Step 2, Set 5

Front 1

Tx of MAC in AIDS

Back 1

* (tx for what?)
Clarithyromycin + ethambutol

Front 2

Kallman's syndrome

Back 2

*
Hypogonadotrophic hypogonadism with anosmia

Front 3

Hydatid cyst
-Organism
-Exposure

Back 3

-Echinococcus granulosus
-Dogs

Front 4

Hydatid cyst: appearance on CT

Back 4

*
Eggshell calcifications in liver cyst on CT

Front 5

Nephrotic syndrome: heme abnl

Back 5

Hypercoagulability

Front 6

Wernicke's encephalopathy (3)

Back 6

*
-Encephalopathy
-Oculomotor dysfunction
-Gait ataxia

Front 7

Korsakoff's syndrome (3)

Back 7

*
-Irreversible amnesia
-Confabulation
-Apathy

Front 8

Cause of Wernicke-Korsakoff

Back 8

Thiamine (B1) deficiency, including glucose administered without thiamine

Front 9

HIDA scan: use

Back 9

Cystic duct obstruction

Front 10

Diamond-Blackfan anemia

Back 10

Congenital pure red cell aplasia

Front 11

Principal cause of lacunar stroke

Back 11

HTN

Front 12

Dysarthria-clumsy hand syndrome: cause

Back 12

* (presentation)
Lacunar stroke at basis pontis

Front 13

Pure motor hemiparesis and ataxia-hemiparesis: cause

Back 13

* (presentation - 2)
Lacunar stroke in posterior limb of internal capsule

Front 14

Pure sensory stroke: cause

Back 14

* (presentation)
Lacunar stroke in VPL nucleus of thalamus

Front 15

Triad of disseminated gonococcal infection

Back 15

*
Polyarthralgias
Tenosynovitis
Vesiculopustular skin lesions

Front 16

Spread of rubella and measles rashes

Back 16

*
Rash spreading from face down

Front 17

Sx of rubella found in adult women

Back 17

Arthritis

Front 18

Tx of anorexia in malignancy (2)

Back 18

Progestins (first-line)
Corticosteroids

Front 19

Impaired mechanism in G6PD deficiency

Back 19

*
Impaired glutathione synthesis

Front 20

B12: cofactor for?

Back 20

Purine synthesis

Front 21

Cryoprecipitate contains?

Back 21

* (what contains these?)
Factor VIII
Factor IX
vWF
Fibrinogen

Front 22

Mechanism of hyperventilation in decreasing ICP

Back 22

Vasoconstriction --> decreased cerebral blood flow

Front 23

Aggressive diuresis in ascites: risk

Back 23

Hepatorenal syndrome

Front 24

Order of interventions for ascites

Back 24

1) Salt/water restriction
2) Spironolactone
3) Furosemide
4) Paracentesis

Front 25

Glucose-6-phosphatase defiency: AKA?

Back 25

* (deficiency)
Type I glycogen storage disease
Von Gierkes' dz

Front 26

Glucose-6-phosphatase deficiency/Type I glycogen storage disease: presentation (5)

Back 26

*
Hypoglycemia
Lactic acidosis
Hyperuricemia
Hyperlipidemia
Doll-like face with thin extremities and protuberant abdomen

Front 27

Acid maltase deficiency: AKA

Back 27

* (deficiency)
Type II glycogen storage dz
Pompes' dz

Front 28

Acid maltase deficiency/Type II glycogen storage disease: presentation

Back 28

*
Floppiness/feeding difficulties
Macroglossia
Hepatomegaly
Heart failure 2/2 hypertrophic cardiomyopathy

Front 29

Type III glycogen storage disease: deficiency

Back 29

* (dz)
Glycogen debranching enzyme deficiency

Front 30

p-ANCA: two conditions

Back 30

* (serology)
Churg-Strauss
Microscopic polyangiitis

Front 31

Rash starting on wrists and ankles: dx?

Back 31

RMSF

Front 32

Russell viper venom: tests for?

Back 32

Lupus anticoagulant

Front 33

Histological presentations of DM nephropathy (2)

Back 33

*
Diffuse glomerulosclerosis (MC)
Nodular glomerulosclerosis (most classic)

Front 34

Abs (2) in classic (Type I) autoimmune hepatitis

Back 34

*
Anti-smooth muscle
ANA

Front 35

Igs elevated in MM (2)

Back 35

IgG and IgA

Front 36

Main Ig in heavy chain dz

Back 36

IgA

Front 37

Waldenstrom's macroglobulinemia: 2 lab abnl

Back 37

*
Hyperviscosity
Serum IgM spike

Front 38

De Quervain tenosynovitis: found in whom?

Back 38

New mothers

Front 39

Small intestine bx finding in Whipple's dz

Back 39

*
PAS-positive material in lamina propria of small intestine

Front 40

Presentation of Whipple's dz (5)

Back 40

GI sx
Polyarthropathy
Chronic cough
Heart problems
Hyperpigmentation

Front 41

Hemolytic anemia with venous thrombosis: dx?

Back 41

PNH

Front 42

Expressive aphasia and hemiparesis: lobe?

Back 42

Frontal lobe

Front 43

Sensory cortex: which lobe?

Back 43

Parietal

Front 44

Presentation of Beckwith-Wiedemann syndrome (4)

Back 44

*
-Macrosomia/macroglossia/visceromegaly
-Microcephaly
-Omphalocele
-Hyperinsulinemia

Front 45

Congenital conditions in infant of a diabetic mother (4)

Back 45

*
1) Caudal regression syndrome
2) TGV
3) Duodenal atresia and small left colon
4) Anencephaly and NTDs

Front 46

WAGR syndrome

Back 46

Wilms tumor
Aniridia
Genitourinary anomalies
Mental Retardation

Front 47

Denys-Drash syndrome (3)

Back 47

*
Wilms tumor
Male pseudohermaphrodism
Renal failure with mesangial sclerosis

Front 48

Cutoffs for three hour 100 g OGTT

Back 48

Fasting: 95
One hour: 180
Two hours: 155
Three hours: 140

Front 49

Initial OGTT in pregnancy
-When
-Grams
-Cutoff

Back 49

-24-28 weeks
-50 grams
-140 mg/dL

Front 50

Central cord syndrome
-Type of injury
-Typical pt
-Presentation

Back 50

*
-Hyperextension injury
-Elderly pt with degenerative changes in C-spine
-UE weakness

Front 51

Corneal sensation: nerve?

Back 51

Trigeminal (Ophthalmic branch, V1)

Front 52

Hereditary telangiectasia: other name

Back 52

* (other name)
Oscar-Weber-Rendu syndrome

Front 53

Hereditary telangiectasa/OWR syndrome: presentation (3)

Back 53

*
1) Diffuse telangiectasias
2) Recurrent epistaxis
3) AVMs

Front 54

Medical management of missed abortion

Back 54

Vaginal misoprostol

Front 55

p-ANCA: positive in?

Back 55

* (serology)
UC

Front 56

Dx:
Marfan's features
Thromboembolic events
MR
Downward dislocation of lense

Back 56

Homocytinuria

Front 57

Homocystinuria: tx

Back 57

B6

Front 58

Initial tx of SVT

Back 58

Adenosine

Front 59

SIADH seen with which type of lung cancer?

Back 59

Small cell

Front 60

Electrolyte abnl a/w succinylcholine

Back 60

Hyperkalemia

Front 61

CLL: type of cells

Back 61

Mature B-cells

Front 62

Signs of poor prognosis in CLL

Back 62

Anemia, thrombocytopenia

Front 63

Initial management of spinal cord injury

Back 63

IV steroids

Front 64

Cord cavity: a/w?

Back 64

Synringomyelia

Front 65

Systemic sclerosis: Ab

Back 65

*
Anti-topoisomerase I

Front 66

Autoimmune hepatitis: Ab

Back 66

*
Anti-smooth muscle

Front 67

Systemic sclerosis: presentation (4)

Back 67

*
Scleroderma skin findings
GERD
Right heart failure
HTN

Front 68

MC valvular abnl in pt with infective endocarditis not related to drugs

Back 68

Mitral regurg/prolapse

Front 69

Single cyst in right lobe of liver following bloody diarrhea: dx?

Back 69

Amebic cyst

Front 70

Alprazolam: short- or long-acting?

Back 70

Short-acting

Front 71

Clonazepam: short- or long-acting?

Back 71

Long-acting

Front 72

Usual method to compare two means

Back 72

Two-sample t test

Front 73

Premature adrenarche
-What is?
-Cause
-Concerning?

Back 73

*
-Premature axillary hair
-Premature androgen secretion by adrenals
-Not concerning

Front 74

Heme complication of EBV mono

Back 74

AIHA and thrombocytopenia

Front 75

Soap-bubble appearance in epiphysis of long bone: dx?

Back 75

Giant cell tumor

Front 76

Giant cell tumor: benign or malignant

Back 76

Benign but locally aggressive

Front 77

Postpartum endometritis: organism

Back 77

Polymicrobial

Front 78

Tx of postpartum endometritis

Back 78

Clindamycin + gentamicin

Front 79

Gentamicin: covers?

Back 79

Gram-negatives

Front 80

Abs specific for SLE (2)

Back 80

*
Anti-Smith
Anti-dsDNA

Front 81

LH:FSH in premature ovarian failure

Back 81

Decreased

Front 82

Bilateral trigeminal neuralgia: seen in?

Back 82

MS

Front 83

Linear Ig deposits on renal bx: dx?

Back 83

Goodpasture's

Front 84

Granular Ig deposits on renal bx: dx?

Back 84

Immune complex dz

Front 85

Lynch syndrome II: extracolonic cancer

Back 85

Endometrial

Front 86

Tx for fibromucscular dysplasia

Back 86

Percutaneous angioplasty with stent placement

Front 87

Shy-Drager syndrome =

Back 87

* (AKA)
Multiple system atrophy

Front 88

Shy-Drager/multiple system atrophy: presentation (3)

Back 88

*
Parkinsonism
Autonomic instability
Widespread neuro signs

Front 89

Acute post-strep glomerulonephritis: presentation (5)

Back 89

*
Hematuria
HTN
Red cell casts
Mild proteinuria
Low C3 complement levels

Front 90

Typical presentation of IgA nephropathy

Back 90

*
Hematuria following URI

Front 91

ZE: seen with which MEN?

Back 91

MEN I

Front 92

Presentation of transtentorial (uncal) herniation

Back 92

*
1) Ispilateral hemiparesis
2) Mydriasis
3) "Down and out" gaze
4) Contralateral homonymous hemianopia
5) Altered level of consciousness

Front 93

Mechanism of exudate

Back 93

Increased capillary permeability

Front 94

Cause of hypercalcemia in metastatic solid tumors

Back 94

* (In what scenario do these cause hyperCa?)
Cytokines

Front 95

Cause of hypercalcemia in Hodgkin lymphoma

Back 95

* (In what scenario does this cause hyperCa?)
Calcitriol

Front 96

HTN, muscle weakness, numbness: dx?

Back 96

* (presentation - 3)
Primary hyperaldosteronism

Front 97

Midgut volvulus
-Age
-Presentation (3)

Back 97

*
<1 month
-Bilious vomiting, abdominal distention, bloody stool

Front 98

Three choices for tx of asx bacteriuria in pregnancy

Back 98

Nitrofurantion
Amoxicillin
1st gen ceph

Front 99

Whom to give post-exposure tetanus Ig to?

Back 99

Non-clean wound with <3 tetanus toxoid vaccines in past

Front 100

2 drugs that decrease clearance of theophylline

Back 100

Ciprofloxacin
Erythromycin

Front 101

Neuromuscular blocking agent that is safe in liver and kidney failure

Back 101

Atracurium

Front 102

WBC of synovial fluid in septic arthritis

Back 102

>50K

Front 103

Organism a/w reactive arthritis

Back 103

Chlamydia trachomatis

Front 104

Drugs that decrease folate levels (5)

Back 104

* (SE of all)
Phenytoin
Phenobarb
Primidone
Trimethoprim
Methotrexate