Usmle Step 2/ Sx

Front 1

CHILD P/W NASAL BLEEDING AND OBSTRUCTION W/ A MASS VISIBLE ON PHYSICAL EXAM. DX?

Back 1

ANGIOFIBROMA

Front 2

FEMALE PT P/W BREAST MASS AND NIPPLE RETRACTION. PMHX IS + FOR BREAST SX. MAMMOGRAM SHOWS COARSE CALCIFICATIONS AND BX SHOWS FOAMY MACROPHAGES AND FAT GLOBULES. DX?, DDX? TX?

Back 2

FAT NECROSIS OF THE BREAST
DDX: BREAST CA (HOWEVER, MAMMOGRAM IN CA SHOWS MICROCALCIFICATIONS INSTEAD OF COARSE)
THERE'S NO TX NEEDED

Front 3

WHATS ARE 3 CONTRAINDICATIONS FOR THE USE OF SUX TO INTUBATE A PT?

Back 3

HYPERKALEMIA (CRUSH INJURY)
DEMYELINATING DZ
TUMOR LYSIS SYNDROME
*USE VECURONIUM

Front 4

PT HAS SX AND IS IN VEG STATE. YOU FIND OUT PT IS DNR AND WITHDRAW LIFE SUPPORT. WHATS THIS EQUIVALENT OF?

Back 4

WITHHOLDING CARE FOR THE PT EQUALLY UNETHICAL

Front 5

WHY IS IT NOT A GOOD IDEA TO INFUSE D5W IN HYPOVOLEMIC PT?

Back 5

CAN CAUSE OSMOTIC DIURESIS AND DEHYDRATE PT FURTHER

Front 6

USES OF LACTATED RINGER?

Back 6

WHEN MASSIVE AMOUNTS OF FLUID ARE NEEDED. (TRAUMA, BURNS, HEMORRHAGE).
* FOR MAINTENANCE USE NS

Front 7

PT W A HO POPLITEAL ARTERY EMBOLECTOMY P/W PAIN IN LOWER LEG W WEAKNESS. PASSIVE STRETCHING OF LIMB CAUSES PAIN. DX? TX?

Back 7

COMPARTMENT SYNDROME.
URGENT FASCIOTOMY

Front 8

WHICH ANESTHETIC CAN BE SAFELY USED IN PT W LIVER AND RENAL IMPAIRMENT?

Back 8

ATRACURIUM
* METABOLIZED IN SERUM

Front 9

PT W/ H/O MI IS TO UNDERGO SX AND SURGEON ASKS TO DC BETA-BLOCKER BEFORE SX BC PT'S HR IS 60. WHY BAD IDEA?

Back 9

PT IS AT RISK OF REBOUND TACHYCARDIA AFTER ABRUPT DC OF BB

Front 10

MOST COMMON CAUSE OF POST-OP BLEEDING?

Back 10

POOR HEMOSTASIS BY THE SURGEON

Front 11

SP ABDOMINAL SX, IN WHAT ORDER DOES THE BOWEL REGAINS FNX?

Back 11

1- SB IN 3-4 HOURS POST OP
2- STOMACH IN ABOUT 24 HRS
3- COLON TAKES ABOUT 3-4 DAYS

Front 12

WHY IS LR PREFERRED OVER NS WHEN MASSIVE AMOUNTS OF IVF ARE NEEDED?

Back 12

LR IS LESS ACIDIC THAN NS HENCE A BIGGER VOLUME CAN BE GIVEN W/O AFFECTING ACID-BASE BALANCE

Front 13

IN A PT WHO PRESENTS VOMITING, WHAT IVF IS BENEFICIAL?

Back 13

NS DECREASES CL- CLEARANCE HENCE CORRECTING THE ALKALOSIS.
LR ELECTROLYTE CONTENT IS SIMILAR TO SB FLUID.