Crush Step2 'lytes, Signs/syndromes, And Word Assocns

Front 1

Alkalosis fx on ‘lytes

Back 1

HoK (acidosis → HK)
HoCa Sx 2/2 cellular shift

Front 2

Which ‘lyte imbalances can cause HoNa?
(Fix the lyte to fix the Na)

Back 2

HGly
HProt
HLipi

Front 3

HoK & HoCa can be 2/2 which other ‘lyte imbalance?

Back 3

HoMg!
Fix the Mg first!

Front 4

Which ‘lyte do you worry about with DKA?

Back 4

HoP!

Front 5

Which non-panc organs dysfxns can give you high lipase or amylase? (both = panc)
GRRS!

Back 5

GI tract
Renal failure
Ruptured ectopic preg
Salivary glands

Front 6

Which dz can give you high Alk Phos?
(3: BBP!)

Back 6

Biliary dz (+ high GGT a/o 5NT)
Bone dz
Pregnancy

Front 7

What can give you high CK?
(3: MDB)

Back 7

Muscle injury (striated or card)
Drugs (HMGCoA-R xers)
Burns

Front 8

BUN > 15 usually implies __?

Back 8

Dehydration!

Front 9

HoTH can also elevate which lipid?

Back 9

XOL!

Front 10

Pt who can’t concentrate urine (isosthenuria or hyposthenuria) may have which dz (3)

Back 10

DI
SCD
SC trait!

Front 11

Signs/syndromes:
JVD + muffled heart sounds + HoTN?
(aka Beck’s triad)

Back 11

Cardiac tamponade!

Front 12

Signs/syndromes:
Pain on neck flexion?
(aka Brudzinski’s sign)

Back 12

Meningeal irritation

Front 13

Signs/syndromes:
Fvr/chills + Jaundice + RUG px?
(aka Charcot’s triad)

Back 13

Cholangitis

Front 14

Signs/syndromes:
Painless, palpable gallbladder?
(aka Courvoisier’s sign)

Back 14

Pancreatic cancer

Front 15

Signs/syndromes:
Tapping on facial nerve → tetany?
(aka Chvostek’s sign)

Back 15

HoCa

Front 16

Signs/syndromes:
Bluish discoloration of flank? (2)
(aka Cullen’s sign)

Back 16

Retroperitoneal hmrg
Pacreatitis

Front 17

Signs/syndromes:
HTN + bradycardia + irregular respirations
(aka Cushing’s reflex)

Back 17

High ICP

Front 18

Signs/syndromes:
Calf px ion forced dorsiflexion of foot
(aka Homan’s sign)

Back 18

DVT

Front 19

Signs/syndromes:
Px referred to L shoulder
(aka Kehr’s sign)

Back 19

Ruptured spleen

Front 20

Signs/syndromes:
Claudication and atrophy of the butt + impotence
(Leriche’s syndrome)

Back 20

Aortoiliac occlusive dz

Front 21

Signs/syndromes:
Tenderness at McBurney’s point

Back 21

Appendicitis

Front 22

Signs/syndromes:
Arrest of inspiration if you palpate RUQ under rib cage
(Murphy’s sign)

Back 22

Cholecystitis

Front 23

Signs/syndromes:
Palpable or audible click with abduction of infant’s flexed hip
(Ortolani’s sign)

Back 23

Congenital hip dysplasia

Front 24

Signs/syndromes:
Elevation of painful testicle RELIEVES pain if it is…?
(Prehn’s sign)

Back 24

Epididymitis
(does NOT relieve pain if it’s torsion)

Front 25

Signs/syndromes:
Pushing on LLQ makes pain at McBurney’s point!
(Rovsing’s sign)

Back 25

Appendicitis

Front 26

Signs/syndromes:
Tapping on volar surface of wrist elicits paresthesias
(Tinel’s sign)

Back 26

Carpal tunnel

Front 27

Signs/syndromes:
Pumping up BP cuff causes tetany = carpopedal spasm
(Trousseau’s sign)

Back 27

HoCa

Front 28

Signs/syndromes:
Migratory thrombophlebitis
(Trousseau’s syndrome)

Back 28

Visceral malignancy

Front 29

Signs/syndromes:
Watery diarrhea + Acholorhydia + HoK
(Verner Morrison syndrome)

Back 29

Pancreatic islet cell tumor = VIPoma

Front 30

Signs/syndromes:
Stasis + endothelial dmg + HCoag
(Virchow’s triad)

Back 30

RF for DVT!

Front 31

Word association:
Abdominal striae

Back 31

Cushing’s syndrome
Maybe Pregnancy

Front 32

Word association:
Ambiguous genitalia + HoTSN in female

Back 32

21-OHlase def’cy

tx: ‘roids + IVF

Front 33

Word association:
Anaphylaxis from Ig tx

Back 33

IgA def’cy

Front 34

Word association:
Bilateral hilar adenopathy in AfAm female

Back 34

Sarcoidosis

Front 35

Word association:
Bitot’s spots

Back 35

Vit A def’cy

Front 36

Word association:
“Bronze” skin + DM sx

Back 36

Hemochromatosis

Front 37

Word association:
1. Café-au lait spot
2. #1 + MRtdn

Back 37

1. Neurofibromatosis
2. McCune Albright or Tuberous sclerosis

Front 38

Word association:
Cherry red spot on macula plus:
1. No HSM
2. HSM

Back 38

1. Tay-Sachs
2. Neimann pick

Front 39

Word association:
Clue cells

Back 39

Gardnerella sp infxn

Front 40

Word association:
Constant clearing of throat (kid)
Intermittent bursts of grunting

Back 40

Tourette’s

Front 41

Word association:
Dendritic corneal ulcers
Best seen w/ flourescin

Back 41

Herpes keratitis

Avoid ‘roids!

Front 42

Word association:
Friction rub

Back 42

Pericarditis

Front 43

Word association:
1. Heliotrope rash
2. Malar rash

Back 43

1. Dermatomyositis
2. SLE

Front 44

Word association:
Higher IgA2 + anemia

Back 44

Thalassemia

Front 45

Word association:
Koilocytosis (2)

Back 45

HPV or CMV

Front 46

Word association:
LLQ tenderness or rebound

Back 46

Diverticulitis

Front 47

Word association:
Low grade fvr 24 hrs after surgery

Back 47

Atelectasis

Front 48

Word association:
Meconium ilieus
Rectal prolapse

Back 48

CF

Front 49

Word association:
Postpartum fvr unresponsive to broad spectrum Abx

Back 49

Septic pelvic thrombophlebitis
(cure w/ heparin)

Front 50

Word association:
Sore throat + amox or amp → rash

Back 50

EBV

Front 51

Word association:
Sudden death in young athlete

Back 51

Hypertrophic cardiomyopathy