UWorld_8.01 Flashcards Preview

USMLE Step 2 > UWorld_8.01 > Flashcards

Flashcards in UWorld_8.01 Deck (28):
1

Trachoma presentation

-folicular conjuctivits
-neovascularization

2

Lacunar thalamic stroke presentation

-sudden onset contralateral sensory loss
-weeks/months later ==> thalamic pain syndrome = burning pain worse w/light tough

3

Hypercalcemia 2/2 immobilization presentation

-immobilization ==> high bone turnover

4

Management of PCOS anovulation

-clomiphene citrate
-metformin

5

negative FOBT in elderly pt. w/iron def. anemia ==> evaluation

-colonoscopy, endoscopy
-neg. FOBT does not rule out GI bleed

6

Management/eval of suspected bladder outlet obstruction

-bladder scan
-catheterization

7

Aspirin-exacerbated respiratory disease presentation/tx

-bronchospasm
-nasal congestion
-assoc. w/pt. w/asthma or chronic rhinosinusitis w/nasal polyposis
-tx = avoid NSAIDs, leukotriene receptor antagonists (montelukast)

8

Management of PFPain Syndrome

-NSAIDs
-activity modification
-stretching/exercise

9

Most common cause of painless, gross hematuria in adults

bladder tumors

10

Hepatic adenoma presentation

-benign tumor @ young/middle-aged owmen taking OCPs
-complications = growth, rupture, malignant transformation

11

Indications for imagining in acute pyelonephritis

-persistent clinical sx despite tx @ 48-72 hours
-hx of nephrolithiasis
-complicated pyelo
-unusual urinary findings

12

Cutaneous larva migrans presentation

-travel to tropical regions
-pruritic, elevated serpiginous lesions on skin

13

Evaluation of unexplained myositis

1. TSH/T4
2. m. biopsy if negative

14

Causes of myopathy

-connective tissue dz
-endocrine/metabolic dz: thyroid, cushings, electrolytes
-drus/toxins: CS, statins, zidovudine, colchicine, etoh/heroin/cocaine
-other: infections, trauma, hyperthermia

15

Syncope w/urination dx

situation syncope

16

Felty syndrome presentation

-rheumatoid arthritis
-neutropenia
-splenomegaly

17

Study design to determine incidence vs. prevalence

-cross-sectional ==> prevalence
-cohort ==> incidence

18

endocarditis causes s/p dental procedure

-viridans strep: mutans, sanguis, etc. (not strep bovis, strep pneumo)

19

Outpatient tx of CAP

-healthy = macrolide vs. doxycycline
-comorbid conditions = fluoroquinolone or beta-lactam or macrolide

20

Inpatient (non-ICU) tx of CAP

-fluoroquinolone OR
-beta-lactam + macrolide (ceftriaxone + azithryomycin)

21

CURB criteria

-Confusion
-Uremia (BUN >20)
-RR > 30
-BP 65

-1 pt. each
-2+ ==> inpt. admission
-4+ ==> ICU

22

Inpatient ICU tx of CAP

-iV beta-lactam + macrolide
-IV beta-lactam + fluoroquinolone

23

FAS presentation

-small palpebral fissures
-smooth philtrum (vertical groove above upper lip)
-thin vermilion border

24

Myotonic MD presentation

-onset @ age 12-30
-facial weakness, hand grip myotonia, dysphagia

25

Causes of watery diarrhea predominant food poisoning

-C. perfringens
-enterotoxic E. coli
-enteric viruses
-cryptosporidium
-cyclospora
-intestinal tapeworms

26

Causes of bloody diarrhea predominant food poisoning

-salmonella
-campylobacter
-Shiga-toxin E. Coli
-shigella
-enterobacter
-vibrio
-yersinia

27

Complete heart block sx and management

-dizziness, worsening angina
-management = cardiac pacing

28

FSH in turner's syndrome

elevated 2/2 to lack of negative feedback due to ovarian dysgenesis/poor ovarian fxn