Step 2, Set 4

Front 1

Systemic blastomycosis: presentation (3)

Back 1

*
Pulmonary symptoms
Ulcerated skin lesions
Lytic bone lesions

Front 2

Blastomycosis: tx

Back 2

Itraconazole or amphotericin B

Front 3

Two substances predisposing to pseudotumor cerebri

Back 3

* (SE)
Isotretinoin
Vitamin A

Front 4

Length of lithium maintenance in BPD

Back 4

Single manic episode: at least 1 year
Three+ relapses: lifelong tx

Front 5

Size of vessels in Wegener's

Back 5

Small and medium

Front 6

Presentation of Wegener's

Back 6

*
Glomerulonephritis
Upper and lower respiratory tract dz

Front 7

Serology in Wegener's

Back 7

* (seen in?)
c-ANCA

Front 8

Very high Ca levels: most likely cause?

Back 8

Hypercalcemia of malignancy

Front 9

LH:FSH ratio in PCOS

Back 9

* (ratio increased in PCOS)
Increased

Front 10

TB ppx in HIV

Back 10

INH

Front 11

Fluconazole: uses (3) in HIV

Back 11

* (med for)
1) Cryptococcus neoformans ppx
2) Coccidioides immitis ppx
3) Frequent Candida infections

Front 12

PCP ppx in HIV: 2 organisms

Back 12

* (ppx for)
PCP
Toxo

Front 13

Azithromycin ppx in HIV: for what?

Back 13

MAC when CD4 <50

Front 14

Alternatives to heparin for HIT

Back 14

Danaparoid
Direct thrombin inhibitors (argatroban, lepirudin)

Front 15

Drugs causing priapism (2)

Back 15

* (common SE)
Prazosin
Trazodone

Front 16

MC organism causing pericarditis

Back 16

Coxsackie

Front 17

Management of alkali (lye) ingestion

Back 17

Endoscopy

Front 18

Liver histology in PBC

Back 18

* (cause of this type of liver damage)
Ductopenia

Front 19

Liver histology in acetaminophen toxicity

Back 19

* (cause of this type of liver damage)
Centrilobular or diffuse necrosis

Front 20

Liver histology in PSC

Back 20

* (cause of this type of liver damage)
Periductal portal tract fibrosis
Segmental bile duct stenosis

Front 21

Hyperextended neck, impaired inspiration, hot potato voice: dx?

Back 21

Epiglottitis

Front 22

MCC of croup

Back 22

* (Causes what?)
Parainfluenza virus type I

Front 23

Foreign body aspiration: type of breathing difficulty

Back 23

Expiratory difficulty (wheezing)

Front 24

Horseshoe kidney: seen in?

Back 24

Turner syndrome

Front 25

Bullous myringitis: a/w?

Back 25

Mycoplasma pneumoniae

Front 26

CD4 count at which to start PCP ppx

Back 26

<200

Front 27

Presentation of Behcet's syndrome (3)

Back 27

*
Recurrent oral and genital ulcers
Uveitis
Skin lesions, incl erythema nodosum

Front 28

Management of TCA intoxication
-Mild
-Severe

Back 28

-Physostigmine
-Sodium bicarbonate

Front 29

Glatiramer acetate: use

Back 29

MS

Front 30

Decreased vascular compliance: type of HTN

Back 30

* (cause)
Isolated systolic HTN with widened pulse pressure in elderly pt

Front 31

Cause of HTN in hypothyroidism

Back 31

Increased systemic vascular resistance

Front 32

Malaria ppx:
-Chloroquine-resistant P. falciparum
-P. vivax and P. ovale

Back 32

* (type of malaria)
-Mefloquine
-Primaquine

Front 33

PCP tx

Back 33

IV TMP-SMX
+ Oral prednisolone for PaO2 <70

Front 34

PCP tx for pts who cannot tolerate TMP-SMX

Back 34

IV Pentamidine

Front 35

Bilateral solid ovarian masses in pregnancy: dx & rx?

Back 35

* (presentation)
Pregnancy luteoma; no action necessary

Front 36

Type of paralysis with botulism

Back 36

* (Infectious dx)
Descending paralysis

Front 37

Rapidly progressive ascending paralysis with no other abnormalities: dx?

Back 37

Tick-borne paralysis. Remove tick.

Front 38

Type 4 RTA
-Cause
-Presentation

Back 38

*
-Deficiency of or insensitivity to aldosterone
-Hyperkalemic non-gap metabolic acidosis

Front 39

Cardiomyopathy in amyloidosis: presentation

Back 39

*
Restrictive cardiomyopathy with thickened ventricular walls and preserved ventricular dimensions

Front 40

Type of amyloidosis a/w chronic inflammatory conditions

Back 40

* (a/w?)
AA amyloidosis

Front 41

Rh antibody titer at which a woman is considered sensitized

Back 41

>= 1:6

Front 42

Granulosa cell tumor: type of hormone secreted

Back 42

* (which tumor secretes this?)
Estrogen

Front 43

Sertoli-Leydig cell tumor: type of hormone secreted

Back 43

* (which tumor secretes this?)
Androgens

Front 44

HR for Apgar of 2

Back 44

>100

Front 45

Reaction to nasal stimulation: Apgars

Back 45

0: None
1: Grimace
2: Cough

Front 46

Tone/activity: Apgars

Back 46

0: Limp
1: Some flexion of extremities
2: Active flexion of extremities

Front 47

Goodpasture's syndrome: cause

Back 47

*
Anti-GBM antibodies

Front 48

Goodpasture's: tx

Back 48

Emergency plasmapheresis

Front 49

Leuprolide:
-Class
-Indication

Back 49

*
-GnRH antagonist
-Metastatic prostate ca

Front 50

Absence sz: tx (2)

Back 50

Ethosuxamide
Valproic acid

Front 51

Initial drug of choice for partial sz

Back 51

Phenytoin

Front 52

Pain over anteromedial part of tibial plateau, just below joint line of knee: dx?

Back 52

* (presentation)
Anserine bursitis

Front 53

Electrolyte imbalance causing increased DTRs

Back 53

Hypocalcemia

Front 54

Electrolyte imbalance causing decreased DTRs

Back 54

* (neuro manifestation)
Hypermagnesemia

Front 55

All-trans retinoic acid: treats?

Back 55

* (Tx)
Acute promyelocytic leukemia

Front 56

Philadephia chromosome

Back 56

9;22 (BCR-ABL - CML)

Front 57

Trachoma: presentation (2)

Back 57

*
Follicular conjunctivitis
Pannus (neovascularization) in cornea

Front 58

Dz caused by cryptococcus in HIV/AIDS with CD4 <200

Back 58

Meningoencephalitis

Front 59

Dx of acromegaly

Back 59

Measurement of GH levels following oral glucose load (will not be suppressed)

Front 60

Urine Na in pre-renal renal failure

Back 60

Very low (<10 mEq/L)

Front 61

2 meds for overflow incontinence

Back 61

*
Bethanechol (muscarinic)
Alpha-blockers

Front 62

Type of hydrocephalus caused by SAH

Back 62

Communicating

Front 63

Dandy-Walker and Arnold-Chiari: type of hydrocephalus

Back 63

Non-communicating

Front 64

Head CT findings with Dandy-Walker

Back 64

*
Cystic expansion of fourth ventricle

Front 65

Head CT findings with Arnold-Chiari

Back 65

*
Protrusion of posterior fossa structures through foramen magnum

Front 66

Triad of congenital toxo

Back 66

*
Chorioretinitis
Hydrocephalus
Intracranial calcifications

Front 67

Trad of congenital rubella

Back 67

*
Deafness
Cataracts
Cardiac defects

Front 68

Size of vessels in temporal arteritis

Back 68

Large

Front 69

Polymyalgia rheumatica: bad association

Back 69

Temporal arteritis

Front 70

Temporal arteritis: tx

Back 70

High-dose steroids

Front 71

Enthesitis
-Definition
-Common sites
-Association

Back 71

*
-Pain & inflammation at site of tendon/ligament attachment to bone
-Heels, tibial tuberosities, iliac crests
-Ankylosing spondylitis

Front 72

RDW in
-Thalassemias
-Iron-deficiency anemia

Back 72

* (Condition with this RDW)
-Normal
-Elevated (>20%)

Front 73

Anti-Jo antibodies seen in?

Back 73

* (Ab)
Polymyositis

Front 74

Anti-RNP antibodies seen in?

Back 74

* (Ab)
Mixed connective tissue disease

Front 75

PE findings in lung consolidation (3)

Back 75

*
Dullness to percussion
Egophany
Bronchial (increased) breath sounds

Front 76

Pain from which kind of ulcer is improved with food?

Back 76

* (effect of food)
Duodenal ulcer

Front 77

Pain from which kind of ulcer is worsened by food?

Back 77

* (effect of food)
Gastric ulcer

Front 78

Riluzole
-Class
-Indication

Back 78

*
-Glutamate inhibitor
-ALS

Front 79

When can post-exposure VZIg be given?

Back 79

Until 72-96 hours after exposure

Front 80

Severe lung exacerbation in pt with CF: tx?

Back 80

Ceftazadime + gentamicin

Front 81

Anti-pseudomonals (5)

Back 81

*
Ceftazidime
Ticarcillin
Aminoglycosides
Imipenem/meropenem
Ciprofloxacin/levofloxacin

Front 82

% transferrin saturation in hemochromatosis

Back 82

*
Elevated transferrin sat (>= 45%)

Front 83

Tx of recurrent hypercalciuric stones

Back 83

HCTZ

Front 84

Low urine pH: type of stone?

Back 84

* (Urine finding)
Uric acid stone

Front 85

Tx of uric acid stones

Back 85

* (tx of what?)
Potassium bicarb or potassium citrate to alkalinize urine

Front 86

Liver histology finding in Dubin-Johnson

Back 86

*
Dark granular pigment in hepatocytes

Front 87

Urine finding in Dubin-Johnson

Back 87

*
Elevated proportion of coproporphyrin I in urine

Front 88

Anchovy paste material in?

Back 88

Amebic abscess

Front 89

Tx of amebic abscess?

Back 89

Oral metronidazole

Front 90

-Initial dx test in ZE
-F/U test if results are non-diagnostic

Back 90

*
-Serum gastrin concentration
-Secretin stimulation test (secretin stimulates release of gastrin from gastrinoma cells only)

Front 91

MC nerve injury with fracture of midshaft of humerus

Back 91

* (injury damaging)
Radial nerve

Front 92

Sign of radial nerve damage

Back 92

* (nerve?)
Wrist drop

Front 93

Sign of ulnar nerve damage

Back 93

* (nerve?)
Claw hand

Front 94

Friedrich ataxia: type of mutation

Back 94

Trinucleotie repeat

Front 95

2 antipsychotics available in depot form

Back 95

Fluphenazine
Haloperidal

Front 96

Test of choice for urinary stones

Back 96

Non-contrast spiral CT of abdomen and pelvis

Front 97

Schilling Test: for?

Back 97

B12 deficiency/pernicious anemia

Front 98

Prussian blue staining: for what?

Back 98

* (test for)
Sideroblastic anemia

Front 99

Serum LDH increased in which type of megaloblastic anemia?

Back 99

B12 deficiency

Front 100

Nature of facial lesion in Sturge-Weber

Back 100

Cavernous hemangioma

Front 101

Skull x-ray finding in Sturge-Weber

Back 101

* (seen in?)
Tramline intracranial calcifications

Front 102

Heinz bodies: seen in?

Back 102

* (RBC finding)
G6PD deficiency

Front 103

Heinz bodies: appearance?

Back 103

*
Precipitants appearing in RBCs after crystal violet dye

Front 104

Howell-Jolly bodies: seen in?

Back 104

* (RBC finding)
Asplenia (functional or actual)

Front 105

Howell-Jolly bodies: appearance?

Back 105

*
Single, round, blue RBC inclusion on Wright stain

Front 106

Umbilcated vesicles over area of healing atopic dermatitis: dx?

Back 106

* (Presentation)
Eczema herpeticum

Front 107

Lab findings in inflammatory myopathies (2)

Back 107

Elevated ESR
Elevated creatine kinase

Front 108

Pernicious anemia: future risk of what?

Back 108

Gastric cancer

Front 109

Electrolyte abnormality predisposing to torsades

Back 109

* (cardiac abnl a/w)
Hypomagnesemia

Front 110

PPD considered positive in HIV pt

Back 110

>5mm

Front 111

Tx of asx HIV pt with + PPD

Back 111

INH (+pyridoxine) x 9 months

Front 112

Cotton-wool spots seen in what kind of diabetic retinopathy

Back 112

* (retinal finding)
Pre-proliferative diabetic retinopathy

Front 113

2 radiographical findings in osteosarcoma

Back 113

*
Codman's triangle
Sunburst pattern

Front 114

Radiographical finding in Ewing's sarcoma

Back 114

*
Osteolytic lesion with onion-skin appearance

Front 115

Tx for giardiasis

Back 115

Metronidazole

Front 116

Tx of uncomplicated acute bacterial sinusitis in children

Back 116

Amoxicillin

Front 117

Hep B serology during window period

Back 117

Anti-HBcAg

Front 118

Cryoprecipitate contains?

Back 118

* (in what?)
Fibrinogen

Front 119

Tx of TTP

Back 119

Plasmapheresis

Front 120

Next step if fingerstick lead screening is positive

Back 120

Confirm with serum lead level

Front 121

Rapid reversal of warfarin anticoagulation

Back 121

FFP

Front 122

DDAVP
-Given preop to whom?
-WHy

Back 122

*
-Given pre-op to pts with mild hemophilia A
-Increases Factor VIII levels by releasing vWF

Front 123

Test of choice for AAA

Back 123

Abdominal US

Front 124

Causes of hyperprolactinemia (3)

Back 124

1) Elevated TRH (eg 2/2 hypothyroidism)
2) Dopamine antagonists
3) Pituitary/hypothalamic tumors

Front 125

Management of foreign body aspiration

Back 125

Direct laryngoscopy and RIGID bronchoscopy

Front 126

MCHC in HS

Back 126

* (Condition)
Elevated MCHC

Front 127

Complications of HS (3)

Back 127

*
Cholelithiasis
Chronic leg ulcers
Aplastic crisis

Front 128

Rx in HS

Back 128

Folic acid supplementation

Front 129

Build tower of 2 blocks: when?

Back 129

* (tower of how many blocks?)
15 months

Front 130

Obeys 2-step command: when?

Back 130

2 years

Front 131

Raking grasp: when?

Back 131

6 months

Front 132

Tower of 6 blocks: when?

Back 132

* (tower of how many blocks?)
2 years

Front 133

When to do GBS cultures

Back 133

35-37 weeks

Front 134

PPV
-Meaning
-Equation

Back 134

*
-Proportion of pts with + test who truly have the dz
-TP/(TP+FP)

Front 135

NPV
-Meaning
-Equation

Back 135

*
Proportion of pts with - test who truly don't have the dz
-TN/(TN+FN)

Front 136

Sensitivity
-Meaning
-Equation

Back 136

*
-Proportion of pts with a dz who have a positive test
-TP/(TP+FN)

Front 137

Specificity
-Meaning
-Equation

Back 137

*
-Proportion of pts without a dz who have a negative test
-TN(TN+FP)

Front 138

Ranitidine: class

Back 138

H2-receptor antagonist

Front 139

Dx test for pancreatic pseudocyst

Back 139

US

Front 140

Appearance of cells in HSV esophagitis

Back 140

*
Ballooning degeneration, eosinophilic intranuclear inclusions

Front 141

Immunodeficiencies with Giardia infection

Back 141

B-cell deficiencies

Front 142

Max FiO2 in ventilated pts

Back 142

40%

Front 143

Thayer-Martin media

Back 143

* (type of plating media)
Gonococcus

Front 144

Skin finding with Mycoplasma pneumonia

Back 144

Erythema multiforme

Front 145

Sumatriptan: class

Back 145

Serotonin agonist

Front 146

Rx to prevent vasospasm in pts who have had SAH

Back 146

Calcium channel blockers

Front 147

Cause of restrictive lung disease with increased functional residual capacity

Back 147

Ankylosing spondylitis (fusion of costovertebral joints)

Front 148

"Pencil-in-cup" deformity: seen in what?

Back 148

* (radiographic finding)
Psoriatic arthritis

Front 149

Extra heart sound in aortic stenosis

Back 149

S4

Front 150

Nerve at risk in fracture of medial epicondyle of humerus

Back 150

* (injury that can damage)
Ulnar nerve

Front 151

Finding in radial nerve injury

Back 151

* (Nerve?)
Wrist drop

Front 152

Two causes of radial nerve damage

Back 152

* (Nerve?)
Humeral midshaft fracture
Improperly fitting crutches

Front 153

Nerve at risk in anterior shoulder dislocation

Back 153

* (Injury that can damage)
Axillary nerve

Front 154

Enzyme in adipose tissue that converts adrenal androgens to estrogen

Back 154

Aromatase

Front 155

Cat-scratch disease
-Organism
-Presentation

Back 155

*
-Bartonella henselae
-Lymphadenopathy

Front 156

Pruritic, elevated, serpiginous lesions: dx?

Back 156

* (presentation)
Cutaneous larva migrans

Front 157

Cutaneous larva migrans
-Organism
-Found where?

Back 157

*
-Ancylostoma braziliense (dog/cat hookworm)
-Tropical/subtropical sand

Front 158

Cause of febrile transfusion rxn

Back 158

* (type of transfusion reaction)
Host antibodies to donor leukocytes

Front 159

Breastfeeding jaundice
-Type of hyperbilirubinemia
-When?
-Cause
-Pathophsyiology

Back 159

*
-Unconjugated
-Jaundice a few days after birth
-Insufficient breastfeeding
-Increased enterohepatic circulation

Front 160

Galactosemia: type of hyperbilirubinemia

Back 160

Conjugated

Front 161

Condition with elevated ACE levels

Back 161

Sarcoidosis

Front 162

Lateral spinothalamic tracts: type of sensation

Back 162

* (tract?)
Pain and temp

Front 163

Where do lateral spinothalamic tracts cross?

Back 163

Early

Front 164

Where will sensory loss start with damage to lateral spinothalamic tract?

Back 164

Contralateral loss of pain & temp sensation two levels below lesion

Front 165

Bowel ischemia: acid-base abnl

Back 165

Anion-gap metabolic acidosis

Front 166

CF
-Chromosome
-MC type of mutation

Back 166

-Ch 7
-Three base-pair deletion

Front 167

Goal INR for pt with AFib

Back 167

2.0-3.0

Front 168

Goal INR for pt with idiopathic DVT

Back 168

2.0-3.0

Front 169

Goal INR for pt with prosthetic heart valve

Back 169

2.5-3.5

Front 170

Segment of spine most often affected by RA

Back 170

Cervical spine

Front 171

Screening mammogram schedule

Back 171

Every two years from 50-75

Front 172

"Blood and thunder" appearance on fundoscopic exam: dx?

Back 172

CRVO

Front 173

CRVO: presentation on fundoscopic exam (4)

Back 173

*
1) Optic disk swelling
2) Retinal hemorrhage
3) Dilated veins
4) Cotton wool spots

Front 174

CRAO: presentation on fundoscopic exam (3)

Back 174

*
1) Optic disk pallor
2) Cherry red fovea
3) Boxcar segmentation of blood in retinal veins

Front 175

MC nephropathy a/w carcinoma

Back 175

Membranous nephropathy

Front 176

Type of nephropathy a/w Hodgkin's lymphoma

Back 176

Minimal change disease

Front 177

Initial hematuria: location of lesion?

Back 177

* (type of hematuria)
Urethral

Front 178

Terminal hematuria: location of lesion

Back 178

* (type of hematuria)
Bladder or prostate lesion

Front 179

Total hematuria: location of lesion

Back 179

* (type of hematuria)
Ureteral or renal