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Usmle กู อย่างละ 100ข้อ > USMLE 2 ชุด 9 > Flashcards

USMLE 2 ชุด 9 Flashcards

(96 cards)

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1
Q

endometriosis

A

infertility risk factor

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2
Q

7yo gild

taller than average

A

granulosa cell tumor
inc estradiol inc inhibin

if adult = breast tender, AUB, Post mens cell extner

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3
Q

sertoli + leydig presentation

IX?

A

amenorrhea deep voice
clitomegally oligomen unilat

IX surgery tumot staging _ rapid onset ?

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4
Q

daughter drug mum need to as daughter permission before tellin mum

A

ER STD MENTAL PRREGNANCT CONTRACEPTION

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5
Q

pelvic organ prolapse

A

multiparity post men hysterectomy obesisty

TX: passary

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6
Q

8wk AOG utz +yoke but no pole
in BHCG

no discharge bleed no FHB close cervix OS

A

missed abortion

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7
Q 
preeclampsia small for gestational age
low PLT 
\+ LDH
microangiopathic 
  caused from?
A

chronic uteroplacental insufficiency

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8
Q

hypoxic brain

A

abruptio placenta

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9
Q

42 yo breast swell pain BMI 46.6 no fever diffuse warm dimple
DX?

A

inflammatory breast

peado orange

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10
Q

fat necrosis

A

irregular boarder

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11
Q

fibroadenoma

A

regular boarder

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12
Q

infiltrate ductal lobular

A

yes dimple

no edema no red

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13
Q

ovarian ca

TX

A

explor lap

ถ้าสงใสทำ USก่อนแล้ว CA 125 แล้วค่อย SX

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14
Q

42 yo AUB irregular mens
no HA hot flush ok vagina
yes cool dry skin
dec FSH inc TSH inc Prolactin

A

hypothyroid

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15
Q

post opt DS CS T3g มี LQ pain serosang drainage

ขาไม่มีอะไร

A

septic thombophlebitis

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16
Q

post delivery anemic

tx?

A

IUD + levonogestrol ทำไห้ไม่มี mens

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17
Q

medroxy progesterone

A

wt gain

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18
Q

HIV pregnancy
TX?

viral load <1000- ART + vaginal
>1000- ART + zidovudin + CS

A

viral load
<1000- ART + vaginal
>1000- ART + zidovudin + CS

เด็ก zidovudin / multi ART ถ้า CS
check viral loac 4wk after , 3mo.6mo later

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19
Q

preg + HSV

A

acyclovir wk 36

even with no lesion

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20
Q

pap atypical glandular

IX?

A

endometrial biopsy at 35 yo

or AGE 45+ AUB
AGE -45 + obese no kid fail med lynch

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21
Q

ovarian cyst rupture

A

+ free fluid

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22
Q

post opt AUG irregular mens dec wt

normal TSH normal Prolactin inc FSH

A

accelerated ovarian follicule depletion
turner fragile X chemo

primary ovarian insufficientcy

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23
Q

stress incontinence

A

mid urethral sling
kegel excercise
hyper mobile urethra
urogenital mucosa atrophy weak pelvic floor

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24
Q

over flow incontinence

A

a blocker relax smooth muscle bladder neck

BPH,

cholinergic inc muscurinic inc bladder contraction

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25
urgency incontinence
oxybutinin antimuscurinic urge to void immediate loss urine - neuro disorder
26
B1 thiamine wernicke encep nystagmus - encep - ataxia
hyperemesis gravidarum hypo Cl met alka hypo K hypogly inc LFT
27
B12
anemia
28
syphilis
constrict with accomodate but not to light
29
21 yo high fever hypotension(no in syphilis ) macular rash on body
staphylococcus aureaus ok at hand foot TSS tampon T1 exotoxin multiorgan failure
30
Abortion
provide list of ppt that can do ไม่ต้องถาม why
31
Growth restriction chromosomeal lesion uteroplacental
chromosomal lesion - global uteroplacental - head sparring Ix do biophysical profile UTZ doppler
32
pimple excercise CAH 21 hydroxylase
46XX no tit no egg but have pimple + big clit
33
PCOS
only pimple
34
sertoli leydig
1 egg, and clitomegally
35
34 wk AOG + hx eclampsia + FGR | s/p CS now with flank pain
schedule C?S at 37 AOG
36
37 wk cephalic version if not ?
myomectomy C?S previa CC= abruoture placenta
37
rupture ectopic - hypotension adnexal mass tender cervical motion tenderness miss abortion vaginal bleed diffuse pain
rupture torsion unilateral
38
vaginal delivery
copmlete breech frank breech
39
PCOS GNRH ESTROGEN FSH
inc GNRH inc ESTROGEN normal FSH
40
primary ovarian insuff GNRH ESTROGEN FSH
inc GNRH DEC ESTROGEN inc FSH turner fragile
41
34 yo infertile feel warm at night hypothyroid take levothyroxin TSH??
normal TSH
42
OCP not cause wt gain MCC SE?
break thought bleeding , cervic CA ลด endometrial CA
43
45yo diff sleeping dec wt edema fat uterus enlarge IX
BHCG = r/o preg first
44
43yo 39wk AOG seizure cyanotic RR30 O2 75% on face mask DX TX?
amniotic embolism | TX? intubation
45
inc AFP
abdominal wall defect spinal bifida anenceph miltiple gestation
46
dec AFP
18,21
47
PAP + | CC
cervical stenosis
48
vulvular lichen sclerosis painful puritus defecation alopecia areation hot flush thin white labia minor major IX TX?
biopsy | stroid
49
UTZ sac crown rump BPD
sac - 4.5-6w crown rump 7-14w BPD 14-30wk
50
20yo มี RLQ pain bleeding - BHCG 1000 | IX?
repeat BHCG 2 วันหลัง dec BHCG ไม่ r/o
51
physiologic pregnancy change renal CBC pulmonary
renal- inc CO inc renal flow inc GFR dec BUNCR, in Na excrete - nocturia frequency, inc ADH threshld mild hyponat CBC - inc plasma dilutional anemia, fibrogen coag hyper coag, dec protein S pulmonary - progesterone stimulate central inc tidal centilation> chronic respi alkalosis
52
pregnancy +VDRL TX
Penicillin | if allergic = do desensitized @@@ dont change
53
pregnancy +conization ดู ? TX?
cervical length TVUZ - 2.5 progesterone maintain pregnency - 2cm + cerclage
54
ovarian torsion
laparoscopy with detorsion
55
RH -
Anti D globulin at 28-32 then 3 days after delivery
56
46XY blind pouch no terus ovary cervix + milk no hair + egg
androgen insensitivity syndrome AIS
57
16 yo recurrent lowe abdo pain 1 day before normal
primary dysmenorrhea inc prostagladin endometrial produce in contraction NV TX NSAID
58
hyper MG
renal insuff = secrete by kidney
59
28yo disconfort urination + pain passing stool suprapubic pain nodularity posterir culdesac DX TX
exmeteriosis | TX LAP
60
8wk AOG routine visit BMI 23 do what ?>
influenza vaccine no FBS ต้อง morbid obese+25))) macrosomic infant
61
44yo night sweat irregualr mass HT | IX?
TSH FSH | r/o thyroid ก่อน reassure ptx
62
25 wk AOG | hepatitis vaccine
ไหเ hep B + A vaccine ได้ hep C = GD< cholestasis preterm CS not protective yes milk breast feeding
63
UTZ heterogenous mass + cystic structure =hydatidiform mole Presentation TX
hyperthyroid hyper emesis preeclampsia suction curretage then contracep 6 mo and BHCG
64
26yo anxiety when breastfeed irritable ocnstipation wt gain IX
thyroid test | hypothyroid
65
twin mcc cc
preterm labor
66
IUFD
20-23wk - dilate evacation 24wk - vaginal delivery but delay until patient is ready
67
19yo muscular excercise amenorrhea ?
hypothalamic anemirrhea | dec gnrh dec LH dec FSH dec estrogen
68
18yo vaginal puritus yellow discharge vercix bleed TX
azithro + ceftri cervicitis - chlamydia + gonorrhea +- fitzhuge curtis metro - green frothy
69
CMV
periventricular intracranial calcification
70
aspirate breast cyst then fu
2-4 mo after
71
G5P0A4 baby not move FHR 130 mod vaiability IX?
biophysical profile NST 20-40min = +2 contract BIO- UTZ amniotic breath movement tone == equivocal 6 less = placental dysfunction
72
ureteral diverticulum presentation
recurrent UTI with post void dripping + anterior vaginal wall mass bloody ytrthral discharge
73
late decel tx
C?S ถึงจะon going active phase
74
UTZ multiple thin echogenic band ?
cystic teratoma = hair
75
postcoital bleed - yellow cervical discharge + friable cervix bleed gold standard IX?
no organism = goldstandard NAAT chamydia intracellular > light microscope
76
prenatal ANC + initial VDRL BsAG Anti HiV cbc chlamydia PCR UC U prot
24-28 CBC +50g glucose 1 hr tolerent test 35+ GB strep
77
tamoxigen
antagonist breast agonist uterus
78
PPROM
risk for preterm @@
79
sinusoidal
fetal blood loss from vasa previa | need CS
80
28 wk AOG anenceph rupture breech TX?
allow spontanous delivery
81
48 yo pale vaginal mucosa scarred cervix think irritate narrow vaginal introitus dyspareunia
atrophic vaginitis +- bleeding UTI dec elastic fissure petechiae
82
thick peri anal$ | white excproation from minora to anal
lichen sclerosis
83
HTN 140/90 x 2 times if OCP TX?
stop OCP choose another route
84
Post partum DI now suprapubic pain radiate down bipedal edema +4 kg shoulder dystochia DX?
pubic symphysis diastasos TX NSAO Dconservative PT pelvic suppore
85
Bilat ovarian cyst | UTZ multilocular areola
adenocacinoma | PAGET disease
86
8yo pelvic exam มี flesh papules at vulva+ anus + bleeding
sexual abuse genital warts ACUMINATA
87
stress incontinence TX
1 pelvic floow muscle excercise 2 wt loss 3 pessary sling procedure
88
shallow ulcer genital + painful + surrounding erythema
HSV | Ducreyi = 1-2 ulcer well dermarcated
89
pseudo cyesis
clinical pregnent แต่ไม่ preg จริง
90
42 yo PMS PMDD return to work 2 mo withsymptom daily 2 cycle in luteal phase TX?
give SSRI
91
look like orange peal at the axillar
hydradenitis suppurative hair follicle inflammation ABSCESS
92
20 y PTA + sex | what vaccine
HPV
93
LAte decel
uterine rupture dec oxytocin
94
1 yo swing arm then cry hold arm pronate against chest extend + pronate TX?
gently pronate right forearm supinate foarm flex elbow DX radial head subluxation nurse maid elbow
95
stat = ถ้า confident interval มี 1 หรือ ตกอยู่ใน 1
null value not stat significant p value >0.05
96
10 y post trauma with hallucination 2wk work ได้ take risperidone DX ?
schizaaffective มี MDS + schizo + Manic แต่มี delusion hallo +2 wk ตอนไม่มี MDS, Manic

Usmle กู อย่างละ 100ข้อ (10 decks)

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