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Step 2 Question Review > UWorld Assessment 2 > Flashcards

UWorld Assessment 2 Flashcards

(52 cards)

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1
Q

Rside heart failure, treated with furosemide, now has AKI, d/t?

A

Intravascular depletion

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2
Q

Patient has 44 lb weight loss, BMI 19, amenorrhea
No bleeding on progesterone challenge
Cause?

A

Functional hypothalamic amenorrhea

No withdrawal bleeding d/t low endogenous levels of estrogen

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3
Q

Abdominal pain, nausea, vomiting, post op day 4 cholecystectomy
Elevated bilirubin
DX?

A

Biliary leak

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4
Q

CSF has increased protein level with normal cell count, dx?

A

Gillian-Barre syndrome

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5
Q

Rett syndrome gene

A

MECP2

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6
Q

Hemodynamics in cardiogenic shock

A 
Increase CVP
Increase PCWP
Decrease CI
Increase SVR
Decrease SvO2
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7
Q

1 day old with petechiae, jaundice, hepatosplenomegally, microcephaly

Etiology?

A

CMV

Also hearing loss, periventricular calicifications

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8
Q

Management of threatened abortions

A

Observation and repeat ultrasound

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9
Q

Conjunctivitis, foreign body sensation, increased vascularity

Normal pupillary reflexes, visual acuity, fungus optic exam

Dx?

A

Ocular rosacea

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10
Q

How to decrease postop pneumonia?

A

Preop physical therapy
Smoking cessation >8 weeks
Spirometry postop

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11
Q

Watery diarrhea with blood and mucus
No response to cipro
LLQ tenderness
Philippines trip

Dx? How? Tx?

A

Entamoeba histolytica colitis by stool microscopy

Metronidazole

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12
Q

Treatment of severe hypercalcemia

A

Normal saline plus calcitonic, avoid loop diuretics

Long term: bisphosphonate

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13
Q

28 y/o with severe pneumonia, ICU for 4 days, now yellow sputum streaked with blood
Crackles in R lower lung and scattered wheezing

Dx? Pathophys?

A

Bronchiectasis d/t permanent destruction and dilation of the airways

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14
Q

68 y/o male, decreased hearing in R eye
Increased hat size over 2 years
Increased ALP
X-rays: sclerotic and lytic lesions

Dx? Pathophys?

A

Paget disease d/t disorganized bone remodeling

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15
Q

When to deliver in preeclampsia without severe features

A

> 37 weeks

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16
Q

When to deliver in preeclampsia with severe features

A

> 34 weeks

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17
Q

When to deliver in eclampsia

A

Immediately

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18
Q

What features define preeclampsia with severe features

A

Can have only 1

```
>160/>110
Scotoma
Headache
Thrombocytopenia
Elevate liver enzymes
Elevated Cr
End organ damage
~~~

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19
Q

Steps of failure modes and effects analysis

A 
Get an interdisciplinary team
Define goals and process
Process mapping
Id failure modes
Hazard analysis
Action plain
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20
Q

Timing of RV failure after MI

What vessel

A

Acute

RCA

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21
Q

Timing of papillary muscle rupture after MI

What vessel

Study These Flashcards
A

Acute or within 3-5days

RCA

22
Q

Timing of interventricular septum rupture after MI

What vessel

Study These Flashcards
A

Acute or within 3-5 days

RCA or LAD

23
Q

Timing of free wall rupture after MI

What vessel

Study These Flashcards
A

Within 5 days - 2 weeks

LAD

24
Q

Timing of LV aneurysm after an MI

What vessel

Study These Flashcards
A

Up to several months

LAD

25
HIV, several months of anal pain and bleeding, anal ulcer, painless lymphadenopathy DX?
Anal cancer d/t HPV
26
In LGV d/t Chlamydia trachomatis, lymphadenopathy is... | The ulcer is...
Painful | Non tender
27
Pregnant patient with fever, chills, SOB, blank pain Diffuse bilateral crackles R flank tenderness Cervix 1 cam, contractions q 5 min Dx?
Acute pyelonephritis complicated by ARDS and preterm labor
28
Child comes in for acute mastoiditis, what’s next
IV ab’s | Do not need imaging unless complications
29
In antiphospholipid antibiody syndrome, PTT is (short/prolong) What antibodies?
Prolonged (even though they are prothombotic) Anti-beta-2-glycoproteins 1, antiphophatidylserine, anticariolipin
30
Painless ulcer on penis for months, inguinal lymphadenopathy, smoker Dx?
Penile cancer
31
Loss of peripheral vision
Open angle glaucoma
32
Anticoagulation in pregnancy
LMWH
33
What is DRESS Syndrome?
Drug: MC allopurinol and anti epileptics Reaction: morbiliform eruption, starts on face—> diffuse Eosinophilia Systemic symptoms: fever, malaise, diffuse lymphadenopathy, organ involvement
34
Latency of DRESS syndrome
Long, 2-8 weeks
35
Tx of DRESS syndrome
Stop drug, supportive care
36
Was in Panama Took chloroquine for malaria Now symptoms are back Etiology, why? What additional therapy?
P. Vivax, dormant period, add primaquine to attack dormant hepatic phase
37
AUB, pelvic pressure, symmetrically enlarged uterus, friable vaginal lesion Spontaneous abortion 6 months ago DX?
Choriocarcinoma with vaginal metastasis
38
Time difference between MDD and GAD
MDD: >2 weeks GAD: >6 mo
39
Palpable thrill accompanied by harsh holosystolic murmur in 4th L ICS
VSD
40
15 month old refusing to bear weight on R leg URI 2 weeks ago, Born breech Hip external rotated, cries when moved T 102.6, 19,800 leukocyte, ESR 55 Dx? D/t?
Septic arthritis d/t hematogenous bacterial spread into joint space
41
MC etiology of septic arthritis
S. Aureus and GAS
42
Single most effective strategy to prevent acquiring HSV?
Consistent condom use
43
Patient took multiple meds for migraine, now can’t sit and needs to walk Side effect d/t?
Prochlorperazine, akathisia
44
To start isotretinoin, what do you need and what does the patient need to do
2 negative pregnancy tests And 2 forms of contraception
45
Initial approach to behavioral regression after birth of younger sibling
Spend 1-on-1 time
46
Patient on carbamazepine, now has nausea, forgetfulness Na 125 Dx?
SIADH d/t side effect of carbamazepine
47
Serum osm, urine osm, urine Na in setting of SIADH
Low, high, high (>40)
48
Lung cancer with cavitary lesion
Squamous cell carcinoma
49
4 y/o has URI resolve 2 days ago Now has ataxia, horizontal nystagmus for several hours Dx?
Acute cerebellar ataxia
50
Pathophys of direct inguinal hernia
Weakening of inguinal canal floor
51
Pathophys of indirect inguinal hernia
Failure of processes vaginalis closure
52
First line tx for gentian warts for pregnant women
Topical trichloroacetic acid

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