Step 2 Cardset 4

Front 1

Tx of cardiogenic shock?

Back 1

Dobutamine

Front 2

What systemic diseases can cause nephritic syndrome?

Back 2

-Diabetes
-SLE
Amyloidosis

Front 3

Hypoxemia + pulm edema + normal pulm capillary wedge pressure?

Back 3

ARDS

Front 4

What disorder present in teenager w/ hx of theft, vandalism, and violence toward family pets?

Back 4

Conduct disorder

Front 5

What casues a continuous machine like murmur?

Back 5

PDA

Front 6

What would you suspect in a woman w/ preeclamsia in the 1st trimester?

Back 6

Molar preg

Front 7

What CSF findings would you see in a case of SAH?

Back 7

-inc CSF pressure
-RBCs in all 3 tubes
-Xanthochromia

Front 8

What acid base disturbance is commonly seen in pregos?

Back 8

-Resp alk

Front 9

Does a case control study measure incidence or prevalence?

Back 9

neither

Front 10

What is the 1st line tx for a growth hormone secreting pituitary adenoma?

Back 10

-transphenoid tumor resection

Front 11

What are the indications for surgical repair of an abdominal aortic aneurysm?

Back 11

- > 5.5 cm
-rapidly enlarging
-symptomatic
-ruptured

Front 12

What characteristics of nevus suggest it may actually be a melanoma?

Back 12

-Asymmetry
-Border irregularity
-Color
-Diameter

Front 13

Low urine specific gravity in the presence of high serum osmolality? Dx?

Back 13

Diabetes insipidus

Front 14

What is tx of atrial fib of unknown duration?

Back 14

-rate control and anti coag

Front 15

Lunc ca a/w SIADH?

Back 15

small cell

Front 16

Important side effects are common to many atypical antipsychotics?

Back 16

wt gain

Front 17

MC location of an ectopic pregnancy?

Back 17

Ampulla of fallopian tube

Front 18

Uterine bleeding at 18 wks gestation + no products expelled + membranes ruptured + cervical os open?

Back 18

Inevitable abortion

Front 19

ICU pt is awake and alert but cannot move anything but the eyes and eyelids. Dx?

Back 19

Locked in syndrome

Front 20

What type of shock causes decreased CO, decreased PCWP and decreased periph vascular resistance?

Back 20

-septic
-anaphylactic
-neurogenic

Front 21

What is the MC form of nephritic syndrome?

Back 21

-IgA nephropathy

Front 22

What is the initial tx for kid presenting w/ acute asthma attack?

Back 22

-IV steroids
-Albuterol
- O2 if sat <92%

Front 23

WHAT TYPE OF PSYCHOTHERAPY IS USED IN TX PHOBIAS, OCD AND PANIC D/O?

Back 23

-Cognitive behavioral therapy

Front 24

What is the underlying cause of neonatal resp distress syndrome?

Back 24

surfactant deficiency

Front 25

What is the first test in the asessment of a F presenting w/ secondary amenorrhea?

Back 25

-B - hCG

Front 26

What are the components of HELLP syndrome

Back 26

-hemolysis
-elevated liver enzymes
-low platelets

Front 27

What med is used to dx symptomatic myasthenia gravis

Back 27

-edrophonium

Front 28

11 y/o fat ass presents w/ sudden onset limp. Dx and imaging studies to confirm

Back 28

-Slipped capital femoral epiphysis
-A/P and frog leg lateral

Front 29

What organism is a/w dog or cat bites

Back 29

-pasteurella

Front 30

How is PCV distinguishable from secondary polycythemia

Back 30

-normal or low EPO
-nl O2 sat

Front 31

What is the medical treatment for hepatic encephalopathy?

Back 31

lactulose (also give neomycin)

Front 32

Young child presents in status epilepticus but her parents refuse tx on religous grounds. What do you do?

Back 32

-Tx the pt and then seek court order after

Front 33

What % of values falls w/in 1 SD of the mean? 2 SDs? 3 SDs?

Back 33

-68%
-95%
-99.7%

Front 34

In which endocrine d/o might wt loss completely eliminate the need for medication?

Back 34

-PCOS
-DM type II

Front 35

What rash is classically described as "dew drops on rose petals"?

Back 35

-chicken pox

Front 36

Cafe au lait spots are characteristic of ?

Back 36

Neurofibromatous type I

Front 37

What is the tx for mild unconjugated hyperbilirubinemia? Severe unconjugated hyperbilirubinemia?

Back 37

1. Phototherapy
2. Exchange transfusion

Front 38

What number is needed on bacterial culture of clean catch specimen to dx a UTI?

Back 38

-10 ^ 5

Front 39

55 yo M has a sudden onset of pain in his first metatarsophalangeal jt after a night of drinking red wine. What is the dx, workup, and how can it be treated chronically?

Back 39

-Gout
-Neg birefringent crystals (yellow and parallel)
-Allopurinol, probenecid, colchicine

Front 40

Pt presents w/ a hx of lithium use presents w/ copious amounts of dilute urine. What condition?

Back 40

-Diabetes insipidus - Nephrogenic

Front 41

What is the MC pituitary tumor and the tx?

Back 41

-Prolactinoma
-DA agonist (Bromocriptine)

Front 42

A male with a testicular mass is found to have an elevated B-hCG. What is the dx?

Back 42

-Testicular choriocarcinoma

Front 43

What are the cardinal movements of labor?

Back 43

-Engage
-Descent
-Flexion
-Internal rotation
-Extension
-External rotation
-Expulsion

Front 44

50 y/o F smoker presents w/ hematuria. What do you suspect?

Back 44

-Bladder Ca

Front 45

30 yo F African immigrant presents w/ hematuria. What do you suspect?

Back 45

-Schistosoma

Front 46

What therapies are used in tx PCOS?

Back 46

-Wt loss
-OCPs
-Spironolactone
-Metformin
-Clomiphene

Front 47

What type of bone fracture is most likely to result from a fall on an outstretched hand?

Back 47

-distal radius fx

Front 48

2 month old presents w/ projectile, non-bilious emesis. What is the first step in management?

Back 48

-Check and correct metabolic abnormalities

Front 49

16 yo F has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found. Dx?

Back 49

-Conversion disorder

Front 50

A pt presents to ER after a MVA w/ htn, bradycardia, and abnormal respirations. After CABs, what is the next step in management?

Back 50

This is CUSHINGS Triad of ICP
-raise head of bed
-hyperventilate, manitol, neurosurgery

Front 51

A normalizing pCO2 in a pt having an asthma exacerbation may indicate what problem?

Back 51

-Fatigue and impending respiratory failure

Front 52

A pt has dyspnea, hilar lymphadenopathy on CXR, and hyper calcemia. Dx?

Back 52

Sarcoidosis

Front 53

Which type of RTA is a/w abnormal HCO3 and rickets?

Back 53

Type II

Front 54

Chvostek and Trousseau signs are a/w what metabolic abnormality?

Back 54

-Cheek and tight cuff

-Hypocalcemia

Front 55

Young pt whose father died at age 30 in an MVA suddenly collapses and dies while exercising. Cause of death?

Back 55

HCM

Front 56

Gyne exam of postmenopausal F reveals inflammation and epithelial thinning of the anogenital area. What is the diagnosis?

Back 56

Lichen sclerosis

Front 57

IV drug user has JVD and a holosystolic murmur at the left sternal border. What is the tx?

Back 57

-Tricuspid Regurg
-Vanco, tx heart failure and then replace tricuspid valve

Front 58

What is the classic ECG finding in pericarditis?

Back 58

-low voltage diffuse ST segment elevation

Front 59

What is the tx for NMS?

Back 59

-Dantrolene and bromocriptine

Front 60

A kid has flesh colored, umbilicated lesions on the face. What are these lesions and where do they appear on adults?

Back 60

-Molluscum contagiosum
-Perigenital or anal

Front 61

Which medication is used more than any other in tx of parkinsons?

Back 61

-Levodopa and carbidopa

Front 62

What diagnostic test differentiates central from nephrogenic DI?

Back 62

-DDAVP and measure urine osm

Front 63

A post op pt w/ significant pain presents w/ hyponatremia and normal volume status. What is the dx?

Back 63

SIADH

Front 64

Elderly F presents w/ pain and stiffness of the shoulders and hips. She cannot lift her arms above her head. Lab shows and elevated ESR. What is the diagnosis?

Back 64

PMR

Front 65

Kid presents w/ oliguria, petechia, and jaundice following an illness w/ bloody diarrhea. What is the most likely dx and infectious cause?

Back 65

-HUS
-E. coli O157:H7

Front 66

11 y/o boy presents w/ fever, wt loss, and night sweats. Radiology reveals an anterior mediastinal mass. What do you suspect. What if the pt was 30?

Back 66

-NH lymphoma


-Hodkins (likely nodular type)

Front 67

What prophylactic medication is indicated in an HIV pt w/ CD4 <100?

Back 67

-Bactrim, dapsone, or pentamidine for PCP

-Clarithro or azithro for MAC

Front 68

What is the MC testicular cancer?

Back 68

-Seminoma

Front 69

Kid presents w/ palpable purpura on legs, abd pain and arthritic pain in numerous joints. What is the diagnosis and treatment?

Back 69

-HSP

-self limited

Front 70

Anticentromere abs are a/w what conditions?

Back 70

-CREST

Front 71

Hyperphagia, hyperorality, hyperdocilitiy, and hypersexuality?

Back 71

Kluver Bucy syndrome

Front 72

After a minor car accident a woman wears a neck brace and requests permanent disability. What is the most likely dx?

Back 72

-Typical female

but for COMLEX answer is Malingering

Front 73

What medication is given to accelerate fetal lung maturity? For how long is it given? after what gestational age is it no longer necessary?

Back 73

-Bethamethasone or Dexamethasone
-48 hours
-not necessary after 34 wks

Front 74

Pts w/ silicosis are at a higher risk for what type of infection?

Back 74

TB?

Front 75

A pt w/ exopthalmos, pretibial myxedema, and a decreased TSH. What is the dx?

Back 75

Grave's

Front 76

PFTs show decreased FEV1/FVC. What is the diagnosis?

Back 76

Obstructive

Front 77

A postmenopausal F presents w/ vaginal bleeding for the last 5 days. What is the next step?

Back 77

Endometrial biopsy

Front 78

Which type of lung cancer is a/w hypercalcemia?

Back 78

SCC