Step 2 Factoids N

Front 1

tx for incontinence
stress
urge
overflow

Back 1

urethopexy
oxybutinin
bethanechol and alpha blockers

Front 2

tx for percarditis in context of uremia

Back 2

dialysis

Front 3

tx for uncomplicated pericarditis

Back 3

NSAIDS
sometimes steroids

Front 4

tx for tamponade

Back 4

pericardiocentesis

Front 5

class of ipratroprium, mainstay of COPD tx

Back 5

muscarinic

Front 6

rx to avoid in acute glaucoma

Back 6

atropine

Front 7

acut glaucoma tx
first step
other good meds

Back 7

mannitol
acetazolapmide, pilocarpine, timolol

Front 8

tx for injury of carotid with internal flab

Back 8

angiogram leading to surgical repair if there's an intimal flab

Front 9

PA:PRA ratio greater than 30

Back 9

primary hyperaldo

Front 10

tremor and chils within minutes of PRBC transfusion
tx
cause
prevention

Back 10

febrile transfusion rxn
NSAIDS and tylenol
Pt Abs vs. donor leukocytes
prevent by washing cells

Front 11

rx for dermatitis herpetiformis

Back 11

dapsone

Front 12

rx for pemphigus

Back 12

azathioprine

Front 13

back pain
lumbar flexion and sitting helps

Back 13

degenerative canal stenosis

Front 14

back pain
lumbar flexion makes worse

Back 14

lumbar disk herniation

Front 15

back pain
relieved by leaning forward

Back 15

degenerative canal stenosis

Front 16

rx for tremor in parkinsons

class?

Back 16

trihexyphenidyl

anticholinergic

Front 17

asthma daily,
night weakly
FEV1/FVC 60-80%

Back 17

moderate persistent
treat with
long acting beta 2 agonist
low dose inhaled stroid
PRN albuterol

Front 18

treatment for severe persistent asthma

Back 18

high dose inhaled steroid or oral pred
long acting b2 agonist
PRN albuterol

Front 19

chronic hepatitis with
periodic evaluation of transaminases
arthralgias

Back 19

hep C

Front 20

what to avoid in PTSD patients

Back 20

benzos and any substances of abuse

Front 21

site of brocas
site of motor cortex

Back 21

both frontal

Front 22

painless jaundice
much increased alk phos

Back 22

intraabdominal malignancy
eg pancreatic adeno

Front 23

inflammation and distantion of gallbaladder
typically 2/2 gallstones
first step

Back 23

active cholecystitis

first observe and volume rescusitate
abx
pain rx

Front 24

intermenstrual bleeding
complex hyperplasia without atypia

next step

with atypia?

Back 24

progestins and rebiopsy after 3-6 months (low progression to ca)

hysterectomy

Front 25

primary amenorrhea
increased FSH
15 y/o

next step

Back 25

karyotype

Front 26

# weeks of pregnancy at which GTT done
#grams glucose given
time for test
positive value

Back 26

24-28 weeks
50 grams
1 hr
>140

Front 27

unilateral LAD (cervical) in a kid
bug?

Back 27

staph aureus

Front 28

LAD in a kid after animal exposure
bug

Back 28

francisella tularensis

Front 29

LAD in pt with periodontal disease
bug?

Back 29

peptostrep

Front 30

accident patient with signs of urethral injury

next step?

Back 30

retrograde urethrogram prior to foley

Front 31

low pH in parapneumonic effusion

Back 31

empyema

Front 32

what kind of parapneumonic effusion requires chest tube

Back 32

empyema

Front 33

effusions with increased lymphocytes

Back 33

TB/lymphoma

Front 34

2 indications for chest tube placement in pleural effusions

Back 34

pH <7.2
glucose <60

Front 35

test ot diagnose pancreatic failure

Back 35

stool elastase

Front 36

D xylose test

Back 36

carb malabsorptive syndromes

Front 37

HIDA scan is for

Back 37

acute cholecystitis

Front 38

days post MI for

ruptures
papillary muscle rupture
acute pericarditis
dresslers

Back 38

5 days
5 days
first 3 days
weeks to months

Front 39

why does felcainide increase QRS on stress test

Back 39

use dependence

Front 40

endocrine disease associated with proximal muscle weakness

Back 40

hyperthyroid

Front 41

errythema nodosum on leg of a 30 year old Af Am female

next step

Back 41

CSR (sarcoid suspicion)

Front 42

kid with recurrent pna and adenitis requiring drainage

diagnosis
mechanisms

Back 42

CGD

failed oxidative metabolism in phagocytes

Front 43

immune disorder with lymphopenia

underlying deficiency

Back 43

SCID

adenosine deaminase

(ad -- it all adds up in SCID)

Front 44

difficulty with encapsulated bacteria

Back 44

C3 deficiency
agammaglobulinemia

Front 45

site of lesion in MS causing internuclear ophthalmoplegia

Back 45

MLF

Front 46

horizontal jerk nystagmus of R eye on rightward gase and L eye on leftward gaze

Back 46

internuclear ophthalmoglegia

Front 47

kid wit microcytosis
normal RDW
increased retics

Back 47

thalassemia

Front 48

kid with microcytosis
inreased RDW
decreased retics

Back 48

iron deficiency

Front 49

nervew ith sensation to medial lower leg

Back 49

femoral

Front 50

nerve for knee extension

Back 50

femoral

Front 51

nerve for flexion of knee

Back 51

tibial

Front 52

knee for plantar flexion

Back 52

tibial

Front 53

nerve for thigh adduction

Back 53

obturator

Front 54

time pattern of pain in ankylosing spondylitis

Back 54

worse at nigth/morning

Front 55

tx for ankylosing spondylitis

Back 55

TNF alpha antagonists and pain relief

Front 56

lung disease for which bronchoalveolar lavage is indicated

Back 56

pneumocystis when sputus analysis doesn't fit
malignancy

Front 57

proximal muscle weakness
back/shoulder rash
scales on hands

Back 57

dermatomyositis

Front 58

joint involvement in hemochromatosis

Back 58

MCP

Front 59

sausage digit

Back 59

psoriatic arthritis

Front 60

stiffness and pain of pelvic girdle

Back 60

polymyalgia rheumatica

Front 61

tx for adjustment d/o

Back 61

psychotherapy

Front 62

pna associated with COPD

Back 62

moraxella

Front 63

pna associated with recent flu

Back 63

staph aureus

Front 64

pna associated with cap

Back 64

strep pneumo

Front 65

pna associated with CAP/COPD

Back 65

h flu

Front 66

pna associated with diarrhea

Back 66

legionella

Front 67

feverurticaria
arthralgias

start 7-14 days after tx for URI with presumed bacterial origin

Back 67

drug induced reaction

URI likely viral but was treated with pcn

Front 68

widened pulse pressure

Back 68

AR

Front 69

causes of pimented gallstones

Back 69

hemolysis
chronic biliary tract infection
parasites

Front 70

tx for gonorrhea

tx for chlamydia

Back 70

ceftriaxone and azithro
azithro only

Front 71

symptomatic kid with pansystolic LLSB murmur

next step

Back 71

VSD

echo with bubble study

Front 72

symptomatic kid with
systolic ejection murmur at LLSB
widely split and fixed S2

Back 72

ASD

Front 73

lymphoma associated with chronic hep C

Back 73

B cell (not T cell)

B is close to C

Front 74

renal issue associated with chronic hep C

Back 74

membranoproliferative glomerulonephritis with proteinuria 2/2 cryoglobulinemia

Front 75

bite cells and heiz bodies

Back 75

G6PD

Front 76

Helmet cells

Back 76

HUS
DIC
TTP
traumatic hemoloysis

Front 77

basophilic stippling

Back 77

thalassemias
lead poisoning

Front 78

grade 2 murmur in kid at LLSB
systolic ejection
next step

Back 78

observation for all grade 2 murmurs

Front 79

kid with immune deficiency
with PCP
with recurrent sinopulmonary infections
with neutropenia

Back 79

hyper IgM

Front 80

frequent infections
respiratory
gut
urogenital

Back 80

selective IgA deficiency

Front 81

most common cause of adrenal insufficiency

Back 81

autoimmune adrenalitis

Front 82

tx for uric acid stone
mechanism

Back 82

potassium citrate
alkalizes urine

Front 83

presentation of nephrolithiasis but no stones

Back 83

uric acid stone or small Ca++ stone

Front 84

Abd XR with
white narrow outline of gallbladder

increased risk of?
tx?

Back 84

porcellain gallbladder
cancer
cholecystectomy

Front 85

hyperpigmentation of skin over pressure areas

Back 85

addisons

Front 86

vitiligo
dehydration
hypotension
hyperpigmentation

Back 86

addisons

Front 87

septic abortion
next steps?

Back 87

1) cultures
2) abx
3) suction curettage

Front 88

etiology of Zenkers

tx

site

Back 88

motor dysfunction

excision
cricopharyngeal myotomy

above upper esophageal sphincter

Front 89

cause of increased calcium in pts with

- metastatic bone lesions
- non-metastatic tumors
- Hodgkins

Back 89

TNF, IL1
PTHrP

calcitrol

Front 90

test for HSV encephalitis

first step
glucose and protein levels

Back 90

PCR (not culture))

IV acyclovir
glucose decreased; protein wnl

Front 91

1st drug administered with suspicion of MI

Back 91

aspirin

Front 92

gait with high stepping and slapping

Back 92

tabes dorsalis

Front 93

waddling gait

Back 93

MD

Front 94

tx of ascites, in order

Back 94

1) salt and water restriction
2) spironolactone to max
3) furosemide to max (not >1L/day)
4) tapping fluid daily and moderately (2-4L/day)

Front 95

risk of fast diuresis in ascites treatmetn

Back 95

hepato renal syndrome

Front 96

test for laucoma

Back 96

tonometry

Front 97

use of fluorescein

Back 97

corneal abrasions or herpes keratitis

Front 98

hyperthyroidism with racing heart

steps:

Back 98

1) propranolol for sx
2) 24 hr radiouptake scan to differentiate graves
3) if Graves, radioactive iodine

Front 99

test for starting lithium

Back 99

creatnine
TFTs

Front 100

possible toxic effects of lithium

Back 100

nephrotoxicity (DI)
hypothyroid
leukocysotis

Front 101

truama leading to elevated left hemi diaphragm on CXR

Back 101

diaphragmatic hernia

Front 102

eye with perlimbal injection and keratic precipitaties

Back 102

anterior uveitis

Front 103

aptimal tx of femur fracture

Back 103

1) closed reduction
2) intramedullary nail insertion/fixation

Front 104

tx for TTP-HUS

Back 104

plasmapharesis
=plasma exchange

Front 105

t has fasting glucose test
result = 136
next step

Back 105

repeat
2 values over 120 are needed

Front 106

rx for vfib if pt stable

Back 106

amiodarone or lidocaine

Front 107

digoxin used only for

Back 107

atrial arrhythmia

Front 108

rx for v ib if pt not stable

Back 108

cardioversion

Front 109

use of carotid massage

Back 109

SVT

Front 110

best predictor of fetal size

Back 110

abd circumference

Front 111

symmetric FGR=

Back 111

if <28 weeks, growth deficiency

Front 112

asymmetric FGR =

Back 112

> 28 weeks, growth deficiency

Front 113

apgar

Back 113

Color
Heart rate
Reaction to nasal stim
Tone
Respriation

CHaRTeR

Front 114

widening of mediastium 10 days post CABG

next step

Back 114

mediastinitis

thoracotomy for debridement and drainage; abx