Step 2 Factoids L

Front 1

pimrary endocrine abnormality in turners

Back 1

no overy
decreased estrogen
increased FSH

Front 2

brown tumors
increased PTH

Back 2

osteitis fibrosis sycitca

von recklinghausen disease of the bone

Front 3

osteoclast overactivity

Back 3

pagets

Front 4

left hand paralysis and horners in newborn

cause?

nerves involved

Back 4

klumke paralysis from excessive arm traction

C7, C8 T1

Front 5

absent moro and intact grasp of affected arm

nerves?

Back 5

Erb Duchenne
C5-6

Front 6

senorineural hearing loss with aging

Back 6

presbyaucusis

Front 7

tinnitus
vertigo
sensorineural hearing loss

Back 7

menieres disease

Front 8

deficiency 2/2 isoniazid, leading to peripheral neurobably

Back 8

pyridoxine, B6

Front 9

loud P2

if seen in newborns?

Back 9

pulmonary HTN

endocardial cushion defect in downs

Front 10

flumenazil

Back 10

bernzo antidote

Front 11

buprenorphine

Back 11

long term opioid addiction management

Front 12

good rx for lupus pt with any riash, joint pain, oral ulcers

side effects

next step?

Back 12

hydroxychloroquine

retinoapthy
eye exams every 6 mos

Front 13

xmas tree pattern forming colored plaques

Back 13

pityriasis rosea

Front 14

ring shaped lesions with advancing scaly border and central clearings

Back 14

ringworm

Front 15

hip fracture
type I
describe and tx

Back 15

valgus impaction of femoral head

toe touch weight bearing on crutches

Front 16

hip fracture
type II
describe and tx

Back 16

complete but non displace fracture

tx is internal fixation or primary arthroplasty

Front 17

hip fracture
type III
describe and tx

Back 17

complete with displacement <50%

tx as for II, internal fixation or primary arthroplasty

Front 18

hip fracture
type IV
describe and tx

Back 18

complete with displacement >50%

arthroplasty

Front 19

were does BPH start

Back 19

cenetral prostate

Front 20

rx for voiding problems 2/2 BPH

Back 20

alpha blockers

Front 21

rx for malignant OE

rx
bug

Back 21

cipro
pseudomonas

Front 22

infant
cystic expansion of 4th ventricle

Back 22

dandy walker

Front 23

prinfant
protrusion of structures through foramen magnum

Back 23

chiari malformation

Front 24

communicating hydrocephalus in infant who has a decreased level of csness

Back 24

SAH

Front 25

Test for C diff

Back 25

cytotoxin assay (faster than stool culture)

Front 26

HTN, decreased K, decreased Renin

Back 26

primary hyperaldo

increased aldosterone
metabolic alkalosis

PA/PRA >30

Front 27

effect of renal artery stenosis on renin

Back 27

increases it

Front 28

severe accident victim in coma
increased Ca. why?

tx?

Back 28

immobilization leads to bone breakdown

bisphosphanates

Front 29

decreased CO and increased PCWP

Back 29

LV failure

Front 30

increased PCWP
increased cardciac output
SVR unchanged

Back 30

volume overload

Front 31

decreased PCWP
decreased LV pressure
decreased diastolic pressure

Back 31

hypovolemia

Front 32

what decreases in COPD

increases?

Back 32

FEVi
vital capacity

increases: total lung capacity

Front 33

neck pain
fever,
limited neck mobility

tx

Back 33

retropharyngeal abscess

IV broad spectrum

Front 34

increased fever
severe sore throat
pain with swallowing
escalates rapidly

Back 34

epiglottits

Front 35

beading of intrahepatic and extrahepatic biliary
pANCA
onion skin pattern
fatigue and priritis

Back 35

PSC

Front 36

tx for PSC

Back 36

urso
endoscopic dilationand stenting
definitive is transplant

Front 37

prognosis in PSC

Back 37

12 years without tranplant

Front 38

biliary disease
more often male
associated with uC/other IBD

Back 38

PSC

Front 39

biliary disease
mostley female
no pruritis/jaundice in early stages

Back 39

PBC

Front 40

livedo reticularis
neuropathy

Back 40

polyarteritis nodosa

Front 41

acute biliaray problem after eating fatty meal
murphys sign
fever
vomiting
leukocytosis

Back 41

acute cholecystitis

Front 42

sudden severe jaundice
fever
RUQ pain
leukocytosis

Back 42

acute cholangitis

Front 43

skin rash
hemoptysis
chest pain
GI bleed
arthralgias
pANCA + (not always)

Back 43

microscopic polyangitis

Front 44

biliary disease associated with UC

Back 44

psc

Front 45

test to confirm ovulation

Back 45

mid luteal serum progesterone

Front 46

JVD
ight sided S3
RV heave
hepatomegaly
ascites
edema

Back 46

RV failure
cor pulmonale

Front 47

how to differentiate cor pulmonale from cardiac tamponade

Back 47

hypotension with tamponade (and pulsus paradoxus)

Front 48

female adult
rash on eyelids
nose
cheeks
trunk
extremtitis

muscle weakness
possible vascuitis

Back 48

dermatomyositis

Front 49

facial overgrowth
macroorchidism
autism/hyperactive

Back 49

fragile X

Front 50

what marker is high in muscular dystrophy

Back 50

CK

Front 51

basement membrane Abs

Back 51

goodpastures

Front 52

3 lesions of endocarditis

Back 52

osler
roth janeway

Front 53

UMN or LMN? ALS

Back 53

both

Front 54

asthma pt with increased bp

rx?

Back 54

thiaziides
not beta blocker!

Front 55

pt with CHF
diabetes
MI
CHD
HTN
rx?

Back 55

ACE

Front 56

do you do an EKG prior to starting anti HTN tx?

Back 56

no
only if end organ damage is suspected

Front 57

arrhthmia with digoxin: AV block and ?

Back 57

atrial tachycardia that is neither flutter nor fib

Front 58

ectopy and AV block

Back 58

digitalis

Front 59

ectopy and increased vala tone

Back 59

digitalis

Front 60

nephropathy associated with HIV

Back 60

focal segmental

(like Af Ams, HIV pts are a segment)

Front 61

precocious puberty
cafe au lait spots
multiple bone defects
can be associated with hyperthyroid
and adrenal hypercorticalism

Back 61

mcCune Albright

Front 62

cafe au lait spots with axillary freckling

Back 62

von Recklinghsouen

Front 63

cafe au lait spots without axillary freckling

Back 63

McCune Albright

Front 64

Gi tract polyposis
mucocutaneous pigmentation
precocious puberty

Back 64

Peutz-Jaeger

Front 65

poyostotic fibrous dysplasia

Back 65

McCune Albright

Front 66

forceful hyperextension of knee. Injury?

Back 66

ACL tear

Front 67

dashboard injury to knee

Back 67

PCL tear

Front 68

abduction knee injury with varus stress

Back 68

MCL tear

Front 69

rx for gram + anaerobes

Back 69

clinda

Front 70

rxx for MRSA

Back 70

vanc

Front 71

rx for gram -

Back 71

piperacillin tazobactam

Front 72

QRS prolongation after overdose

Back 72

TCA

Front 73

LE edema and stasis dermatitis.
Cause?

Back 73

venous HTN
2/2 valve incompetience

Front 74

severe chronic pain in 1 LE

Back 74

arterial thrombosis

Front 75

glatiramer acetate = rx for?

mode of action

Back 75

MS

mode of action is T cell suppression

Front 76

argatroban
is for?
mode of action?

Back 76

preventing thrombosis in HIT

selective, reversible thrombin inhibitor

Front 77

17 year old girl needs appendectomy
has a 19 year old boyfriend with her..
consent?

Back 77

guardian/parent if possible

otherwise go on with emergent surgery

Front 78

cyanotic infant (2 days) with left axis deviation

Back 78

tricuspid atresia

Front 79

holosystolic murmur

Back 79

VSD, MR

Front 80

cyanotic infant
RA dilation
RVH on EKG

vs

cyanotic infant
biventricular hypertrophy on EKG

Back 80

TOF

Truncus

Front 81

TCV displaced into RV
RV incorporated into RA
extreme cardiomegaly
marked RA increased in size

cause?

Back 81

Ebstein's anomaly

lithium in pregnancy

Front 82

other name for osgood schlatter

Back 82

traction apophysitis

Front 83

how to assess severity of TCA overdose

Back 83

QRS elongation

Front 84

antidote for TCA overdose

Back 84

sodium bicarb

Front 85

vaginal bleeding at 35 weeks
no labor
prior CS
good fetal tracing
painless

Back 85

placenta previa

Front 86

risk factor for abruptio

Back 86

maternal HTN

Front 87

painful dark red vaginal bleeding

Back 87

abruption

Front 88

painless bleeding
fetal tracing not reassuring

Back 88

vasa previa

Front 89

intesne abdominal pain leading to bleeding

Back 89

uterine rupture

Front 90

open sore that bleeds, osszes or cursts
open more than 3 weeks
reddish patch

Back 90

basal cell

Front 91

shiny bump or nodule; pearl or transllucent

Back 91

basal cell

Front 92

elevated aceyl-carnitine levels

Back 92

SCD
systemic carnitine deficiency

Front 93

lifestyle mods for HTN in obese person, ranked

Back 93

1) wt loss
2) increased physical activity
3) decrease salkt
4) decrease alcohol

Front 94

sheep farmer

Back 94

echinococcus to hydatid cyst

Front 95

pig farmer

Back 95

neurocysticercosis

Front 96

cause of pancytopenia in SLE

Back 96

peripheral destruction by the type II hypersensitivity rxn

Front 97

penumococcus vaccine mechanism

Back 97

t cell indepenent
B cell response

Front 98

polio vaccine response

Back 98

IgA

Front 99

thoracic aortic aneuysm associated with

Back 99

Marfans

Front 100

anterior uveitis associated with

Back 100

ankylosing spondylitis

Front 101

oral ulcers associated with

Back 101

SLE
Crohns'
Behcets

Front 102

sterile skin pustules from minor trauma like a needle stick

Back 102

pathergy in Behcet

Front 103

who gets Behcet

Back 103

Asian or Middle eastern

Front 104

tx for behcets

Back 104

steroids

can wean to
azathioprine
cyclophosphamide
colchicine
thalidome

Front 105

back pain worseend by reset and relieved by activity

Back 105

ankylosing spondylisit

Front 106

assumetric growth restriction

Back 106

head continues to grow normally
usually caused by extrinsic factors

Front 107

symmetric growth restriction

Back 107

begins early in gestation
more worrisome because of permanent neuro sequelae

Front 108

which is worse, symmetric or assymetric growth restriction

Back 108

symmetric. happens earlier; neuro sequelae

Front 109

categories in BPP

Back 109

NST
chest expansion (> 30 /min)
fetal movement >3/30 min
fetal muscle tone (flexing an extremity)
amniotic fluid index

each worth 2
8-10 normal
4-8 inconclusve
below 4 abnormal

Front 110

early decesl

Back 110

head compression

Front 111

fetal decrease in heart rate and return to baseline with no relationship to contractions

Back 111

variable decels
umbilical cord compression

Front 112

decrease in heart rate after contraction started
no reeturn to baseline until contraction ends

Back 112

late decels
fetal bypoxia

Front 113

prolonged latent stage

Back 113

more than 20 (primipara) or 14 hours to reach 4 cm dilation

Front 114

protracted cervical dilation

Back 114

less than 1/2 cm dilation in primipara (<1.5 in multi) per hour during active phase

Front 115

time to perform cephalic version

Back 115

36 weeks

Front 116

rx after bimanual massage for postop hemorrhage

Back 116

oxytocin

Front 117

ischemic optic neuropathy

Back 117

temporal arteritis

Front 118

episcleritis

Back 118

RA
IBD

Front 119

poor perfuion in shock
next day dramatic increase in AST/ALT

prognosis?

Back 119

perfusion injury

if cause treated, should correct

Front 120

congenital diaphragmatic hernia in neonate.

1st step?
avoid?

Back 120

orogastric tube

bag and mask vent

Front 121

neonate
cyanotic

xray shows airfilled bowel loops in left hemithorax

Back 121

Congenital diaphragmatic hernia

Front 122

ascending paralysis
no prior infection

Back 122

tic borne illness
spinal cord tumors

Front 123

latent phase of labor
primipara
multipara

Back 123

> 20 hours
>14 hours

Front 124

tx for pituitary tumor (adenoma)

Back 124

<10mm cabergoline, bromocriptine

Front 125

bilateral upper abdominal masses

inheritance?

Back 125

PCKD

AD

Front 126

captopril renal dxan diagnoses?

Back 126

renal artery stenosis

Front 127

rx for chemo/nausea

Back 127

serotonin antagonists

Front 128

bit cells, Heinz bodies

inheritance
demographic?

Back 128

G6PD
x linked
Af am males

Front 129

flat philtrum
thin upper lip

Back 129

maternal alcohol

Front 130

young person with headache
increased BP
renal bruit

tx?
cause?

Back 130

renovascular HTN
2/2 renal artery stenosis

angioplasty with stent

fibromuscular dysplasia

Front 131

statistica test to compare 2 means

Back 131

two sample T

Front 132

statistical test for categorical data/proportions

Back 132

chi square

Front 133

nephrotic syndrome associated with hep B

Back 133

membranous

Front 134

anemia with increased iron; unchanged TIBC

Back 134

sideroblastic

Front 135

anemia with increased MCV, MCH
unchanged MCHC

Back 135

megaloblastic

Front 136

anemia with decreased TIBC

Back 136

chronic disease

Front 137

vertex presentation of fundus at 34 weeks

next step

Back 137

breech
wait untl 36 or 7 weeks

Front 138

6 y/o
petechiae/epistaxis 3 weeks after URI
decreased plts
hematuria

tx

Back 138

ITP

observation
steroids only if plt < 30k

Front 139

increased sinus/lung GI (Giardia) infection

predisposed to what operative complication

Back 139

IgA deficiency

anaphylactic rxn to transfusion

Front 140

acid base distrubance in persistent diarrhea

Back 140

non anion gap metabolic acidosis

Front 141

acid base distrubance in RTA

Back 141

non anion gap metabolic acidosis