epigastrum could indicate what organs?

Epigastrum: Stomach, Pancreas

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Wrist Drop:

Nerve?
Motor & Sensory Fx?
Clinical Scenario?

Wrist Drop

Radial Nerve
Motor: Loss of wrist extension (Wrist Drop)
Sensory: Back of forearm, back of hand (first 3 digits)
Scenario: Humeral Fracture

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Claw Hand

Nerve?
Motor & Sensory Fx?
Clinical Scenario?

Claw Hand

Ulnar Nerve
Motor: Loss of Finger Abduction
Sensory: Front and Back of last two digits
Scenario: Elbow Dislocation

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Loss of thumb opposition & Pronation - Nerve? - Motor & Sensory Fx? - Clinical Scenario?

Loss of thumb opposition & Pronation - Median Nerve - Motor: Loss of Pronation and thumb opposition - Sensory: Palmar Surface of hand (1st 3 digits) - Scenario: Carpal tunnel Syndrome, Humeral Fracture

Loss of Abduction & Lateral Rotation - Nerve? - Motor & Sensory Fx? - Clinical Scenario?

Loss of Abduction & Lateral Rotation - Axillary Nerve - Motor: Loss of Abduction & Lateral Rotation - Sensory: Lateral Shoulder - Scenario: Upper humeral dislocation or fracture

Foot Drop - Nerve? - Motor & Sensory Fx? - Clinical Scenario?

Foot Drop - Peroneal Nerve - Motor: Loss of dorsiflexion & Eversion (Foot Drop) - Sensory: Dorsal Foot and Lateral Leg - Scenario: Knee dislocation

Antidote to Acetaminophen Overdose

Acetylcysteine

Antidote to Benzodiazepines Overdose

Flumazenil

Antidote to Beta-Blockers Overdose

Glucagon

Antidote to Carbon Monoxide Overdose

100% High Flow O2 | If Critical CO poisoning, use hyperbaric chamber

Antidote to Cholinesterase Inhibitors Overdose

Atropine, Pralidoxime

Antidote to Copper or Gold Overdose

Penicillamine

Antidote to Digoxin Overdose

Normalize K+ and other electrolytes | Dig Fragment Antibodies

Antidote to Iron Overdose

Desfuroxamine

Antidote to Lead Overdose

Edetate (EDTA) - Adult | Succimer - Children

Antidote to Methanol or Ethylene Glycol Overdose

Fomepizole | Old School - Ethanol

Antidote to Muscarinic Blockers Overdose

Physostigmine

Antidote to Opioids Overdose

Naloxone

Antidote to Quinidine or TCAs Overdose

Sodium Bicarbonate

Buzz Word: Friction Rub

Pericarditis

Buzz Word: Kussmaul breathing (deep, rapid breathing)

DKA

Buzz Word: Kayser-Fleisher ring in the eye

Wilson Dx

Buzz Word: Bitot Spots

Vit. A Df.

Buzz Word: Dendritic Corneal Ulcers on Fluorescein stain of the eye

Herpetic Kertitis

Buzz Word: Cherry red-spot on the macula WITHOUT hepatosplenomegaly

Tay-Sachs Disease | Central Retinal Artery Occlusion

Buzz Word: Cherry red-spot on the macula WITH hepatosplenomegaly

Neimann-Pick Disease

Buzz Word: Bronze skin + Diabetes

Hemochromatosis

Buzz Word: Malar rash on the face

SLE

Buzz Word: Heliotrope rash (purplish rash on the eyelids)

Dermatomyositis

Buzz Word: Clue Cells

Gardnerella vaginalis infection

Buzz Word: Meconium ilius

Buzz Word: Rectal Prolapse

Buzz Word: Salty-Tasting Skin

Buzz Word: Cafe-au-lait spots with normal IQ

Neurofibromatosis

Buzz Word: Cafe-au-lait Spots with low IQ

Tuberous Sclerosis | McCune-Albright Syndrome

Buzz Word: Worst HA of your life

SAH

Buzz Word: Abdominal striae

Cushing's Syndrome | Pregnancy

Buzz Word: Honey ingestion

Infant Botulism

Buzz Word: LLQ tenderness / rebound

Diverticulitis

Buzz Word: Children who torture animals

Conduct Ds

Buzz Word: Currant Jelly Stools in Children

Intussusception

Buzz Word: Ambiguous genitalia and hypotension

21-Hydroxylase Df. In Girls

Buzz Word: Cat-like cry in an infant

Cri-du-chat syndrome (Chromosome 21)

Buzz Word: Infant weight >10lb.

Suspect maternal DM

Buzz Word: Anaphylaxis to IVIG

IgA Df.

Buzz Word: Pot-partum fever unresponsive to BS ABx

Septic pelvic thrombophlebitis

Buzz Word: Increased HbA2 and anemia

Thalassemia (Beta)

Buzz Word: Heavy young woman with papilledema and negative CT/MR of head

Pseudotumor cerebri

Buzz Word: Low-grade fever in 1st 24hrs s/p surgery

Atelectasis

Buzz Word: Vietnam Vet

PTSD

Buzz Word: Bilateral Hilar Adenopathy in young AA patient

Sarcoidosis (F>M)

Buzz Word: Sudden death in young athlete

HOCM

Buzz Word: Fractures in young child and/or bruises in various stages of healing

Child Abuse

Buzz Word: Absent breath sounds in Trauma Pt.

PTX

Buzz Word: Shopping Sprees

Mania

Buzz Word: Constant clearing of throat in child or teen

Tourette Syndrome

Buzz Word: Intermittent bursts of swearing

Tourette Syndrome

Buzz Word: Koilocytosis

HPV or CMV

Buzz Word: Koilonychia (spooned nails)

Hypoxia | MC: Iron Df. Anemia

Buzz Word: Rash that develops after admin. of Ampicillin or Amoxicillin for sore-throat

EBV infection

Buzz Word: Cataplexy

Narcolepsy

Buzz Word: Facial Port Wine Stain and Seizures

Sturge Weber Syndrome

Beck Triad

Cardiac Tamponade | Triad: muffled heart sounds, JVD, hypotension

Charcot Triad

Cholangitis | Triad: RUQ pain + Fever + Jaundice

Reynold's Pentad

Obstructive Ascending Cholangitis | Pentad: Charcot Triad (RUQ Pain + Fever + Jaundice) + AMS + Dec. BP/ Shock

Brudzinski sign

Pain on neck flexion with meningeal irritation (meningitis)

Courvoisier Sign

Palpable, painless gallbladder + Jaundice (Pancreatic CA)

Cullen Sign

Bluish discoloration of the periumbilical area (pancreatitis + Retroperitoneal hemorrhage)

Cushing Reflex

High ICP | Elevated BP + Bradycardia + Irregular respirations

Grey-Turner Sign

Bluish discoloration of the flanks (pancreatitis + Retroperitoneal hemorrhage)

Homans sign

DVT | Calf pain with foot dorsiflexion

Kehr sign

Spleen Rupture | Pain in the Left Shoulder

Leriche Syndrome

Aortoiliac Occlusive Dx | Claudication and atrophy of the buttocks with impotence

Phren Sign

Elevation of the painful testicle relieves pain If (+): Epididymitis If (-): Testicular Torsion

Signs Associated with Hypocalcemia

``` Trousseau Sign (Tetany w/ BP cuff around calf) Chovstek Sign (tapping over mandibular nerve = tetany) ```

Dactylitis

"Sausage Digit" | - Psoriatic Arthritis

Step 2 Secrets Flashcards

(97 cards)