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STEP 2 Random
STEP 2 Part 1 Rx review notes
| Question | Answer |
|---|---|
| What is the MCC of neonatal meningitis? | GBS (especially S. agalactiae) infection |
| What is the second MCC of neonatal meningitis? | E. coli infection |
| What is the third MCC of neonatal meningitis? | L. monocytogenes infection |
| What area are the associated ocular findings of NF-1? | Optic glioma and Lish nodules |
| What sign or symptom is more indicative of Optic glioma rather than Lish nodule in NF-1? | Vision loss |
| NF-1 patient with vision loss. Suspect condition? | Optic glioma |
| What is the best primary intervention of cardiac tamponade? | Bedside pericardiocentesis |
| Patient is having done a bedside pericardiocentesis. Suspected diagnosis? | Cardiac tamponade |
| Obstructive shock + JVD + bilateral breath sounds, but low/absent cardiac sounds. DX? | Cardiac tamponade |
| What is a common presenting profile of LSD intoxication? | Powerful sensory disturbances such as movement of shapes, light, and colors. |
| What are PHYSIOLOGIC reactions seen with LSD use? | Pupillary dilatation (mydriasis), tachycardia, salivation, and ↑ body temperature |
| What is another name for ecstasy? | MDMA |
| What is the clinical picture seen in Ecstasy used? | Social disinhibition, euphoria, and heightened self-awareness, however hallucinations are rare. |
| What is the main management for delirium? | ID and correction of underlying cause |
| What are some causes of Delirium? | Dehydration, electrolyte imbalance, infection, and polypharmacy |
| Which is commonly reversible, delirium or dementia? | Delirium |
| What is the pathogenesis of SJS? | Hypersensitive reaction to infections or drugs that start with Fever and flu-like S/S -->-->--> rash, conjunctivitis, and involvement of 2 or more mucosal sites |
| How much percentage of the body is affected in SJS? | < 10% of body surface area |
| What is Multisystem Atrophy (MSA)? | Adult-onset neurodegenerative disease associated with α-synucleinopathy |
| What is the classic MRI finding in MSA? | "Hot cross buns" and cross-shaped hypersensitivity on T2 sequence in axial MRI images of the pons |
| Which area of the brainstem is affected most commonly by MSA-P and/or MSA-C? | Pons |
| In pts with non-disseminated Kaposi sarcoma (KS), what is the best management? | Continue or start HAART |
| What can be added to HAART in patients with disseminated Kaposi sarcoma? | INF-α |
| What are the teratogenic effects of Carbamazepine? | Open NTDs, fingernail hypoplasia, microcephaly, cleft lip, and intrauterine growth restriction |
| What anticonvulsant used by mother can be suspected in child with fingernail hypoplasia, tuft of hair in back, and cleft lip? | Carbamazepine |
| Carbamazepine is an CYP450_____________. | Inducer |
| The fact that Carbamazepine accelerates its metabolism by the CYP450 system, it leads to which kind of water soluble vitamin deficiency? | Folate deficiency |
| What are the only 2 medical therapies that have shown to ↓ mortality in COPD? | Long-term oxygen therapy and smoking cessation |
| What is the surgical procedure that some qualified pts receives to ↓ mortality in COPD? | Lung-volume reduction surgery |
| What is the confirmatory test for parvo B19 infection? | PCR |
| How is parvo B19 infection in young women commonly presented? | Symmetric polyarthritis in hands, knees, and wrists |
| What is the best initial treatment for a patient with neutropenic fever? | IV vancomycin and cefepime, which are broad-spectrum antibiotics against gram (+) and gram (-) organisms, respectively. |
| What is a common complication of a Hodgkin lymphoma patient undergoing chemo and antibiotic therapy? | Neutropenic fever |
| What sources are best to obtain to diagnose Achalasia? | Upper endoscopy and associated biopsies |
| What are the 2 MCCs of secondary achalasia? | Malignancy and Chagas disease |
| What is the treatment antibiotic category for Cat Scratch disease? | Macrolide |
| Which macrolide is MOC for Cat Scratch disease? | Azithromycin |
| What is the main component overall of 70% of gallstones? | Cholesterol |
| What is a common complication of Spontaneous Bacterial Peritonitis (SBP)? | Hepatic encephalopathy |
| What are the most common PE findings in SBP? | Ascites and liver cirrhosis |
| What is the medical management of SBP? | Paracentesis showing WBC count > 250 cells/mm3 with neutrophilic predominance |
| On top of antibiotics, what has shown to cause a ↓↓ morbidity and mortality in pts with SBP? | IV albumin |
| What electrolyte level is checked in patients with Zollinger-Ellison syndrome? | Serum calcium level |
| What is the reason to check serum Ca2+ in ZES pts? | Rule-out concurrent hyperparathyroidism |
| What is the medical term for "clubfoot"? | Congenital Talipes Equinovarus |
| What is the most common complication of Clubfoot? | Recurrence after treatment |
Created by:
rakomi
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