Step 2 Factoids J

Front 1

painless jaundice
weight loss

risk factor?

Back 1

pancreatic cancer

chronic pancreatitis

Front 2

age at which an umbilica hernia should be surgically treated

Back 2

3-4 years
OR
> 2cm
symptomatic
enlarges after age 2

Front 3

rx causing priapism

Back 3

trazodone
prazosin

Front 4

bloody diarrhea
increased T, BP,HR, RR, WBC
tenderness
after infra renal AAA repair

Back 4

mesenteric ischemia

Front 5

bilateral acoustic neuromas and cataracts

Back 5

NFM 2 (2 ears, 2 eyes)

Front 6

18 mos old with meningitis including rash.

bug?

Back 6

meningococcus
no rash with Hflu, listeria, GBS

Front 7

stiff
anterior uveitis

Back 7

ankylosing spondylitis

Front 8

most common meningitis in infants

Back 8

GBS

Front 9

cause of edema in Turners

Back 9

abnormal lymphatic development

Front 10

Phos, Ca, K, uric acid
in tumor lysis syndrome?

ppx?

Back 10

increased phos, K, uric acid
decreased Ca

ppx is allopurinol re uric acid

Front 11

cancers that can lead to tumor lysis syndrome

Back 11

Burkitt's
ALL

Front 12

cirrhosis
pancreatic fibrosis
increased skin pigmentation
cardiac conduction
hypogonadism

Back 12

hemochromatosis

Front 13

antiCCP

Back 13

RA

Front 14

anti ds DNA

Back 14

SLE

Front 15

glutamic acid decarboxylase ABS

Back 15

type 1D

Front 16

acetylcholine receptor abs

Back 16

MG

Front 17

HIV + male
losese his vision in a week 2/2 pain
mild conjnctivitis
keratitis
central necrosis of retina

Back 17

HSV retinitis or VZV

Front 18

HIV
painless loss of vision
withi hemorrhages
fluggy or granular lesions around the retinal vessels

Back 18

CMV

Front 19

key prognostic indicator in a woman with infiltrating ductal carcinoma

Back 19

TNM staging (tumor burden)

Front 20

leukocytosis
anemia
increased granulocytes (segemtned PMNs, band forms)
decreased alk phos

Back 20

CML

Front 21

decreased alk phos

Back 21

cml
hypophosphatemia
PNH (paroxysmal nocturnal hemoglobinuria)

Front 22

increased alk phos

Back 22

leukemoid reaction

Front 23

increased bone marrow iron

Back 23

hemochromatosis
anemia of chronic disease
sideroblastosis

Front 24

absence of measurable EPO

Back 24

polycythemia vera

Front 25

auer rods

Back 25

AML

Front 26

tartrate resistant acid phosphatase

Back 26

hairy cell leukemia

Front 27

vertigo

Back 27

albyrinthine dynsfunction

Front 28

vertigo propted by recumbent head position

Back 28

BPPV

Front 29

AAA repair leads to
B/L le weakness
urinary retention
spastic paraplegia
los of pain sensation
positive vibration sensation

Back 29

spinal cord ischemia at artery of adamkiewics (anterior circulation)

Front 30

primidone is given for

Back 30

eesential tremor (but propranolol better)

Front 31

side effects of primidone

Back 31

acute intermittent porphyria

Front 32

abdominal pain
neuro and psych abnormalities, after getting a medication for essential tremor

Back 32

primidone leading to acute intermittent porphyria

Front 33

vitamin deficiency in carcinoid

Back 33

niacin

Front 34

boy
hip, gorin or knee pain
antalgic gain

Back 34

legg calve perthes
or idiopathic avascular necrosis

Front 35

codman's triangle

Back 35

osteosarcoma

Front 36

tx for dumping syndrome post partial gastrectomy

Back 36

1) diet modifications
2) octreotide if usuccessful
3) reconstructive surgery

Front 37

meningitis
abnormal glucose
normal/slightly elevated protein
no organisms

tx?
common cause

Back 37

viral

supportive
echo/coxsackie (entero)

Front 38

meningitis
increased protein
decreased glucose

Back 38

bacterial

Front 39

meningitis
increassed RBC
increased WBC
increased protein
glucose could be iether way
temporal lobe lesion

how to diagnosie

Back 39

HSV

HSV PCR

Front 40

aortic dissection in person with HTN. Next step

Back 40

anti hypertensives

Front 41

polyps at risk for cancer

Back 41

villous, sessile >2.5 cm

Front 42

hen do flu meds need to be given

Back 42

within 48 hours

Front 43

cyanotic baby
100% O2 helping little

next step?

opposite drug?

Back 43

prostaglandin to keep ductus open

indomethacin

Front 44

pt on vent
Cco2 too low
adjustment

Back 44

decrease RR

Front 45

anemia while on TB meds

cause?
Tx?

Back 45

isoniazid

pyridoxine

Front 46

tb patient
treated
2 RBC pops normo and hypochromic

Back 46

sideroblastic anemia 2/2 isoniazid

Front 47

rx for toxo

Back 47

sulfadiazine and pyrimethamine

StoP Toxo

Front 48

rx for toxo ppx

Back 48

bactrim

Front 49

rx for neurocystercercosis

Back 49

albendazole

Front 50

rx for CNS lymphoa in HIV

Back 50

radiation

Front 51

proximal muscle weakness in 55 yo female

dx?

Back 51

polymyositis

muscle biopsy

Front 52

rx for legionella

Back 52

azithro or levo

Front 53

abx for aspiration pneumo

Back 53

clinda

Front 54

dx for legionella

Back 54

urine antigen or charcoal agar

Front 55

chronic inspiratory noise in a 1 week old
epiglottis rolling from side to side

Back 55

laryngomalacia

Front 56

laryngomalacia
tx
prognosis
better when?

Back 56

hold baby upright 30 minutes after feeding

subsides by 18 mos

baby prone with neck lifted

Front 57

pain with hot or cold food or emotional stress

Back 57

esophageal spasm

Front 58

dx for esophageal spasm

Back 58

manometry

Front 59

muddy bronw cast

Back 59

ATN

Front 60

RBC casts

Back 60

glomerulohephritis

Front 61

WBC casts

Back 61

interstital nephritis
pyelonephritis

Front 62

fatty casts

Back 62

nephrotic syndrome

Front 63

borad a wasxy casts

Back 63

cnronic renal failure

Front 64

cause of ATN

Back 64

prolonged decreased bp

Front 65

FeNa in ATN

Back 65

>2%

Front 66

pt given hyponaterima by worng admin of D5 1/2 NS

How to correct

Back 66

3% saline (no need to go slow because decrease in NA wasn't chronic)p
what?

Front 67

pt of levo. estrogen started. what happens?

Back 67

increase levo dose because estrogen induces liver enzymes

Front 68

leve dose in pregnancy

Back 68

increases

Front 69

fluid resuscitation for an elderly person

Back 69

IV Na-containing crystalloid solutions

Front 70

fluid resuscitation for burn patients

Back 70

colloids

Front 71

rash with "raised, sharply demarcated" advancing margins

bug?

Back 71

erysipelas

strep

Front 72

chronic infection of eye lid margins b/l
crusty discharge clings to lashes

Back 72

blepharitis

Front 73

difference betwen anterior and posterior blepharitis

Back 73

in anterior clings to lashes

in posterior hyperemic lid margins with telangiectasias

Front 74

why is it so hard to correct hypokalemia in an alcoholic

Back 74

hypomag (is a factor for K+ uptake)

so give mag!!

Front 75

low level of testosterone with low or inappropriately normal serum gonadotropins

dx

Back 75

central (secondary) hypogonadism

dx with prolactin level since that would in hibit gnRrh

Front 76

kee xray showing punched out erosions with a rim of cortical bone

Back 76

gouty arthritis

Front 77

kperiarticular osteopenia nad joint margin erosions

Back 77

RA

Front 78

calcification of cartilagenou structures

Back 78

pseudogout

Front 79

endocarditis with strep bovis. next step

Back 79

colonoscopy

Front 80

most common cause of pna in HIV

Back 80

strep pneumo

Front 81

decreased serum habtoglobin
increased LDH, bili

Back 81

hemolytic anemia

Front 82

rx: arrhythmia, headache, insomnia, N/V

Cause?

DDI?

Back 82

theophylline
cause is increased epinephrine release

cirpo and erythro increase its effects

Front 83

escessive feto-maternal hemorrhage

Back 83

palcental abruption

Front 84

rosette test

if positive
if negative

Back 84

for feto-maternal hemorhage

if positive correct the dose of anti D by usig Kleibauer betke stain OR fetal RBC stian using flow cytometry

if negative give the standard dose of anti-D

Front 85

when should the Ig be given for Rh

Back 85

28 weeks if uncoplicated

Front 86

holosystolic murmur over lower sternum, increaseing with inspiration

Back 86

tricuspid regurg

Front 87

drug for TC endocarditis

Back 87

van (liekly staph)

Front 88

drug for mitral endocarditis

Back 88

amp/sulbactam

Front 89

trauma pt
FAST inconclusive
Pt unstable

next step

Back 89

daignostic peritoneal lavabe

next is laparotomy

Front 90

single felshy lesion on labia majora

Back 90

vulvar cancer

Front 91

white thing and wrinkled skin over labia, pruritic

Back 91

lichen sclerosis

Front 92

vulvar lesion
hyperkeratotic
erosive
papulosquamous
pruritis
sore
with discharge

Back 92

llichen planus

Front 93

site of hemineglect on left

Back 93

right parietal

Front 94

site of receptive aphasia

Back 94

left temporal

Front 95

paralysis of vertical gaze, eyelid retraction

site
nerve involved
where?

Back 95

parinaud's syndrom

rostral midbrain

III
superior colliculus

Front 96

eyelid retraction

Back 96

collier's signs

Front 97

visual field defects and endocrine syndrome

Back 97

craniopharyngioma

Front 98

infant born with abducted feet on passive /active.

next step

Back 98

reassurance

Front 99

rx for pinworms

Back 99

albendazole
pyrantel

Front 100

most common travelers diarrhea

Back 100

e coli

Front 101

most common travelers diarrhea in nepal

Back 101

giardia, cyclosporidium

Front 102

most common travelers diarrhea in mts in N and W usa

Back 102

giardia

Front 103

which rhythms respond to shocking

Back 103

VF/Vfib

Front 104

tx for Afib leading to pulseless (PEA)

Back 104

1) chest compressions/CPR
2) Rx: epi/vasospasm

Front 105

pt in VF/VT. shocked 3 times. No response. Next ste;?

Back 105

IV lidocaine

Front 106

#1 RF for intraventricular hemorrage in newborn

Back 106

prematurity/low birth weight

Front 107

1st step in non-ketotic nyperglycemia coma

Back 107

NS
insulin

Front 108

auscultation abnormality in aortic dissection

cause?

Back 108

early diastolic murmur

AR causes it

Front 109

S4

Back 109

LVH

Front 110

fixed splitting of S2

Back 110

aSd and vSd

Front 111

kussmaul

cause?

Back 111

increased JVP with deep breath

RVF 2/2 pericarditis or RV infarct

Front 112

pulsus parvus et tardus

Back 112

AS

Front 113

woman
frequent headaches
hematuria

Back 113

analgesic abuse, to
nephropathy

(papillary necrosis)

Front 114

minor AST/ALT elevation on which TB med

next step?

Back 114

isoniazid


observe . No med changes

Front 115

memory/balance problems. Deficiency?

rx thant can cause

Back 115

B6 (v rare)

INH

Front 116

anterior mediastiummass

Back 116

thymoma

Front 117

middle mediastium mass

prognosis

Back 117

bronchogenic cyst

benign

Front 118

middle mediastium nass other than bronchogenic cyst

Back 118

tracheal tumor
pericardial cyst
lymphoma
lymph node enlarged
aortic dissection

Front 119

posterior mediastinum mass

Back 119

neurogenit tumors including
meningocele
enteric cyst
lymphoma
diagphragmatic hernia
esophageal humor
aortic aneursysm

Front 120

+/- of lidocaine use to treat VPBs in context of ACS

Back 120

decrease VF risk but
increased risk of asystole

Front 121

arrthymias in graves

Back 121

A fib

Front 122

demential with EEG peirod sharp waves

Back 122

creutzfeld Jakob

Front 123

hematuria and scrotal varicocele
fatigue
fever

Back 123

RCC

Front 124

ST elevations in I, aVL, V1-v3

associated murmur

Back 124

anteriolateral MI

MR

Front 125

change induced by acute MR

Back 125

increased LA pressure

Front 126

infant with
macrocytic anemia
low retics
congenital abnormlaities (triphalangeal thumbs)
neonatal pallor
no PMN hypersegmentation

Rx

Back 126

Diamond Blackfan

corticosteroids
if that fails, transfusion

Front 127

eczema
thrombocytopenia
decreased gammaglobulin

inheritance?

Back 127

wiscot aldrich
xlinked

Front 128

infant
pure RBC dysplasia
no macrocytosis

Back 128

transient erythroblasto of childhood

Front 129

8 year old
progressive pancytopenia adn macrocytosis
cafe au lait
microcephaly/ophthalmy
short
horseshoe kidenay
absent thumb

inheritance

Back 129

Fanconi

AR

Front 130

which rhesus type in mon means no incompatibility

Back 130

+

Front 131

eosinophilic and hemopthysis

Back 131

aspergillis

Front 132

dense nodules on chest, CT, not granulomas

Back 132

lung cancer

Front 133

bronchial thickening of chest CT

Back 133

bronchiectasis

Front 134

HIT predisposes to

Back 134

thrombosis

Front 135

suspect pancreatitis in a patient with no etoh/gallstones.
Next step

Back 135

lipid profiel (TGL>1000)
ERCP on 2nd episode

Front 136

stable angina and HTN. Rx?

Back 136

metoprolol

Front 137

painful bullae/blisters in mouth
spread
easy separation of epidermis with surface pressure

rx?

Back 137

pemphigus vulgaris

steroids
azathiprine and pred or methotrexate

Front 138

IgG vs IgG and C3 in dermal/epidermal jxn

Back 138

pemphgus has igG
bullous also has C3

bullous has bigger

Front 139

2 causes of decreased Ca ad increased Phos

Back 139

CRF (chronic)
primary hypo PTH

Front 140

decreased Ca, decreased phos
bone pain and tenderness

Back 140

osteomalacia

Front 141

decreased Ca and Phos in children

Back 141

vit D deficiency

Front 142

causes of hypo PTH

Back 142

1) surgery)
2) autoimmune
3) defective Ca receptor

Front 143

tx for VF

Back 143

defibrillation

Front 144

clubbing ina COPD pt (not hypoxemia in the case of COPD)

Back 144

malignancy

Front 145

dx of endometriosis

Back 145

laparoscopy

Front 146

which d/o increases risk for endometrial carcionoma

Back 146

PCOS (not endometriosis)

Front 147

rx for strep viridans endocarditis

Back 147

IV pcn or ceftriaxone

Front 148

rx for infantile spasms

Back 148

ACTH (IM )

Front 149

rx for siezures in tuberous sclerosis

Back 149

ACTH

Front 150

decreased IGs in infancy vs age 15-30

Back 150

Brutons vs. Common Variable immunodefieicny

Front 151

infant
decreased IgG
nl IgA,
~IgM

Back 151

transient hypogammaglobulinemai

Front 152

inheritance of brutons

Back 152

x

Front 153

infant with hypo Ca seizures

Back 153

Di George

Front 154

tx for clubfoot

Back 154

immediate stretching, manipulation
serial casting
if fails surgery btw 3-6 mos