Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Usmle กู อย่างละ 100ข้อ > USMLE 2 ชุด 7 > Flashcards

USMLE 2 ชุด 7 Flashcards

(98 cards)

Start Studying
1
Q

MG induced by what atb

A

fluoro macrolide aminoglycoside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

brain blood supply

A

ACA caudate, internal capsule (pure motor)
MCA putamen, globus pallidum
PCA thalamus = lacunar stroke

basal ganglia involve = athetosis ballistic hemiparesos

s/p improve thalamic pain syndrome
dejerine roussy
allodynia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

opioid withdrawal

A

ab cramp vomiting diarrhea inc pulse in bp diaphoresis yawn sad altheralgia piloerect mydriasis

TX methadone , clonidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q 
CC of MI 
acute
3-5d
5-2wk
\+++later
A

acute - right vent failure - (RCA) hypotension kussmaul
3-5d -
1. papillary muscle rupture (RCA) pulmonary edema , DOB, holosystolic% murmur
2. interseptum rupture (LAD) , ((RCA (basal septal) holosystolic% , biventricular shock inc O2 in RA comfirm by PA catheter on TEE
5-2wk - free wall rupture (LAD) distal heart sound
+++later - left vent aneurysm (LAD) stable angina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

CC nephrotic what wil occur

A

loss AT3 hypercoag renal vein thrombosis

membranous glomerulopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SLE on pred

SE?

A

osteonecrosis of femoral head
reduce range of motion

IX MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Hypothyroid myopathy

A

weak proximal muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

cant walk on heel

A

fibular N.

no dorsiflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Penumonia jivoreci

A

IX? inc LDH diffuse reticular CXR
TX: TMP SMX(15,75 kg/day แบ่ง 3เวลา) second line pentamidine + prednisolone 21 days if dec O2 72, 90

dose pred
40mg x2 for 5 วัน
40mg x 1 for 5 วัน
20mg x1 for 10วัน

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CI breast feeding

A 
Active TB
HIV
active varicella at breast
chemo
substance abuse
baby galactosemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

adult lactose intolerance

A

IX by hydrogen breath test low stool ph

inc stool osmotic gap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

toilet training yo?

A

2-5 yo

if +5 = need investigate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

choanal atresia presentation

A

cyanosis but ok when cry
narrow pterygoid at posterior nasal
cant pass catheter

IX CT$

COLOBOMA
HEART
ATRESIA CHOANAL
RETARD GROWTH
GENITAL
EAR ABNORMAL

Charge @@@@

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

s/p operation เจอ dilate loop on xray

+ yhpotension DX?

A

bacterial peritonitis
fever inc PMN protein <1g, SAAG >1.1g, mental changes

TX cefo

prophylaxis fluoroquinolone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

friedreich ataxia

A 
14 yo girl progressive lower back weak dorsal cord atrophy
GAA - AR frataxin gene 
CC = hypertrophy heart 
IX : genetic 
TX: physical therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

HIV diarrhea

A

watery
<180 + fever = crypto
<100 no fever + cramp = microsporidium
<50 + high fever MAC

<50 CMV bloody small frequence AB pain

IC colonoscopy biopsy eosinophilic basophilic intracytoplasm

do eye r/o retinitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

cherry angiomat a

A

old ppl 30-40 sharp capillary in dermis benigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

strawberry angioma

A

young inc then regress by 8 yo in epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Pronator drift while closing eye

A

pyrimidal

corticospinal track

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Evaluation precocious puberty

IX?

A

bone age evaluation
inc do LH ถ้า high =central ถ้า lo peripheral inc GNRH

normal -มี breast pubic ไหม?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

estrogen progestin OCP risk

A
  1. hypertension stroke , MI? inc angiotensin synthesis by estrogen
  2. thromboembolic
  3. hepatic adenoma
  4. cervic Ca
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Mg inhibit

A

K renal excretion at outer medullar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

amyloidosis presentation

A

inflammation RA TB OSTEOMYELITI LYMPHOMA VASCULITIS ANYrecurrent infection

  1. nephrotic hepatomeg peripheral senseless bleeding bruise skin

IX: abdominal fat pad biopsy

TX colchicine preventative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

pt with cirrhosis should under goes

A

screening endoscopy to exclude varices

TX nadolol

ammonia when encephalopathy only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
ascitis fluid | examination
1 color- bloody(TB CA), milky( panrea), turbid, straw 2 neutrophil - 250+ peritonitis 3 protein 2.5 less - cirrhosis, nephrotic 2.5 more CHF, Bud chiari, fungal, TB 4 SAAG less 1.1 - TB peritoneal pancreatic nephrotic more 1.1 portal HT, cirrhosis bud chiari
26
heriditary spherocytosis | IX?
eosin malemide binding = flow test | acidify glycerol lysistest
27
young kid hyperreflex DX?
1 mental = hemocystinuria(AR) + thrombosis TX vit B anticoag | AA vent dilate = marfan (AD)
28
evaluate secondary amenorrhea IX
1. BHCG 2 prolactin TSH FSH 3 ถ้ามี procedure = hysteroscopy
29
AFIB HT > leg ischemia IX ? TX?
echo เพราะ เป็น arterial ไม่ไช้ doppler นะ prevent by apixaban ถ้า venous Ddimer + veno doppler - warm erythematous swell tender
30
Hyper ca
dec vit D = dec phosphorus MCC prarthyroid def !@@@
31
pregnant UTI caused by?
progesterone ureteral dilation UTI
32
TCA - ECG?
prolong QRS
33
MG - ECG?
prolong QT
34
menupause indication for HRT =
vasomotor hot flash sleep disturbance
35
simple renal cyst | TX?
reassure only | if large painful > aspirate
36
55 hyperplasia of smooth muscle intimal layer normal FEV FVC DX?
pulmonary hypertension
37
pseudocyst TX?
endoscopic drainage ถ้ามี NV ABpain supportive ถ้า asymptomatic
38
MI then PCI then hypotension tachy flat neck vein | DX?
retroperitoneal hematoma ื CT abdomen non contrast
39
TB | TX
place on respi isolation
40
hemoptysis 600/24hr or stable tx?
hemoptysis 600/24hr - ABC unstable - bronchoscopy- emboli resect or stable - LAB CT scan + bronchoscope
41
Blunt chest trauma dec breath sound rales bruise wall pulmonary contusion IX patchy infiltrate irregular alveolar ถ้า hematoma จะขาวเลยwithout lung marking TX?
supportive - neb
42
succinyl choline
depolarizing NM block at post synaptic L out | arrythmia from Hypo K
43
Rhinoplasty | MCC complication
Nasal septal perforation
44
Pneumothorax | TX?
small - observe O2 supportive | unstable tube thoracostomy or needle decompression
45
trochanteric bursitis presentation
cant lie on right hip when sleeping
46
seminoma lab
Inc BHCG | normal AFP
47
teratoma
inc BHCG | inc AFP
48
penetrating trauma even neg FAST แต่มี rebound guarding tx?
urgent explor lap
49
psoas abscess fever pain that look like PID แต่จะมี psoas sign Abpain if extend IX
CT scan leukocyte TX ATB + Drain
50
fever skinlesion + spread pain crep hypotension fluid given ok
NEC TX? debrid
51
meniscal tear
popping catching provocative test โดย twisting foot + effusion IX MRI TX Echo cardiac marker CXR
52
anterior dislocated shoulder what n damg
axillary N injury weak abduct blow when externally rotated + abduct arm
53
Emphysema cholecystitis risk= DM immune, vascular เหมือน cholang แต่ไม่เหลือง arifluid level ที่ GB = echoli clostridium TX?
emergent cholecystectomy
54
Female on OCP strp on warfarin RLQ pain what happen
ovarian cyst rupture
55
Acute M CI <2 what will happen on PCWP LA pressure CO
dec PCWP increase LA pressure dec CO
56
pilonidal disease
young male obese intergluteal region mass 4-5 cm ตรงตูด mucoid purulent discharge
57
central venous cath what to do next
CXR
58
varicocele suping / standing IX? TX?
dec in supine inc when standing atrophy testical IX retrograde venous flow = tortous TX gonodal vein ligation/ supportive
59
bladder Ca screening
need no screening
60
``` DM เดิม ตอนนี้มี DOB palpitation poor sleep wt loss inc glucose normal elyte VS: inc BP, inc Temp, tachy ``` DX?
thyrotoxicosis
61
Dermatomyositis associated with
malignancy- ovarian, lung. pancrea, stomach, non hodgkin proximal weakness , rash, $periorbital edema $ joint gottron, heliotrope rash +- lung interstitial, dysphagia, myocarditis
62
osteoid osteoma TX:
left thigh pain at night | improve with NSAID observe lot ดำๆกลมๆ
63
Legg calve perthes presentation IX TX
``` ach knee limp normal xray(flat femoral head> avascular) มี URI + fever age 3-12yo restricted hip AB IR + tredenlenburg ``` TX: night splint
64
AIHA | what cold hot?what
cold: ยา URI SLE CLL = กินยาแล้ว weak DOB spleenomegaly > direct IgG coomb TX steroid splenectomy CC: Venous thrombosis, lymphadenopathy HOT: mycoplasma, IM, Lymph- anti igM, livedoreticularis TX: avoid hot, Rituximab, Fludarabine CC ischemia gangrene lymph
65
Pedia Age + Gross fine language cognitive
2 mo lift head, track, coo,smile recognition 4 mo sit/roll hand open , laugh, twin voice 6mo sit unsupport, transfer object, response time, stranger anxiety 6 mo pull to stand 3 finger hold bottle say mama dada wave bye 12mo stand walk throw 2 finger grip seperation anxiety come when call
66
CV% inc ทำอะไร ไห้อะไร
rosuvastatin 5-10g | ก่อน lifestyle modification
67
HA + warning
``` neuro(seizure, AOC), inc intensity, inc frequency, more than 40yo, new onset, trauma, in the morning ``` do MRI
68
lower back pain | TX?
NSAID MOD activity ถ้าไม่มี redflag = wt loss fever ca neuro def
69
recent URI now middle mediatinal mass | DX?
bronchogenic cyst
70
5days breast pain | breast engorgement
galactocele= subareolar mobile, circumscribe mass
71
thin irregular painful mass
primary dysmenorrhea
72
social anxiety disorder citeria
1+ situation + 6 mo | propanolol SSRI CBT
73
Atrial myxoma
L atrium intracardiac tumor อาจะ มี wt loss | murmur by position
74
multiple joint stiff in the morning mild swell no red no tender from what organisms?
parvovirus B19 if RA = swelling + morning stiffness
75
normal movement deliver fetal 4 crease L thigh, 1 crease R thigh blue grey macule sacrum IX?
ultrasound hip - Dysplasia hip =Breech, fx, + ortholani, dislocated hip barlow limit hip <4 mo UTZ, >4mo radiograph palvik support
76
obese ไตเป็นอะไร จาก อะไร
insulin resist inc lipolysis | NAFLD
77
variceal UGIB TX?
``` 1 IV fluid 2 keep HB +7 3 Endoscopic to stop bleed - balloon TIP SHUNT no bleed- B block + band + 2 wk later ```
78
Acute pancreatitis IX LAB?
ALT +150 biliary pancreatitis | IX UTZ RUQ
79
Clavical fracture neuro? IX?
neurovascular - subclavian A+ brachial plexsus IX angiogram
80
reduce post opt atelect. pneumonia
incentive spirometry
81
poenumoperitoneum perforated GU even take war INR 2.1 ok ต้องไห้ ?
FFP ก่อ operate เสมอ
82
Gut obstruction inc temp dec bp | tachy met acidosis 4 วัน
Explore lap
83
patellar dislocation fell มีเสียง pop knee flex dec range of motion มี ?
lateral dislocated deformity (medial patello femoral ligament )
84
R leg ติด dash board initial ?
measure compartment pressure pain on stretch pain out of proportion paresthesia early delta pressure <30 mmHg tx: urgent fasciaotomy
85
gymnastic | stress fracture wheere?
tibial
86
``` child proximal thigh no ROM high fever 3 days femoral proximal tenderness DX? TX? ```
osteomyelitis inc ESR inc CRP normal x ray TX Vanco
87
ไม่บอกเมียว่าผัวมาคลีนิก
ห้ามบอกนะ
88
hepatitis cirus window period ทำ IX?
AntiHBC IgM | HBSAG
89
asymptomatic bacterial UTI TX?
+100,0100 CFU Ecoli Kleb Enero GBstrep TXamoxicillin clavulanic ,ต้อง treat นะ ไม่งั้นจะ pyelonephritis
90
TMPSMX | SE?
kernicterus
91
neonatal sepsis เด็ก
เด็กไม่จำเป็นต้องมีfever สามารถ hypothermia ได้ (<36) work up ได้เลย ควรได้ Ampi + Genta LP ถ้า shock, epilepsy$$$
92
Heat stroke | citeria
AOC +40c | cc Rhabdo RF DIC
93
Trichomoniasis
flagellated motile organism
94
umbilical hernia | surgery when ?
SX 5 ปี SX ถ้า +1.5 CM mass also watch out for hypothyroid ehler beck down
95
คนแก่ๆ osteop orosis trauma acute pain เดิน นอน ยืนไม่ได้ ไอ เก็บของ bend หลังได้
vertebral compression fracture tx corticosteroid
96
old สามารถมี absent ankle reflex ได้
d
97
binge eating disorder weight ยัง OVER 20BMI TX CBT
Bulimea ต้อง BMI -20
98
Male 13-16 yo มี CXR metaphysis proximal humerus tibial distal femur inc AKP inc LDH อาจะไม่มี B symptom
Osteosarcoma

Usmle กู อย่างละ 100ข้อ (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions