Step 2 Factoids A

Front 1

pruritis
jaundice
steatorrhea
bepatosplenomegaly
increased Alk phos and bilirubin

Back 1

PBC

Front 2

bite cells
Heinz bodies

Back 2

G6PD

Front 3

cause of hypoxia in ARDS

Back 3

shunting
so don't bother giving O2

Front 4

partially acid fast gram positive lower lobe cavitary lesions....
bug?
rx?

Back 4

Nocardia

Bactrim

Front 5

rx for actinomyces

Back 5

penicilin G

Front 6

boy born with transilluminating scrotal mass

next steps

Back 6

hydrocele

observe, it will likely go away

surgery if still present at 12 mos given possibility of inguinal hernia

Front 7

pear shaped motile organisms

tx

Back 7

trichomonas

"pear is a tricky fruit"

oral metro for pt and partner

Front 8

use of trihexyphenidyl

Back 8

anticholinergic used in parkinsons, dystonia

Front 9

associates with bowel herniating through umbilical, with membranes

Back 9

(omphalocele)

associated with hear tand kidney defects

Front 10

afebrile 40 y o with irritative voiding sumptoms, negative studies

Back 10

non inflammatory chronic prostatitis

Front 11

febrile with irritative voiding symtpoms, negative studies

Back 11

inflammatory chronic prostatitis

Front 12

cancer associated with acanthosis

Back 12

gastric adenocarcinoma

Front 13

ring enhancing lesions is kid post ear infection

Back 13

abscenss

Front 14

CIN 1 LSIL in a post menopausal

Back 14

reflex HPV testic and colpo if +

or

just colpo

Front 15

obese kid. first step:

Back 15

cholesterol level

Front 16

increased Pa CO2
decreased PaO2

Back 16

alverolar hypoventilation

leads to respiratory acidosis

Front 17

upper limit of normal in glucose tolerance test during pregnancy

Back 17

140

Front 18

Dx for acromegaly

Back 18

GH measured after oral glucose level (won't be suppressed)

Front 19

pleural effusion with glucose of 30

Back 19

this is low glucose

exudative

likely empyema or rheumatic

Front 20

S1

Back 20

closure of mitral and tricuspid

Front 21

effect of VIPoma

Back 21

diarrhea
decresed K
decreased stomach acid

Front 22

necrotizing dermatitis
decreased weight
anemia
persistent hyperglycemia

Back 22

glucagonoma

Front 23

increased insulin, hypoglycemia

Back 23

insulinoma

Front 24

pancreatic cholera

Back 24

VIPoma

Front 25

supranormal EF

Back 25

high output heart failure

Front 26

overdose:
bradycardia
miosis
bronchorrhea
muscle fasciculations
salivation
lacrimation
diarrhea

1st step
tx

Back 26

organophosphate poisoning

remove clothes
atropine

Front 27

overdose requiring QRS measurement

Back 27

TCA

Front 28

presynaptic membrane damage

Back 28

lambert eaton

Front 29

sausage digits

Back 29

psoriatic arthritis

Front 30

type of arthritis associated with IBD

Back 30

enterohepatic

Front 31

arthritis with erythema nodosum

Back 31

sarcoid

Front 32

arthritis with nail involvement

tx

Back 32

psoriatic

tx is NSAIDs, anti TNF, methotrexate

Front 33

how to distinguish psychogenic polydypsia from DI

Back 33

water suppression test

Front 34

tx for DI

Back 34

vasopression/DDAVP

Front 35

tx for nephrogenic DI

Back 35

NSAIDS, HCTZ

Front 36

what medication NOT to give for a STEMI

Back 36

NOT Nifedipine!

vasodilation and reflex tachycardia

Front 37

rx for crypto

Back 37

amphotericin and flucytosine

:crypto ampho"

Front 38

rx for histo

Back 38

itraconazole

hIssto Itraco

Front 39

tenderness to trigger poitns

Back 39

fibromyalgia

Front 40

adult difficulty getting out of a chair

Back 40

polymyositis

Front 41

pain and stiffness of pelvic girdle adn shoulder

increased ESR

Back 41

polymyalgia

Front 42

pancreatitis 2/2 gallstones and heals

next step

Back 42

cholecystectomy

Front 43

type of mutation in NFM2

Back 43

nonsense

Most severe diseases are nonsense

Front 44

intercostal space below which is abd

Back 44

4th

Front 45

fever
red spots with bluish specks

Back 45

measles
koplick spots

meaSleS SpotS

Front 46

fixe splitting of S2

Back 46

aSd or vSd
"S2 is 2S"

Front 47

murmur associated with MI

Back 47

S4, LVH

Front 48

antibiotic of choice for strep/staph in cervical nodes

Back 48

dicloxacillin

Front 49

8 year old
unsteady gait and weakness
wide based gait
decreased V&P sense
increased plantar arches
T wave inversion

inheritance?
Type of mutation?

Back 49

Friedrichs

AR
trinucleotide repeat FRI TRI

Front 50

Aa in interstitial lung disease

Back 50

decreased

Front 51

precocious puberty in a boy with increased androgens

Back 51

excess sex steroids NOT central

eg by 21 hydroxylase deficiency

Front 52

metastatic breast cancer to lung

next step

Back 52

surgery

(tx generally no good)

Front 53

tense blisters in flexural areas

mediators?

found at dermal/epidermal jx

tx

Back 53

bullous pemphigoid

bullous when you bend!

IgG
C3 deposits
steroids

Front 54

necrotic nasal turbinates
eye chemosis/proptosis
hyphae in KOH staining

Dx?
tx?
bug?

Back 54

mucormycosis

debridement and ampho

rhizopus

Front 55

MS lesion site for paraplegia/bladder/fecal incontinence

Back 55

upper thoracic spinal cord

Front 56

MS lesion site for ataxia

Back 56

posterior columns

Front 57

MS lesion site for absent sensation from the umbilicus down

Back 57

lower thoracic spinal cord

Front 58

MS lesion for absent sensation fromt eh nipple down

Back 58

upper thoracic spinal cord

Front 59

hematura at the end of voiding

source?

Back 59

prostatic/bladder source

Front 60

hematuria with clots

source?

Back 60

bladder source

Front 61

hematuria throughout urination/no clots

source?

Back 61

ureter/kidney

Front 62

hematuria only in initial stream

source?

Back 62

urethra

Front 63

seizure with automatisms and post ictal confusion

Back 63

complex partial

Front 64

childhood: mutiple types of seizures,
decreased cognitive function
slow spike and wave activity on EKG

Back 64

Lennox Gestaut

Front 65

bird's beak

Back 65

achalasia

Front 66

dysphagia to solid and liquid, with no systemic signs

Back 66

achalasia

Front 67

problem in achalasia

Back 67

lower sphincter does not relax

Front 68

decreased lower esophageal sphincter tone and cutaneous thickening

Back 68

scleroderma

Front 69

young female
corskscrew battern on barium swallow
dysphagia
chest pain

Back 69

esophageal spasm

Front 70

loss of vision like a curtain coming down

Back 70

amaurosis fugax

theatrical fugue

Front 71

cause of amaurosis fugax

Back 71

retinal emboli from carotid

Front 72

rx for HPV anal lesions

Back 72

podophyllin

for the pedophile

Front 73

BM findins in minimal change?

Back 73

none

Front 74

diffuse thickening and subepithelial spikes on GBM

Back 74

membranous

membranes are like thick spikes

Front 75

lime tx in pregnant woman

Back 75

amox

Front 76

COPD pt requiring ventilation

best choice

Back 76

Non invasive Positive Pressure

NIPPV

Front 77

rx causing Stenvens Johnson

Back 77

sulfa
NSAIDS
phenytoin

Front 78

mechanism of stevens Johnsons

Back 78

immune complex mediated hypersensitivity

III

Front 79

early diastolic murmur

Back 79

AR

Front 80

bounding or waterhammer peripheral pulses

Back 80

AR

Front 81

bony spurs in neck (osteophytes)

Back 81

cervical spondylitis

Front 82

rx for fibromyalgia

Back 82

amitryptelene
cyclobenzaprine

Front 83

prussian blue staining of urine

Back 83

hemosiderin 2/2 hemolysis

Front 84

rx that can cause hemolysis

Back 84

sulfa
antimalarials
nitrofurantoin

Front 85

ARF
arthralgia
rash
WBC casts with eos

Back 85

allergic interstitial nephritis

cause is drug rxn, usuallly to
sulfa
rifampinallopurinol
phenytoin
cephalosporins
penicillin

Front 86

RA pt with cavitary lesion in lower lobe, partially acid fast, gram + branching rods....

Cause

Back 86

chronic steroid use leading to immunocompromise

Front 87

3 year old af am with stroke

Back 87

sickle

Front 88

bug for epiglottitis

Back 88

h flu

Front 89

bony spurs in neck (osteophytes)

Back 89

cervical spondylitis

Front 90

rx for fibromyalgia

Back 90

amitryptelene
cyclobenzaprine

Front 91

prussian blue staining of urine

Back 91

hemosiderin 2/2 hemolysis

Front 92

rx that can cause hemolysis

Back 92

sulfa
antimalarials
nitrofurantoin

Front 93

ARF
arthralgia
rash
WBC casts with eos

Back 93

allergic interstitial nephritis

cause is drug rxn, usuallly to
sulfa
rifampinallopurinol
phenytoin
cephalosporins
penicillin

Front 94

RA pt with cavitary lesion in lower lobe, partially acid fast, gram + branching rods....

Cause

Back 94

chronic steroid use leading to immunocompromise

Front 95

3 year old af am with stroke

Back 95

sickle

Front 96

bug for epiglottitis

Back 96

h flu

Front 97

recurrent pna in same spot

next step

Back 97

bronchogenic ca

chest ct

Front 98

no thyroid risk
2x2 nodule in thyroid

next steps?

Back 98

TSH

if up, Hashimotos? adn do a FNA

if down, do a radioactive uptake; if hot, no worries

if wnl, FNA

Front 99

disease that disposes to amyloidosis

Back 99

RA

Front 100

nephrotic syndrome with positive on polarized light

Back 100

amyloidosis

apple green birefringence with congo red

Front 101

nephrotic syndrome with crescents

Back 101

RPGN

Front 102

nephrotic syndrome with linear immunoglobulin

Back 102

goodpastures, anti-GBM

Front 103

nephrotic with granular deposits

Back 103

immune complex glomerulonephritis, as in lupus or post strem

Front 104

sudden onset syncope without any warnings signs and frequent ectopic beats

etiology

Back 104

Arrhythmia

especially if pt on HCTZ

Front 105

IV abx for CF

Back 105

ceftazidime or ticarcillin

and

aminoglycoside such as gentamicin or amikacin

Front 106

severe proximal muscle weakness adn loss of DTS in the context of likely lung lesions

Back 106

Lambert Eaton

Front 107

lung lesions in Lambert Eaton

etiology?

treatment?

Back 107

SCC

Abs to Ca++ channels

plasmpharesis adn immunosuppression

Front 108

young woman with CP nocturnally and stress test showing transient ST changes

tx?

Back 108

Prinzmetal's angina (coronary vasopasasm)

quit smoking,
Ca++ blocker (Dilt) or nitrates

Front 109

any patient with Horners.

Next step

Back 109

chest CT to r/o lung cancer

Front 110

pink/violaceous lesions in HIV with decreased Tcell count

Back 110

Kaposis

Front 111

First step in patient with suspected SLE nephritis

Back 111

kidney biopsy

because different lupus nephrites require different tx