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Usmle กู อย่างละ 100ข้อ > USMLE 2 ชุด 8 > Flashcards

USMLE 2 ชุด 8 Flashcards

1
Q

คลอด Fat neonate Erb Ducheene
5th 6th waiter tip

TX?

A

massage PT
prevent contact
80% หายได้ลงใน 3 mo

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2
Q

หลังชนมี epigastric pain 20 after + coliky

A

Duodenal hematoma
ในเด็ก less abdominal tissue

IX CT scan

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3
Q

phynylketoneuria
- hypo pigmented blue eye fair hair seziure musty urine
IX?

A

AA analysis - AR fail chang ePHEN > tyrosin

tandem mass spectrometry

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4
Q

aldolase B

A

Fructose intolerance

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5
Q

condylomata acuminata

A

alot HPV 6+11

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6
Q

condylomata lata

A

2nd syphilis = grey white

late 2 nd

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7
Q

lower lip encrusted ulcer

DX?

A

SQ Ca= keratin peral

TX resection most no met @

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8
Q

hyperplasia นม
s/p reduction OR
now 3x3 spiculated mass + course calcified

TX?

A

reassure

foamy fat > benign breast mass = fat necrosis

from trauma/surgery/

no skin nipple retraction

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9
Q

fibrocystic change

A

multiple nodulocystic

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10
Q

fibroadenoma

A

1 mass

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11
Q 
neuroblastoma 
ไม่จำเป็นต้องแสดงตั้งแต่เกิด 2 yo start 
intermittent fever periorbital ecchymoses paravertebral mass +Droop 1 side face flush
constrict pupil
opoclonus myoclonus 
IX?
A

VMA

NMYC gene small O blue cell

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12
Q

Rape

A

suicide idea

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13
Q

patellofemoral pain

A

worse when sitting

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14
Q

infiltated after OR - aspirated gastric acid

TX?

A

supportibe

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15
Q

Aute Otitis Media 6-18 mo child
narrow straighter

chronic supperative 6 wk

serous otitis media no bulge no fever

A

dd

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16
Q

teenage 17 yo
no eat, picky eater not sleep well
+ erythema nasal mucosa
+ wt loss

DX?

A

Coccain _ avoid /restrict food

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17
Q

blunt abdominal trauma >8th rib โดน

MCC bleed =

A

hepatic laceration + rebound + gen guarding

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18
Q

APAS presentation

TX?

A

DVT
PR
TIA
STROKE

TX: ligfe loing anti coag +- hydroxycholoquine

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19
Q

neurosyphilis

A

artheritis CVS abnormal CSF inc lymp

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20
Q

post partum depression

TX when

A

+2 wk

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21
Q

ovarian failure
FSH
LH

A

inc FSH
inc LH

สามารถเกิดได้จาก chemo 5ปี ค่อยๆเป็น

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22
Q

henoch schonlein ?

A

IGA vasculitis ผื่น ข้อ abdominal intuss, renal +CAST

TX supportive + hospitalized + steroid

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23
Q

pccasional dizziness + palpation
dec PLT
IX?

A

HIV test 10% อาจจะมี
ITP
HEp C

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24
Q

Depression + suicide dont want SSRI?

TX?

A

dialectical behaviour therapy = psychotherapy first

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25
BAT L ab pain splenic injuty FAST normal but high risk IX?
CT scan
26
vaginal Ca + malorder vaginal discharge bleeding mass risk 60yo + HPVm tobacco DES TX?
biopsy TX sx
27
TOF
brain abscess
28
pancreatic ca | TX?
stop smoking
29
pancreatitis
stop alcohol
30
NEC
เด็กไม่จำเป็นต้องมีไข้ foot ball sign hypothermia preterm formula milk blood in stool TOF dec blood supply
31
ureter stone cut off
-1 cm dec discharge + stain + drink 2L/day +1cm med alpha blocker, pain , strain, hydro neph
32
``` Quad chromosome AFP BHCG INHIBIN trisomy down NT platau ```
trisomy- dec all except inhibin down- inc BHCG + inhibin NT - inc AFP platau- in AFP
33
conduct HL female
otosclerosis - abnormal remodel ของ otic capsule from autoimmune
34
lithium toxic
NV diarrhea ataxia confuse tremer
35
risperidone
galactorrhea orthostasis | extrapyramidal
36
ITP splenectomy when
+1 y PLT <100,000 ทำBM Bx เมื่อ 1)แก่ อายุ>60ปี อันนี้เป็นแบบrelative 2)มีseries อื่นที่ผิดปกติด้วย หรือมีอาการอื่นที่ไม่อธิบายด้วยplt.ต่ำ 3)เจอunexplained organomegaly. 4)ไม่ตอบสนองต่อ steroid. 5)ก่อนsplenectomy
37
ITP
แบ่งเป็นprimary(ส่วนใหญ่ประมาณ80%) คือไม่มีสาเหตุร่วม กับsecondary คือมีสาเหตุร่วม เช่น Autoimmune disease(SLE, Graves', Evans syndrome, APS), infection(3H = HIV, HCV, H. Pylori) และviral infectionอื่นๆ เช่นCMV VZV, malignancy อย่าง lymphoproliferative disorderต่างๆ, สุดท้ายก็ยาที่ต้องหา(Rifampicin, quinine, abciximab, vancomycin, valproic acid) -Lab เบื้องต้นที่ควรส่งทุกคนคือ CBC&Pbs, UA, LFT, antiHIV/antiHCV. อื่นๆ ที่อาจพิจารณาส่งเป็นรายๆ ไป เช่น ถ้าซีด/PbsแบบAIHA อาจต้องส่งdirect coombs test/reticulocyte countเพิ่ม, ถ้ามีdyspepsiaก็ต้องหาH.pylori, สงสัยAutoimm.ก็ ANA และต่างๆนานาตามที่สงสัย
38
pregnancy hypothyroid drug?
inc levothyroxine
39
sheehan FSH TSH
dec FSH dec TSH แต่ adhesion = normal
40
aortic dissection | IX?
CT i contrast - type A = emergency Sx | unstable = TE echo
41
hypersensitivity | 1 2 3 4
1-igE 2- IgA- good pasteure, AIHA 3 - AB AG PSGN lupus nephritis 4- T cell contact derm TB
42
Gambling disorder | TX
CBT + naltrexone opiod antagonist
43
acute diver | IX
abdomen CT i contrast LLQ fever ileus
44
Preterm premature rupture of membrane
<34 wk infect? atb corticosteroid Mg >34 wk ATB cortico delivery IV penicillin - GBS
45
Thyroid strome | s/p OR @@@
fever tachycardia AF hypotension agitate seizure guiter n/v malignant hypertnermia= inc crea, in K, muscle rigid
46
Iron poisoning
NV shock hypotension met acidosis hematemesis IX: radioplaque TX: whole bowel irregation CC 2D- hepatic necerosis 2-8wk pyloric stenosis
47
Aspirin
tinnitus fever met acidosis hyperapnea, inc depth + rate inspiration
48
BCA then biopsy now purple papule firm +R arm edema DX?
angisarcoma IX biopsy again lining blood vessel lymph
49
mittle schemerz
mid cycle pain
50
somatic symptom
+1 problem +6 months
51
coversion disorder
neuro symptom
52
brown macule | cafe spot
NF 1 Lish nodule CC nerve shelf tumor cluster freckles axillary groin
53
down
brushfield spot =ALL
54
tuberous sclerosis
hypopigmented facial angiofibroma
55
CPPD
meniscial calcified Rhomboid shape + bifringence chrondrocalcinosis
56
PEEP
inc intra thoracic pressure | dec right preload
57
2 MDS drug
apriprazole quetapine Bupropion = NE d reuptake inhibitor
58
Gen AD TX
Buspirone
59
baby blue + holosystolic LAD P pulmonale ' DX?
Tricuspid atresia hyperplastic RV = ASD VSD
60
TOF
RAD
61
TAPVR
RAD + right vent hypertrophy
62
TA
normal EEG | inc pulmonary marking
63
``` child infraorbital ecchymosis jerky movement flank mass dumbbel tremor - spinal cord compression opsclonus myoclonus ``` DX?
neuroblastoma - adrenal medulla sympathetic NMYC
64
``` withdrawal alcohol heroin opioid coccain + amph nicotine ```
``` alcohol - delirium heroin - yawn dilate pupil lacrimation opioid - dilate pupil, myalgia, hyperactive bowel coccain + amph- dlow crash vivid dream nicotine - inc appetite ```
65
normal PP
uterine at umbilicus + - 2 cm
66
TOA | TX?
emperic Azithro + ceftri | gonococcal
67
intrauterine synechiae
ashermas syndrome > cut out basalis
68
vaginal Ca
smoking most important | age +60 HPV DES
69
gartnerduct cyst
lateral to anterior vagina (wolffian duct)
70
skene gland
bilat paraurethral in anterior vaginal vestibule
71
valvular excoriation + erythema + abnormal pap intermittant bleeding dyspareunia
vulvular CA
72
endometrial hyperplasia
from peripheral aromatization of androgen to estrogen androstenedine > estrone
73
neonatal thyrotoxicosis from
transplancental TSH receptor AB _ bind to TSH receptor low birth wt, tachy, warm skin, TX: self resolving 3 mo symptomatic : MMZ, bblocker
74
hyperandrogen
ovarian cyst , inc BHCG- leuteomas bilateral tx expectant virilization inc testosterone = sertoli- leydig
75
chronic HT in preg | MCC complication
preterm labor , oligo
76
PPROM
chorioamnionitis UTI
77
placenta precia
prior CS
78
valvular firm white plaque + excoriation IX candida = white discharge + symmetric
biopsy lichen sclerosis risk for vulvular CA Benigh tx steroid malignant : imiquimode laser
79
microenceph + hypotonia baby travel + mosquito + multiple intracranial cal + close anteriro frantanelle
ZIKA syndrome = flavivirus, transplacental | IX RNA detection, ADES
80
Lysteric
intracranial cal + hydrocephalus
81
alcohol
micro encep แต่ไม่มี craniosynosis
82
endometriosis | IX
laparoscopy ดูว่ามีที่ uterosacral ligament ? if yes = sacral pain

Usmle กู อย่างละ 100ข้อ (10 decks)

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