Step 3 - What I Missed - Part 2

Front 1

diagnosis/tx for urethritis without purulent discharge

Back 1

chlamydia
azithro

Front 2

diagnosis/tx for urethritis with purulent discharge

Back 2

gonorrhea
ceftriazone

Front 3

nonpurulent urethritis that is not chlamydia.
diagnosis? treatment?

Back 3

trich
mycoplasma genitaleum
Ureaplasma

Front 4

treatment for trich

Back 4

flagyl

Front 5

why do mono patients often get a maculopapular rash

Back 5

ampicillin related immune complexes circulating

Front 6

tx for mono

Back 6

supportive, NSAIDS, rest

Front 7

9 months, wheezing, palpable liver edge, hyper inflated lungs... diagnosis?

Back 7

bronchiolitis

Front 8

first step for bronchiolitis

Back 8

respiratory isolation
trial of bronchodilators

Front 9

diagnosis for RSV

Back 9

repid detection in nasal secretions by ELISA

Front 10

LT side effect of RSV

Back 10

asthma

Front 11

if a doctor does not want to treat a patient, what to do?

Back 11

get another doctor to take on the case

Front 12

insulin regimen around surgery

Back 12

normal the night before
drip and D5NS/KCL infusion

Front 13

elevated risk of seizure after childhood febrile seizure

Back 13

some risk of seizure
significant risk of febrile seizure

Front 14

complication of myelomeningocele

Back 14

GU because of lumbar involvement

if S2-S3 then GI/fecal incontinence (more rare!)

Front 15

diagnosis:
pulse 172
no P waves
regular, narrow QRS

Back 15

PSVT

Front 16

completely irregular rhythm
absent p waves

Back 16

a fib

Front 17

wide QRS, tachy

Back 17

v tach

Front 18

saw tooth pattern

Back 18

a flutter

Front 19

arrhythmia in WPW

Back 19

paroxysmal SVT

Front 20

tx during delivery if mom has HPV

Back 20

normal labour without intervention

Front 21

hyperthyroid plus increased uptake on scan?

Back 21

toxic nodule

Front 22

rx for htn in opiate w/d

Back 22

clonidine

Front 23

thyroid disorder that can happen after angiography

tx?

Back 23

iodine-induced thyrotoxicosis

have to wait it out and it can take months

Front 24

standard tx for h pylori

Back 24

PPI
amox
clarithro

substitute flagyl if amp allergic

Front 25

tx for tx refractory h pylori

Back 25

PPI
tetra and flagyl
bismuth

Front 26

after diagnosis, next step in tx for gout joint attack

Back 26

NSADIS

BUT if renal failure,
intraarticular steroids

Front 27

test for spondyloarthropathies

Back 27

Schober
normal = 15cm or more between two marked points 10cm apart starting at 5th spinous process.. If that distance elongates appropriately on bending forward then normal

Front 28

next step after diagnosing SLE in a patient with renal involvement

Back 28

biopsy!! it's needed to guide tx

Front 29

1st step when NF1 is suspected

Back 29

optho

Front 30

cafe au lait spots

Back 30

NF 1

Front 31

most likely complication in bacterial conjunctivitis

Back 31

keratitis

Front 32

rx for bacterial conjuctivitis

Back 32

eryrthromicin drops

Front 33

dx for recent joint injury with local burning pain, edema, skin changes, decreased range of motion

Back 33

complex regional pain syndrome

Front 34

herbal remedy leading to spontaneous bleeding in combo with aspirin/warfarin

Back 34

ginkgo and horse chestnut

Front 35

herbal remedy that can aggravate hypertension

Back 35

licorice

Front 36

herbal remedy that can cause excess drowsiness/disorientation along with etch or benzos

Back 36

kava

Front 37

herbal remedy that can cause hypotension

Back 37

black cohosh used for PMS

Front 38

what are renal scintigraphy and IV pyelography useful for

Back 38

detecting acute pyelo

Front 39

tx for mania in pregnancy

Back 39

ECT

Front 40

ppx tx for cluster headaches

Back 40

verapamil

Front 41

tx for cluster headaches

Back 41

100% oxygen

Front 42

painful urination that doesn't resolve over months

immigrant from Africa
low hemoglobin
elevated whites

next step?

Back 42

schisto

next step is urine micro to find eggs or stool in urine

Front 43

adult with recurrent bacterial infections

what to test for?

Back 43

serum Ig levels

Front 44

what med has to be stopped prior to cath

Back 44

metformin because of contrast

Front 45

allergy that is contradiction for MMR

Back 45

gelatin
neomycin

Front 46

can you get MMR with recent administration of immunoglobulins

Back 46

no

Front 47

can you get MMR when pregnant

Back 47

no

Front 48

can you get MMR when breastfeeding

Back 48

yes

Front 49

can you get MMR with positive PPD

Back 49

yes

Front 50

can you get MMR with anaphylaxis to eggs

Back 50

yes

Front 51

can you get MMR with immunodeficient family member

Back 51

yes

Front 52

can you get MMR with HIV without severe immunosuppression

Back 52

yes

Front 53

treatment for HSV esophagitis

Back 53

predinsone

Front 54

dx for gian ulcers on esophagoscopy and HIV+

Back 54

esophagitis

Front 55

tx for CMV

Back 55

ganciclovir

Front 56

what is ranitidine used for

Back 56

GERD

Front 57

ppx for nurse pricked by HIV + pt with no VL?

high VL?

Back 57

2 NRTIs for 4 weeks
2N for Nurse/rN

3 drugs, 2Ns plus Protease inhibitor

in both cases 4 weeks

Front 58

first step after HIV exposure

Back 58

wash skin

Front 59

is HIV pix necessary if source has 0 viral load

Back 59

yes

Front 60

antibiotic that can cause seizures

Back 60

beta lactams:
penicillins
cephalosprorins
monobactams
carbapenems (imipenem)
fluoroquinolones

Front 61

gentamicin side effects

Back 61

vertigo
ataxia
ototoxicity

Front 62

hypoxemia, confusion, petechial rash in patient with a fracture

Back 62

fat embolism

Front 63

most common life-threatening complication of compartment syndrome

Back 63

rhabdo

Front 64

tx for toxic megacolon

Back 64

glucocorticoids IF not 2/2 cliff

Toxic Megacolon was a band on steroids

Front 65

first step in treating cocaine-related chest pain

Back 65

benzos

Front 66

BP meds to use in cocaine users

not to use?

Back 66

phentolamine (alpha blocker). Can also use nitroprusside and nitroglycerine

beta blockers

Front 67

BP medthadone can decrease coronary artery vasospasm in cocaine users

Back 67

phentolamine

Front 68

how to establish a definitie diagnosis of PCP

Back 68

fiberoptic bronchoscopy with lavage

Front 69

rx for PCP if bacterium not ok

Back 69

pentamidine

Front 70

when to add steroids to PCP tx

Back 70

Aa gradient >=35
or
arterial oxygen tension <=70

Front 71

dietary recommendation for 9 year old w 10 episodes of watery diarrhea over 36 hours with no NV, dehydration

Back 71

normal (limit fats and sugars)

Front 72

is loperamide ok to use in kids?

Back 72

NONONO

in kids its' linked to paralytic ileum, toxic megacolon, CNS depression, coma, death

Front 73

is BRAT diet good for kids

Back 73

NO

and neither are BRATS

Front 74

RF for mesothelioma

Back 74

als asbestos

Front 75

dx for:
HTN, hyperglycemia, osteoporosis, mood swings, hypkalemia, metabolic alkalosis

Back 75

Cushings

Front 76

test for Cushings

Back 76

dexamethasone suppression test

Front 77

tx for PMDD (severe PMS)

Back 77

1) fluoxetine
2nd line) alprazolam

Front 78

does PMS/PMDD increase risk for depression

Back 78

yes

Front 79

how to diagnose rotator cuff impingement

Back 79

painful arc test

Front 80

most comon, conservative tx for carpal tunnel

Back 80

nighttime splinting

Front 81

what is a crescent shaped hypo echoic region adjacent to gestational sac

what can it cause

Back 81

subchorionic hematoma

first trimester bleeding

Front 82

first step when subchorionic hematoma noted on 1st trimester u/s

Back 82

repeat us 1 week later

Front 83

test to measure fetal cells in maternal circulation?

why is it done?

Back 83

Kleihauer-Betke

large antepartum bleed in Rh neg mother

Front 84

most troubling complication of subchorionic hematoma

Back 84

spontaneous abortion

Front 85

cause of transverse limb anomal

Back 85

Adams-Oliver syndrome

Front 86

dorsal feet and hands edema
short webbed neck
cardiac murmur

Back 86

Turners

Front 87

monosomy of X

Back 87

Turners

Front 88

increased risk of further affected kids in:
Turner
Down
Klinefelter

Back 88

Down and Klinefelter only

risk is the opposite of DOWN and KLEIN

Front 89

do monthly breast exams reduce mortality

Back 89

no

Front 90

does chronic bronchitis increase risk of lung cancer?

Back 90

no

Front 91

do current guidelines recommend screening asymptomatic individuals at higher risk for lung cancer?

Back 91

no

Front 92

does quitting smoking reduce risk of worsening COPD

Back 92

yes!

Front 93

dx for:
- sudden increasing dementia
- difficulty walking/lowering into chair
- seizure

Back 93

PML

Front 94

is intracranial pressure increased in PML

Back 94

no

Front 95

tx for PML

Back 95

not necessarily a cure, but get on HAART (2 year survival extended)

Front 96

hypo pigmented spots with bilateral deafness

Back 96

NF2

got 2 ears!

Front 97

unilateral acoustic neuroma, axillary freckling

Back 97

NF1

1 acoustic neuroma

Front 98

dx for:
- congenital hypopigmented macule (ash-leaf)
- glial proliferation
several organi hamartomas

Back 98

Tuberous sclerosis

Front 99

facial port wine

Back 99

Sturge Weber

Port-Wine... Sturge-Weber

Front 100

multiple telagnectasiasn and vascular lesions of CNS

Back 100

ORW

Front 101

risk of having prostate cancer with elevated PSA of 5-10d (normal <'=4)

Back 101

25%

Front 102

multiple telagnectasiasn and vascular lesions of CNS

Back 102

ORW

Front 103

risk of having prostate cancer with elevated PSA of 5-10d (normal <'=4)

Back 103

25%