step 3 Flashcards
(118 cards)
1
Q
interval for FIT testing
A
3 years
2
Q
characteristic of male breast cancers
A
Estrogen +
3
Q
abx choice for dog bite
A
augmenting
4
Q
Abx for epidydimitis in mms
A
Levo and ceftriaxone
5
Q
Usual 2 pathogens for epidydimitis
A
Gc
6
Q
Favorable bishop score
A
Greater than 7
7
Q
1st and 2nd line drugs for pruritis during ESRD. (non-drowsy)
A
- topical moisturizers
2. gabapentin
8
Q
agent to reduce prutitis in end stage liver dz
A
cholestyramine
9
Q
quick test for ketoacidosis
A
urine beta-hydroxybutyrate
10
Q
most common presenting sign of MM
A
anemia
11
Q
BRCA associated w/triple negative breast ca and significantly increased ovarian cancers
A
BRCA1
12
Q
vancomycin just treats (IV)
A
MRSA
13
Q
alternative to vanco (2nd line choice)
A
linezolid
14
Q
amp and amox are best for
A
gram -
15
Q
to treat gram - , including pseudomonas
A
piperacillin
16
Q
pip-tazo is good for
A
anaerobes, gram - (esp pseudomonas), gram + BUT NOT MRSA
17
Q
a decent alternative to pip-tazo
A
carbapenem
18
Q
4th generation ceph for pseudomonas
A
cefepime
19
Q
good quinolone for +, and some -
A
moxifloxacin
20
Q
2 lab tests to monitor for lamotrigine
A
CBC, hepatic
21
Q
treatment for PFAPA
Periodic Fever with Aphthous Ulcer Pharyngitis and Adenitis
A
steroids
22
Q
obesity risk vascular risk with pregnancy (besides macrosomia, DM)
A
preeclampsia
23
Q
interval for weeks of pregnancy for steroid administration
A
24 to 34
24
Q
preferred treatment for tinea capitis
A
oral griseofulvin
SE: GI, rash, HA.
25
2nd line tx tinea capitis
terbinafine (shorter course, cheaper, not effective against some species)
26
newborn systolic murmur
| greater in axillae
PPS
27
musical murmur
in kid, 3-5 yo
greater lying down than standing up
Still's murmur
28
low-pitched murmur in kid
below clavicles.
stops when you have them turn head
venous hum
29
1st line tx for hemangioma
propranolol
30
Mongolian spots
dermal melanosis
31
course of dermal melanosis
most reolve by 1 year
32
estimating contagion for breakthrough varicella
>50 papules = equally contagious to wild type/
| <50 papules = 1/3 as contagious
33
lifetime prevalance of zoster if exposed to varicella
33%
34
best agent for acute severe pain control zoster
tramadol
35
age cutoff for vaccinating for zoster
60 years
36
postexposure treatment for varicella/HZ in a nonimmune pregnant woman
variz IG
37
SENS=
TP/DISEASE
38
SPEC=
TN/HEALTHY
39
PPV=
TP/ALL P
40
NNT=
1/ARR
41
NPV=
TN/ALL N
42
NNH=
1/AR
43
relationship between prevalence and PPV, NPV
prevalence increases
PPV increases
NPV decreases
44
Likelihood ratio=
sen/1-spec
45
OR=
ad/bc
46
RR=
a(a+b)/c(c+d)
47
abx for fever of unknown origin in infant
ampicillin, cefotaxime
48
bias if study is not double-blinded
observer bias
49
joint side effect of cyclosporine
causes gout
50
treatment of gout if renal failure
intra-articular glucocorticoids
51
Most common variety of CAH
21 hydroxylase deficiency
52
Length of DAPT for stable ischemic heart dz and:
Bare metal stents
Des
1month
| 6months
53
Length of DAPT if cabg, nstemi or stemi
1yr
54
1st and 2nd line tx for post infectious cough
```
Inhaled ipratroprium (atrovent)
Inhaled corticosteroid
```
55
tx keloids
intralesional steroids
56
tx of cocaine-induced CP
ativan
57
tx botulism in infants
human derived IgG
58
heberden's vs bouchard's nodes
```
heberden = DIP - OA
bouchard's = PIP - OA, RA
```
59
trastuzumab toxicity (HER2 tx)
reversible cardiotoxicity
60
PPV=
TP/ALL P
61
SEN =
TP/All sick
62
SPEC=
TN/all healthy
63
What changes with prevalance?
| likelihood, sensitivity or specificity
none of the above
64
what is external validity
generizability
65
tx of opioid withdrawl (opioid and non-opioid - one each)
methadone
| clonidine
66
Anti Ro, Anti-La
Sjogren's syndrome
67
Risk of sjogren's
B-cell lymphoma
68
prophylactic tx cluster headaches
verapamil
69
bilateral deafness
| hypopigmented cafe au lait spots
NF2
70
time to discontinue estrogens or SERMs prior to surgeyr
4 weeks
71
tx for ABPA allergic bronchogenic pulmonary aspergillosis
oral steroids
72
tx for PAD, and additional therapy
statins and then antiplatelet therapy
73
med to add if claudication after exercise therapy
cilostazol
74
difference between bell's palsy and stroke
and anatomy
bp = entire half of face affected
stroke - central facial weakness (lower face only)
upper face both hemisphere innervation
lower face contralateral hemisphere only
75
SAAG > 1.1 means
portal hypertension present
76
age cutoff for US vs mammo eval of breast mass
30
77
tx diff cutoff for cdiff
mild/mod = ora metronidazole
| severe (WBC 15 or otherwise) = oral vanc
78
test of choice for diagnosing active TB
sputum microscopy
79
criteria for TB smears -
noninfectious if three smears negative
80
follow up study for positive pediatric lead screen
venous lead study
81
tx (3) for CF PNM
tobra, tic-clav and vanco
82
OR =
probability event/(1-probability)
83
delivery in woman with condyloma accuminata (VD vs C/S)
vaginal delivery OK
84
thyroid ranges in pregnancy
1.5x normal for T3, T4
85
patient given nitroprusside for hypertension, then AMS and metabolic acidosis
cyanide toxicity
86
tx for methanol or ethanol poisoning
fomepizole
87
appropriate steps after a healthcare worker was exposed to TB
PPD now (evaluates current status) and then in 3 months (to diagnose exposure)
88
Anti histone ab
Drug induced lupus
89
Side effect hydralazine, procainamide, minocycline
Drug induced lupus
90
lab test for anaphylaxis
triptase (elevated with anaphylaxis)
91
patient story like bipolar 1, but with schizophrenia-like sx
schizoaffective disorder
92
light's criteria for exudate (2)
protein pleural:serum > .5
| LDH pleural:serum > .6
93
in event of transfusion in pt with shock or hypothermia, administer
10 cc 10% calcium gluconate per unit pRBC
| due to high citrate in blood cells
94
tx for mallory-weisz tear
observation and supportive
95
CSF protein reduced with narcolepsy
hypocretin-1
96
tx for cataplexy
SNRIs
97
administer in TCA overdose (and reason)
bicarb (prevent arrythmias)
98
treatment for dumping sydrome after a gastrectomy
high protein diet (in small, frequent portions)
99
tx FUO in infant (2)
amp and cefotaxime
100
tx Guillain Barre Syndrome (2 options)
plasmapharesis
| IVIG
101
sarcoid MOA for hypercalcemia
Promotes hydroxylation vitamin D
102
tx (2) of postpartum endometritis
clinda and gent
103
tx (2) of hepatorenal syndrome
octreotide and midodrine
104
tx for malignant otitis externa
IV clinda (or other anti-pseudomonal)
105
management for acute hepatitis B (without severe comorbitities)
supportive only
106
anti-centromere ab
scleroderma
107
initial tx for SLE arthralgia (2)
steroids and hydroxychloroquine
108
tx plantar wart
topical salicylic acid
109
AIDS patient with cutaneous erythematous papules with centeral umbilication
cutaneous cryptococcus
110
standard mortality rate (SMR)
deaths/expected deaths
111
BP goal after tpa
less than 185/105
112
Elevated tsh, t3, t4
Tsh secreting pituitary adenoma
113
Cardiac index, def and normal range
Co/body surface area
| Normal is 2.6-4.2
114
2 labs to check if someone has subclinical hypoTH
anti-TPO ab
| lipids
115
virus that presents like RA
parvovirus
116
abx causing pyloric stenosis in a kid
erythromycin
117
most common extrarenal manifestation of ADPKD
hepatic cysts
118
lead level cutoff where a kid should be treated
45
