USMLE Step 2 CK Flashcards

(52 cards)

1
Q

resting tremor lesion

A

basal ganglia

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2
Q

intention tremor lesion

A

cerebellar hemisphere

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3
Q

hyperorality, hypersexuality, disinhibited behavior lesion

A

bilateral amygdala

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4
Q

personality changes lesion

A

frontal lobe

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5
Q

agraphia, acalculia, finger agnosia

A

dominate parietal

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6
Q

PBC test

A

Antimitochondrial Ab AMA, ANA

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7
Q

PBC tx

A

Ursodeoxycholic acid UDCA

Liver Transplant

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8
Q

PSC test

A

+P-ANCA

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9
Q

PSC tx

A

transplant

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10
Q

PBC epi, patho

A

women, autoimmmune associated with Sjogren, CREST, RA, intrahepatic ducts only

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11
Q

PSC epi, patho

A

Men, UC, Intra/Extrahepatic ducts, not autoimmune, cholangiocarcinoma, “beads on a string” ERCP

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12
Q

Crigler Najjar syndrome type II tx

A

phenobarbital

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13
Q

autoimmune hep type 1 lab

A

ANA, anti-smooth muscle antibodies(ASMA)

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14
Q

autoimmune hep type 2 lab

A

liver-kidney-microsomal(LKM) antibodies or liver cytosol antigen

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15
Q

autoimmune hep tx

A

glucocorticoids +/- Azathioprine

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16
Q

Tumor Marker Hepatocellular Ca

A

AFP

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17
Q

Tumor Marker Colon Ca

A

CEA

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18
Q

Tumor Marker Gastric Ca

A

CEA

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19
Q

Tumor Marker Pancreatic Ca

A

CA 19-9, CEA

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20
Q

Tumor Marker Ovarian Ca

A

CA-125

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21
Q

spherocytosis labs

A

low mcv, high MCH and RDW
abnormal eosin-5-maleimide binding
Increased osmotic fragility on acidified glycerol
ankyrin defect

22
Q

iron def vs. thalasemia lab

A

MCV decreased both,

Iron increased RDW normal with thal

23
Q

tetralogy heart sounds

A

harsh systolic LUSB,

single S2

24
Q

dermitits herpatiformis tx

25
Hep C manifestations
Skin porphyria cutanea tarda: fragile skin photosensitive, vesicles and erosions on dorsum of hand Renal: MPG Heme: essential mixed cryoglobulinemia: (90% have Hep C) immune complexes causing purpura and arthralgias
26
SS smear finding
Howell Jolly bodies due to spleenic infarct in first few years of life
27
B12 vs Folate
B12: increased methylmalonic acid Both: increased Homocysteine
28
sinusitis most common bacteria
S. Pneumo
29
macular degeneration vision test
straight lines appear wavy
30
Non cardiac chest pain relieved by nitrates
Diffuse Esophageal Spasm
31
interstitial lung disease test finding
increased AA gradient
32
stable angina tx
BB: 1st line can add CCB if needed | ASA, Statin, Nitro also
33
hydroxychloroquine sfx
eye damage: retinopathy
34
When and how to treat ITP
Kids if bleeding, Adults: Plt
35
pain on light touch after stroke
Thalamus (VPL)(Very Painful to Light touch)
36
Edwards heart defect
VSD, Election=18
37
Lyme Treatment
38
Electrical Alterans
Pericardial Effusion
39
variceal hemmorage first 3 things to give
fluids, IV octeotride, antibiotics
40
neonate with cyanosis, Left axis deviation, small r waves
tricuspid atresia
41
Only senario to get Tetanus IG
42
Decrease Warfarin effect
inducers, Greens, ginseng, carbamaz, ocp, st. john wart, rifampin
43
Increase Warfarin effect
P450 inhibitors, acetam, nsaids, amiodoraone, cimetidine, cranberry, ginko, omeprazole, ssri
44
Hep B nephotic
membranous nephropathy
45
FAST scan +
laparotomy
46
Fast Scan inconclusive
DPL
47
V2-4
Anterior, LAD
48
V1-3
Septal, LAD
49
II, III AvF
Inferior, Posterior Descending or marginal branch
50
I avl v4-6
Lateral, LAD or circumflex
51
V1, V2 depression
Posterior, PD
52
IIH tx
acetazolemide