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STEP 2 Random

STEP 2 Part 1 Rx review notes

QuestionAnswer
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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