COMLEX Level 2
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| show | Corticosteroids & IV IG
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| TTP (thrombotic thrombocytopenic purpura) - cause? | show 🗑
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| show | Lunate fx
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| show | Hypoparathyroidism
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| show | Kidney unresponsiveness to PTH; high PTH
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| show | Hypocalcemia; facial nerve tapping causes contraction of facial muscles
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| show | Hypocalcemia; blood pressure cuff on the arm causes carpopedal spasms
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| show | Sertoli-Leydig cell tumor (androgen-secreting)
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| show | Herpes simplex virus; erythema multiforme minor
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| show | Stevens-Johnson syndrome; medications; mycoplasma pneumonia; mucous membrane ulceration w/ target lesions
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| Non-pruritic macules on palms and soles - most likely dx? | show 🗑
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| show | Flex, sidebend R, rotate R
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| show | Corticosteroids
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| Meniere's dz - acute tx; chronic tx? | show 🗑
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| Acute sinusitis - days after which bacterial concern > viral; supportive tx options? | show 🗑
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| Rhabdomyolysis - initial tx; likely metabolic disturbance and screening test; tx to reduce renal failure after initial step? | show 🗑
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| show | LH:FSH ratio at least 2:1; OCPs (oral contraceptive pills) +/- spironolactone
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| show | Hydrosalpinx
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| [OMM] Pancreatitis - chapman point? | show 🗑
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| show | L 7th intercostal space
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| [OMM] 2nd intercostal space chapman point - possible structures involved (4 of them)? | show 🗑
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| Child has a febrile seizure 2/2 AOM and presents with moderate left arm weakness - dx? | show 🗑
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| Tourette syndrome - tx? | show 🗑
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| show | OCD, ADHD, learning disorder, conduct disorder
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| show | L3-L4; L4
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| show | Diffuse esophageal spasm; diltiazem
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| 70 y.o. pt w/ SOB and CP w/ following EKG and clean coronary cath - dx? | show 🗑
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| show | Akathisia; propranolol or benzodiazepine
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| show | Niemann-Pick disease; sphingomyelinase deficiency; Tay Sachs does NOT involved the liver (hexosaminidase deficiency)
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| Tall, long-armed pt with medullary thyroid CA, pheochromocytoma - what else should be evaluated; dx; type of genetic transmission? | show 🗑
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| TTP (thrombotic thrombocytopenic purpura) - tx? | show 🗑
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| show | Sigmoid volvulus; endoscopic decompression followed by elective sigmoid resection (50% recurrence)
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| 27 y.o. female w/ suicidal ideation and a plan was sexually abused 16 years ago has intrusive memories and nightmares plus hypervigilance - dx; tx? | show 🗑
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| show | Tracheoesophageal fistula (NOT choanal atresia b/c abd distension; surgical repair)
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| show | Dubin-Johnson syndrome & Rotor syndrome (DJS black liver, can't visualize gallbladder on oral cholecystography, urine coproporphyrin I 80%...reverse is true for Rotor and 80% coproporphyrin III)
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| show | Culture and sensitivity (pseudomonas aeruginosa)
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| Gastric adenocarcinoma - which 2 organisms can cause it; which blood type? | show 🗑
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| Drug X is being tested on several pts who have HTN - which clinical phase is it in? | show 🗑
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| Most common location for compartment syndrome of the leg? | show 🗑
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| show | OCPs & NSAIDS (laparoscopy may be used if desires to conceive and cannot)
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| show | TCA or SSRI + CBT
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| show | Budd-Chiari syndrome (thrombosis of hepatic vein or IVC 2/2 hypercoagulable state); tissue plasminogen activator
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| show | Cluster headache; 100% oxygen; verapamil, prednisone, topiramte, or valproic acid
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| show | Hodgkin L, St 3 (St 1 = 1 LN, St 2 = 2 or more nodes on same side of diaphragm, St 3 = both sides of diaphragm incl one organ or area near the lymph nodes or spleen, St 4 = extralymphatic tissue [liver, bone, lungs], chemo (St 1/2 = rad, St 3/4 = chemo)
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| Obsessive-compulsive disorder vs. obsessive-compulsive personality disorder - difference? | show 🗑
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| show | 17-hydroxyprogesterone; high (21-hydroxylase is responsible for converting 17-hydroxyprogesterone to 11-deoxycortisol)
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| 45 y.o. female w/ intermittent RLQ pain, muscle weakness, and hallucinations. UA reveals high aminolevulinic acid - dx? | show 🗑
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| show | Omeprazole, amoxicillin, clarithromycin (upper GI w/ bx if age > 50 or troubling sxs)
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| [OMM] Prostate Chapman's point? | show 🗑
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| Wound dehiscence - what are some causes? | show 🗑
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| show | Atrial flutter
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| show | Oral Amoxicillin (AOM)
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| show | Observation (LCIS is not CA but a marker for breast CA development in both breasts at a rate of 1% per year...excision for ductal carcinoma in situ [DCIS] is appropriate followed by post-op radiation therapy)
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| show | True precocious puberty (GnRH increasing LH/FSH = true, if LH/FSH are low and GnRH doesn't affect = precocious pseudopuberty); GnRH analog (leuprolide, histrelin, nafarelin, buserlin...tx helps reach desired height)
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| 65 y.o. female has outbreaks of painless blisters on the dorsum of her hand, denies abd pain, has hypertrichosis and hyperpigmentation. Serum and urine levels of porphyrin elevated - dx; risk factors; tx? | show 🗑
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| show | Guillain-Barre syndrome; IVIG and plasmapheresis, if diaphragm involved use intubation
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| show | Paraesophageal requires surgery b/c it is fixed, sliding just treat GERD sxs
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| Fetal HR monitor shown: - etiology? | show 🗑
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| A new drug for HTN has an absolute risk reduction of 0.8% in deaths - how many people must be treated to save one extra life? | show 🗑
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| show | Reproducibility
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| 35 y.o female w/ duodenal ulcer - most common with which blood type; diagnostic test; most common risk factor? | show 🗑
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| Symptomatic hypertrophic cardiomyopathy - tx? | show 🗑
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| show | Corrosive akali like drain cleaner (white eschars are burns); upper endoscopy (evaluate extent of injury, i.e. esophageal perf that would require abx and surgery)
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| [OMM] What is the order in which thoracic cage dysfunctions are treated? | show 🗑
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| [OMM] Rib 3 anterior tenderpoint - tx position? | show 🗑
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| In order to make the dx of schizophrenia how long must the sxs be present? | show 🗑
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| show | Surgical detorsion of L testicle AND b/l orchiopexy (fixation)
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| Endometrial CA - How thick of endometrial stripe in postmenopausal woman is abnormal; Risk factor for endo CA, True/False: Smoking, Diabetes Mellitus, Obesity, OCP, PCOS? | show 🗑
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| Celiac disease - associated skin lesion; associated antibody tests? | show 🗑
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| show | TSH level (thyroid US for nodules no easily observed on physical); fine needle aspiration (FNA)
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| show | Hemothorax; CXR (to confirm dx in stable pt, tube thoracostomy for drainage)
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| Pt w/ painless bleeding, BP 100/70, P 95, R 18, colonoscopy shows diverticulosis - tx? | show 🗑
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| show | RUQ; US; MRI (preferred over CT in pregnancy)
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| show | Melancholic has weight loss & lack of mood reactivity & atypical has weight gain & mood reactivity (improved mood when something good happens)
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| Meningitis - what age is the cutoff between mostly Group B streptococcus prevalence to Streptococcus pneumoniae? | show 🗑
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| Meningitis - what age is the cutoff between mostly Streptococcus pneumonia prevalence to Neisseria meningitidis? | show 🗑
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| show | 18 years
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| show | Portal HTN (all ascites w/ SAAG > 1.1 g/dL...pre-hepatic [portal vein thrombosis], intra-hepatic [cirrhosis, hepatic fibrosis, hepatocellular CA] or post-hepatic [CHF, constrictive pericarditis, Budd-Chiari syndrome])
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| Pregnant mom has HIV - at what viral load is C-section indicated? | show 🗑
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| 60 y.o pt w/ chronic 5 week cough, R-sided hearing loss and tinnitus, no drainage, no pain when auricle is pulled - dx? | show 🗑
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| show | Trisomy 13 (rocker-bottom feet also in Trisomy 18)
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| Pt assaulted her husband and kids, is very agitated, has rotatory nystagmus, and elevated CK - intoxicated by what? | show 🗑
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| show | Tetrabenazine (promotes degradation of dopamine)
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| [OMM] Sacral dysfunction - (+) seated flexion on right, where is oblique axis; rules for L5 sidebend and rotation? | show 🗑
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| Paraneoplastic syndromes associated with lung CA - squamous cell CA; small cell CA? | show 🗑
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| EGD shows circumferential membranous ring in distal esophagus, normal iron - dx; tx; dx if iron deficiency is present? | show 🗑
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| show | Adrenal insufficiency 2/2 Tuberculosis (TB is most common cause of adrenal insufficiency worldwide); low cortisol level w/ no response to cosyntropin (ACTH analog); corticosteroid
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| show | Weird, wild, worried (weird = paranoid, schizoid, schizotypal...wild = borderline, histrionic, narcissistic, antisocial...worried = OCD, avoidant, dependent)
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| Polymyositis vs. dermatomyositis - 3 key differences? | show 🗑
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| Physician bills an insurance company, 80% paid by company, 20% is co-pay by pt. Physician waives co-pay - OK to do? | show 🗑
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| Which dietary supplement can treat mild-moderate depression and interacts with warfarin? | show 🗑
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| Spondylolisthesis - what are grades 1-4 for anterior displacement? | show 🗑
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| show | Hypercholesterolemia
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| Allergic rhinitis - most effective tx? | show 🗑
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| Woman 40 y.o. - most common cause of death at her age? | show 🗑
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| show | Copper
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| Amyotrophic lateral sclerosis (ALS) - unique feature; tx that slows down progression; most common cause of death? | show 🗑
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| show | Blastomyces dermatitidis (broad-based budding, triad of lung, skin and bone involvement); itraconazole
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| Uterine tenderness and fever s/p C-section 2 days ago - dx? | show 🗑
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| show | Spasm of the eyeballs into a fixed position for minutes; acute dystonia
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| show | Polyarticular involves 5 or more joints; females under 5 y.o.; yes (Reiter's syndrome affects people > 20 y.o.)
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| Epididymitis - tx > 35 y.o.; tx < 35 y.o. | show 🗑
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| show | Moderate persistent asthma; inhaled low-dose corticosteroid plus long and short acting β2-agonists
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| Psoriasis - what is Auspitz sign? | show 🗑
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| show | Repeat physical in 1 week to check for progression to DVT
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| show | 12 months; semen analysis
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| Gastric ulcer types - which type is most common; which type mostly with NSAIDs? | show 🗑
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| show | Rhinophyma (due to soft tissue and sebaceous hyperplasia of the nose); oral tetracycline and metronidazole gel
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| Folate deficiency vs. vit. B12 deficiency - which test to differentiate; which level in common? | show 🗑
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| Pneumatura - likely cause? | show 🗑
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| show | IGF level (GH level fluctuates); ant pit adenoma; MRI; transsphenoidal resection; measure fasting GH first, then give 75g glucose challenge GH level one hour later should be < 2 µg/L (glucose suppresses GH therefore acromegaly excluded); prolactin level
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| show | Water deprivation test (urine osmolarity will stay around 250 mOsm/kg water, normally will increase with H2O deprivation); desmopression challenge (nephrogenic DI will still have unchanged urine osmolar, while central will respond by increasing urine osm)
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| show | Antipsychotic (olanzapine), carbamazepine, valproic acid
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| Wernicke Encephalopathy - triad of sxs; tx? | show 🗑
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| show | Paroxetine (SSRI for OCD, likely washing his hands constantly))
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| Familial adenomatous polyposis - when should you start screening a pt; what percent get colorectal CA? | show 🗑
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| show | Hepatitis B (can look like livedo reticularis); lungs; mononeuritis multiplex (multiple peripheral nerves affected)
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| Multifocal atrial tachycardia - describe the ECG morphology; tx; likely comorbidity? | show 🗑
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| Lung CA - most common type in the world; types that are peripherally located; types that are centrally located | show 🗑
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| show | Cabergoline (another dopamine receptor agonist); transsphenoidal pituitary surgery
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| show | Hyperlipoproteinemia type IIa
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| show | ECG; carotid sinus hypersensitivity (vagal overactivity)
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| Anal fissure - most likely location; initial tx? | show 🗑
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| show | Superior transverse = craniosacral motion, middle transverse = postural motion, inferior transverse = innominate rotation, oblique = ambulatory (dynamic) motion
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| show | Dx thoracic outlet syndrome
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| show | Glenohumeral joint ROM (Adhesive capsulitis possibly); reach hand behind the back and touch opposite inferior angle of scapula & reach over head behind it to touch opposite shoulder
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| show | Desmopressin (first line), chlorpropramide (second line); reduced Na+ intake & thiazide; demeclocycline
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| Diabetes Mellitus type II, already taking metformin - at what HbA1C should sulfonylurea be started; insulin? | show 🗑
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| For 9 months pt has been hearing voices telling him to quit his job. He believes they are out to get him and will probably kill him if he continues working there - dx? | show 🗑
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| show | 10-12; genu valgus; femur & tibia
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| show | Cleft lip surgery
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| Pregnant lady - what is normal range of fetal heart rate? | show 🗑
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| Chronic alcohol abuser w/ fatigue, abdominal pain, and conjunctival pallor. Elevated iron, ferritin and normal TIBC. Bone marrow bx shown: - dx; first line tx; second line tx? | show 🗑
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| Spontaneous bacterial peritonitis - paracentesis PMN count; most likely cause; second most likely cause; how do you check response to tx? | show 🗑
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| Sonambulism - tx; what stage of sleep does this occur? | show 🗑
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| show | Euthyroid sick syndrome; No tx necessary (goes away w/ underlying illness)
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| Miliaria - aka; sx difference vs. folliculitis? | show 🗑
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| Klumpke's Paralysis - injury; presentation? | show 🗑
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| show | Urine protein electrophoresis; β2 microglobulin; rouleaux formation (stacking of RBCs); > 10% plasma cells
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| show | Esophageal CA; upper endoscopy (achalasia has solid and liquid dysphagia from the beginning - requires barium swallow)
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| Polycythemia vera - erythropoieitin level; tx? | show 🗑
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| Surgical wound - classification? | show 🗑
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| show | Subarachnoid hemorrhage; CT scan w/o contrast; lumbar puncture (CT scan sensitivity drops after 12 hrs)
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| show | 10-14 cycles/min (CRI can ONLY be in this range...if depressed it is low and MUST be 10); vault hold; bulb decompression (aka CV4)
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| Tremor - hertz range for essential; hertz range for parkinson's? | show 🗑
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| Adult polycystic kidney disease - associated complications? | show 🗑
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| show | Depressed mood or anhedonia (for 2 weeks) + 4 of SIGE CAPS (sleep, interest, guilt, energy, concentration, appetite, psychomotor agitation, suicidality)
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| show | Young obese female (assoc. w/ vit A, tetracyclines and oral contraceptives); increased intracranial pressure in the absence of CSF findings; lumbar puncture
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| Pt has headache unexplained by multiple diagnostic tests, lumbar puncture reveals xanthochromia - dx? | show 🗑
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| Boerhaave's Syndrome - initial diagnostic test? | show 🗑
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| show | Biotin
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| Bacterial meningitis in a 9 y.o. child - most common complication? | show 🗑
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| Alcoholic pt with liver failure has a creatinine of 2.7 mg/dL, 3 months ago it was 1.1 mg/dL - dx; tx? | show 🗑
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| show | Werdnig-Hoffman disease (genetic disorder similar to botulinism except botulinism does not retain extraocular movements)
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| Pt w/ h/o peripheral vascular disease, peptic ulcer disease and GERD loses 20 lbs. unintentionally in 6 months, has excruciating pain after eating, esp. fatty foods & has an abdominal bruit - dx; test to confirm dx? | show 🗑
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| Pt w/ neck pain, diffusely enlarged and tender thyroid gland, had sinusitis 3 weeks ago, low TSH, high T4 and high ESR - dx; tx? | show 🗑
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| show | Extremely low pleural fluid glucose level
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| Bloody pleural effusion - most common causes? | show 🗑
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| show | Early detection leading to a false sense of increased survival; researcher's belief in tx affects the results
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| Mitral stenosis vs. Tricuspid stenosis - what is differentiating characteristic? | show 🗑
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| show | Taper off fluoxetine and start bupropion
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| Narcolepsy (excessive daytime sleepiness) - tx? | show 🗑
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| Multiple Myeloma - anion gap change; why? | show 🗑
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| show | Restrictive airway disease; asbestosis on ships
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| STD screening ages - chlamydia and gonorrhea; HIV | show 🗑
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| Pt h/o multiple episodes of acute pancreatitis - difference between chronic pancreatitis and pseudocyst; what will you find if it is hemorrhagic pancreatitis? | show 🗑
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| [OMM] Appendix Chapman's point - anterior; posterior? | show 🗑
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| Lyme disease - etiologic organism; tx for ages 8 and over; tx < 8; insect vector? | show 🗑
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| 50 y.o. pt w/ leukocytosis of 54,000/mm3 - test to differentiate between CML and leukemoid reaction? | show 🗑
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| show | Always x-ray
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| Cocaine and amphetamine withdrawal - sxs? | show 🗑
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| show | Rhinorrhea, lacrimation, yawning, diarrhea, diated pupils
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| [OMM] Pheochromocytoma - level of somatic dysfunction | show 🗑
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| Primary hyperaldosteronism - first two lab tests à next step à next step à if last step was negative, next step? | show 🗑
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| COPD, cut-offs for long-term O2 therapy - SaO2; PaO2; hematocrit? | show 🗑
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| New-onset hypothyroidism tx w/ levothyroxine - when should TSH be re-evaluated? | show 🗑
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| show | Acute renal failure, thrombocytopenia, microangiopathic anemia; add fever and neurological sxs to previous 3 sxs
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| show | Duloxetine or amitriptyline (SNRI or TCA)
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| Pt w/ ESRD misses a dialysis appointment and develops chest pain and a friction rub - dx; what caused it; other sxs associated w/ the cause? | show 🗑
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| Fractures - where are they located: Colle's, Boxer's, Monteggia's, Galeazzi's, Nightstick? | show 🗑
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| show | Transient tachypnea of the newborn; IV fluids and Oxygen (meconium aspiration will usu. have green urine and nails)
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| Pt w/ 500 adenomatous polyps on colonoscopy, multiple lipomas throughout body and osteoma on the skull - dx? | show 🗑
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| show | SSRI
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| show | Generalized anxiety disorder
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| show | Pts w/ depression and eating disorder (i.e. anorexia, b/c it causes weight gain)
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| 24 y.o. female w/ 5 day old child is breast feeding and develops mastitis - causative organism; tx? | show 🗑
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| show | Torsion of the appendix testis (remanant of the paramesonephric duct); supportive (pain control, bed rest, scrotal support - typically relieved in one week)
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| 42 y.o. pregnant woman 15-20 weeks gestation - what screening test should be provided? | show 🗑
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| Candida vulvovaginitis - expected vaginal pH? | show 🗑
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| show | Boot-shaped heart
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| Hyperthyroidism during pregnancy - tx during first trimester; subsequent trimesters? | show 🗑
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| show | Hypoglyc only (hyperK [mineralocorticoid deficiency] and hyperpigmentation [increased POMC] occur only in primary adrenal insufficiency, decr ACTH is expected due to negative feedback from exog corticosteroids...hypoNA in this case due to increased ADH)
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| show | Fluctuation of CSF, Inherent mobility of brain and spinal cord, Articular mobility of cranial bones, Mobility of intracranial and intraspinal membranes & involuntary mobility of sacrum between ilia
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| show | 1 minus the risk of a type II error (aka the ability of a test to reject the null hypothesis); direct relationship with type I error (to increase power of a study type I error must increase - there is a tradeoff between type I and II error)
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| Secondary hypothyroidism - T4 level; TSH level | show 🗑
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| Dementia w/ hallucinations, tremors and rigidity - dx? | show 🗑
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| [OMM] Inversion sprain - talus dysfunction? | show 🗑
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| show | Lateral humerus
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| show | Upright CXR (abdominal x-ray usu. doesn't show domes of diaphragm)
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| show | Hypermagnesemia toxicity; IV calcium gluconate
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| Lactose intolerance - dx test? | show 🗑
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| Cohort study vs. case-control study - which is prospective? | show 🗑
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| c-ANCA is an antibody in Wegener's granulomatosis - what does it target? | show 🗑
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| Cyanotic babies, CXR findings - truncus arteriosus; total anomalous pulmonary venous return | show 🗑
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| ABG pH 7.22, pCO2 15 mmHg, HCO3 25 mEq/L, K+ 5.4 mEq/L, chloride 118 mEq/L, Na+ 125 mEq/L, urine pH 4.9 - RTA type; how to confirm dx? | show 🗑
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| ABG pH 7.22 pCO2 15, HCO3 21, K+ 2.7, Cl- 118, Na+ 135, urine pH 6.2 - RTA type; how to confirm dx? | show 🗑
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| show | RTA type II; Bicarb (urine pH continually rises)
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| Pt w/ celiac disease develops dermatitis herpetiformis - tx for dermatitis? | show 🗑
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| show | R sided Erb-Duchenne's Palsy; C5-C6 (described as "waiter's tip")
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| Neuroleptic Malignant Syndrome - tx order? | show 🗑
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| Female, DEXA screening - what age should it begin? | show 🗑
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| show | Human growth hormone (until epiphyseal fusion) & estrogen/progestin replacement
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| Pt undergoes total thyroidectomy for papillary carcinoma, now how perioral numbeness and tingling of fingers - dx; tx? | show 🗑
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| show | Dopamine agonist (pramipexole, bromocriptine, levodopa/carbidopa); iron deficiency
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| show | Bronchiectasis; high-resolution CT (will see dilated airways and ballooned cysts)
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| Delirium vs. Psychosis - how to differentiate? | show 🗑
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| Retinal artery occlusion vs. ophthalmic artery occlusion - difference on physical exam? | show 🗑
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| Diabetic gastroparesis - first line tx? | show 🗑
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| show | Breast ultrasound (pt is < 30, if > 30 then mammogram...if cystic then aspirate, if solid like fibroadenoma observe, if solid and suspicious bx)
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|
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| show | If Neisseria is the causative agent (rifampin or ciprofloxacin); immunocompromised hosts (including elderly) to cover Listeria
🗑
|
||||
| show | Type 1: up/up, down/down & type 2: up/down, down/up
🗑
|
||||
| show | Conjugated hyperbilirubinemia (Dubin-Johnson or Rotor syndrome, usu. asx)
🗑
|
||||
| show | Apt test (determines if blood is of fetal or maternal origin, it checks hemoglobin)
🗑
|
||||
| Newborn with insufficient surfactant - name of disease? | show 🗑
|
||||
| 35 y.o. female on OCPs has a 2cm hepatic tumor, US shows a central scar - dx; tx? | show 🗑
|
||||
| show | Heat stroke has high body temperature, cutaneous vasodilation, and altered mental status, heat exhaustion does not
🗑
|
||||
| A physician's duty to exercise reasonable care - starts when? | show 🗑
|
||||
| Torsade de pointes (polymorphic ventricular tachycardia that may degenerate to ventricular fibrillation) - tx? | show 🗑
|
||||
| Amyloidosis - screening test? | show 🗑
|
||||
| show | Metoclopramide (dopamine antagonist)
🗑
|
||||
| Neonatal conjunctivitis - time period for chlamydia; gonorrhea; viral; chemical? | show 🗑
|
||||
| show | Urethropexy or sling; oxybutynin (anticholingergic to relax muscle)
🗑
|
||||
| Neurofibromatosis type I vs. type II - differentiating characteristics? | show 🗑
|
||||
| Hamstring tendon used for reconstruction of torn anterior cruciate ligament - example of what kind of graft? | show 🗑
|
||||
| show | Painless, leathery skin that can be black, white, or cherry red in color; immediate excision and skin grafting
🗑
|
||||
| show | Urine microscopy (no RBCs under microscopy means hemolysis is the cause, if RBCs present most likely nephrolithiasis)
🗑
|
||||
| show | Clavicle
🗑
|
||||
| show | GnRH agonist (NOT OCP b/c they have estrogen/progestin receptors so they will grow); myomectomy or hysterectomy (depending on childbearing plans); submucosal fibroid
🗑
|
||||
| show | CBT + regular visits to primary care physician
🗑
|
||||
| Scoliosis, Cobb angle - respiratory compromise, cardiovascular compromise? | show 🗑
|
||||
| Muscle energy - what types of pts is it contraindicated? | show 🗑
|
||||
| show | Polymyalgia rheumatica (proximal muscle pain); 2 year-course of glucocorticoids and low dose aspirin
🗑
|
||||
| show | The new drug may be more effective than furosemide but the difference is not statistically significant (more than 5% chance it could be random)
🗑
|
||||
| show | 2 hours; 1 hours; epidural adds 1 hour to each
🗑
|
||||
| show | Escharotomy
🗑
|
||||
| show | Levonorgestrel (progestin-only); 2 pills, 12 hours apart within 72 hours
🗑
|
||||
| show | Cancel circumcision as foreskin may be needed for urethral and penile reconstruction
🗑
|
||||
| Factitious hypoglycemia (i.e. exogenous insulin) - lab findings? | show 🗑
|
||||
| show | Imatinib (tyrosine kinase inhibitor)
🗑
|
||||
| show | Mode (most common number)
🗑
|
||||
| 2 y.o. w/ uncomplicated umbilical hernia - next step? | show 🗑
|
||||
| Pt who recently traveled to AZ has a cough and bx of erythema nodosum reveals spherules filled w/ endospores - dx? | show 🗑
|
||||
| show | Cystic fibrosis; sweat chloride test
🗑
|
||||
| show | Direct; employs separation of origin and insertion and deep pressure
🗑
|
||||
| Constrictive pericarditis w/ edema, JVD, pericardial knock, and ascites - tx; distinguishing features of constrictive pericarditis vs. restrictive cardiomyopathy? | show 🗑
|
||||
| show | Age > 55, WBC > 16,000, glucose > 200, AST > 250, LDH > 350
🗑
|
||||
| Exercise-induced asthma - dx test? | show 🗑
|
||||
| show | Mammogram every 2 years starting at age 50
🗑
|
||||
| Female pt w/ h/o hyperthyroidism s/p radioactive iodine ablation has white breast discharge - likely etiology? | show 🗑
|
||||
| [OMM] Thoracic muscle energy - which part of the body are you using as a lever? | show 🗑
|
||||
| Somatostatinoma - sxs? | show 🗑
|
||||
| Croup - tx? | show 🗑
|
||||
| Kawasaki's disease - tx? | show 🗑
|
||||
| Henoch-Schonlein purpura has palpable purpura on the buttocks - associated problem? | show 🗑
|
||||
| [OMM] Lasegue's test - what is it? | show 🗑
|
||||
| show | Provide a screening exam (Emergency Medical Treatment and Active Labor Act [EMTALA] requires a medical screening exam regardless of ability to pay)
🗑
|
||||
| 55 y.o. male w/ scattered, erythematous patches across the back that has progressed to raised, scaly lesions. Has axillary lymphadenopathy, bx shows abnormal T-cell infiltrates...pic of rash shown: - dx? | show 🗑
|
||||
| show | Beckwith-Wiedemann syndrome; hypoglycemia soon after birth
🗑
|
||||
| show | DiGeorge syndrome; deletion of 22q11.2
🗑
|
||||
| show | Any ONE of the three: ratio of pleural to serum protein > 0.5, ratio of pleural to serum LDH > 0.6 or LDH > 200; lung CA, TB, pneumonia, asbestosis (anything causes dmg to lung parenchyma); CHF, cirrhosis, constrictive pericarditis, nephrotic syndrome
🗑
|
||||
| show | < 100, TMP-SMX (pyrimethamine/sulfadiazine is for tx of toxoplasmosis); < 200, TMP-SMX; < 50, azithromycin or clarithromycin
🗑
|
||||
| Vit. B 12 deficiency - what is/are most sensitive test(s)? | show 🗑
|
||||
| Pt w/ seizure disorder has T102, productive cough of foul-smelling sputum, night sweats, and significant weight loss over the past 5 weeks. CXR shows cavitation with air-fluid level in R upper lobe - dx; tx? | show 🗑
|
||||
| show | Selegiline (MAO-B inhibitor so pts do not have to restrict tyramine from their diets)
🗑
|
||||
| show | L-sided tension pneumothorax; L side only (NOT both)
🗑
|
||||
| show | ESR & CRP (WBC is normal in 50% of pts w/ osteomyelitis)
🗑
|
||||
| Which ribs protect the following organs - spleen; liver; kidneys | show 🗑
|
||||
| show | Slurred S wave in leads I and V6, rSR' in V1 (and usu. V2)
🗑
|
||||
| Febrile seizure - what is the age cut-off? | show 🗑
|
||||
| show | Acute rheumatic fever (dx w/ 2 major criteria from J<NES [joints, carditis, nodes, erythema marginatum, Syndenham's chorea] plus 1 minor like throat cx or ASO titer); ALL pts get penicillin
🗑
|
||||
| Pancreatic pseudocyst - when should it be tx'ed; tx? | show 🗑
|
||||
| Urine output - minimal guidelines? | show 🗑
|
||||
| show | 6 weeks; 1st week it's red (lochia rubra), 2nd week it's pink and thin (lochia serosa), rest of time it's yellow/white (lochia alba...lochia is simply shedding of decidua and blood)
🗑
|
||||
| Pheochromocytoma - proper pre-op preparation? | show 🗑
|
||||
| show | Fasting serum gastrin (increased) & secretin injection test (gastrin still elevated...normally secretin suppresses gastrin); duodenum; pancreas
🗑
|
||||
| Pregnancy - when will urine hCG first be positive; what about blood? | show 🗑
|
||||
| 1 year old w/ jaundice, hepatosplenomegaly, cataracts, heart murmur, and hearing loss - etiologic agent? | show 🗑
|
||||
| show | Parathyroid adenoma (85-90%...parathyroid hyperplasia accounts for 10-15%)
🗑
|
||||
| Parkinson's vs. Alzheimer's - cholinergic tx mechanism? | show 🗑
|
||||
| show | R arm, R head, R neck, myocardium/endocardium (but NOT the pericardium) and R lung
🗑
|
||||
| Primary spontaneous pneumothorax in a hemodynamically stable individual - what is a small pneumothorax that only requires O2 and observation? | show 🗑
|
||||
| Why is chromium important? | show 🗑
|
||||
| show | Imatinib (c-kit is a tyrosine kinase mutation)
🗑
|
||||
| Left parasternal lift - what does it indicate? | show 🗑
|
||||
| Premature baby 1-week old has rectal bleeding, abdominal x-ray shows pneumatosis intestinalis - dx; what is the x-ray finding? | show 🗑
|
||||
| show | Antibody to platelet factor 4 (activates platelets)
🗑
|
||||
| Pancreatic CA - most sensitive test; most specific test? | show 🗑
|
||||
| Pregnancy - what week do you start labor induction | show 🗑
|
||||
| show | Secondary adrenal insufficiency only requires glucocorticoid b/c pituitary has failed (primary requires prednisone + fludrocortisone b/c adrenals have failed)
🗑
|
||||
| show | Pruritic, polygonal, purple, papules and plaques (has white, lace-like appearance due to Wickham's striae)
🗑
|
||||
| show | 18 weeks gestation has elevated maternal serum alpha fetoprotein, repeat test confirms elevation and US shows normal 18 week pregnancy - next step?
🗑
|
||||
| show | Alcohol
🗑
|
||||
| show | Propranolol; octreotide (also vasopressin but not as effective)
🗑
|
||||
| Carcinoid syndrome w/ unresectable tumors - tx? | show 🗑
|
||||
| CXR findings - silicosis; berylliosis; asbestosis | show 🗑
|
||||
| First time PE is tx w/ heparin followed by Coumadin - how long; if recurrent? | show 🗑
|
||||
| Coumadin - when is the therapeutic level an INR of 2.5-3.5? | show 🗑
|
||||
| Neonate delivered via vacuum-assisted delivery, edema of the head is found - cephalhematoma vs. caput succedaneum vs. subgaleal hemorrhage? | show 🗑
|
||||
| show | Isolate it for 1 week, if it's healthy then it's unlikely to have it
🗑
|
||||
| show | Topical corticosteroids; UVB light radiation; psoralen + UVA (improves w/ sun exposure, worsens in winter)
🗑
|
||||
| Adoption study vs. twin concordance study - what's the difference? | show 🗑
|
||||
| Renal cell CA - associated paraneoplastic syndromes? | show 🗑
|
||||
| show | Fetal anemia (possible Rh isoimmunization)
🗑
|
||||
| Study validity - internal vs. external? | show 🗑
|
||||
| show | Albumincytologic dissociation (elevated CSF protein, normal WBC count)
🗑
|
||||
| show | SSRI and exposure therapy
🗑
|
||||
| 21 y.o. male had a mild cough 6 weeks ago, now his coughs have been followed by vomiting, CXR is clear - dx; what could have prevented this? | show 🗑
|
||||
| A permanent tooth gets knocked out and you are unable to reinsert it - methods of transporting tooth to dentist? | show 🗑
|
||||
| show | Lymphocytosis w/ atypical lymphocytes; heterophile antibody
🗑
|
||||
| Drug-induced lupus - 4 common drugs; test to confirm? | show 🗑
|
||||
| Pt had painless vaginal bleeding without contractions at 30 weeks gestation, pelvic US confirms placenta previa - most appropriate tx? | show 🗑
|
||||
| Alzheimer's disease - some sxs; most common cause of death; mild to moderate tx; moderate to severe tx? | show 🗑
|
||||
| show | CD5
🗑
|
||||
| show | 1 month before pregnancy through 1st trimester; 0.4 mg (400 µg) daily; 4 mg daily
🗑
|
||||
| Acute pancreatitis - dx test of choice? | show 🗑
|
||||
| Sarcoidosis - what kind of lung disease; expected spirometry findings? | show 🗑
|
||||
| show | Aniridia, GU malformations, mental retardation
🗑
|
||||
| Leukocoria - which 2 conditions? | show 🗑
|
||||
| Gastroschisis vs. omphalocele - covering; which one is associated w/ other congenital defects; which one requires urgent surgery? | show 🗑
|
||||
| show | Case-control study
🗑
|
||||
| show | Desmopressin (increases circulating levels of vWF and factor VIII)
🗑
|
||||
| 40 y.o. pt newly dx'ed w/ type II diabetes - vaccine(s)? | show 🗑
|
||||
| show | Breath-holding spell (usu. 2-8 yr olds); reassure
🗑
|
||||
| Pt w/ headache that started yesterday, BP in both arms is 180/110, both legs 100/75, CXR shows a figure-3 sign - dx? | show 🗑
|
||||
| You suspect child abuse - who do you contact? | show 🗑
|
||||
| Pre-renal due to septic shock - urinary lab findings? | show 🗑
|
||||
| Surgical site infection w/in 24 hours of operation - most likely organism; only other bug? | show 🗑
|
||||
| show | After 5 years of age; conditioning w/ a bed pad and alarm (alarm or vibrating device goes off once moisture is detected)
🗑
|
||||
| Pt w/ a wrist burn 30 years ago, never healed, now is associated w/ an ulcer and intermittent oozing - dx? | show 🗑
|
||||
| Pt w/ low calcium, low phosphate, high PTH - dx? | show 🗑
|
||||
| 16 y.o. female w/ 24 hr headache, palpable, purpuric rash of the lower extremities, and positive Brudzinski and Kernig signs - next best step? | show 🗑
|
||||
| Acute viral hepatitis - which ones require anti-viral tx? | show 🗑
|
||||
| Silicosis vs. asbestosis - pulmonary complications? | show 🗑
|
||||
| [OMM] SBS movement - which motion decreases AP diameter? | show 🗑
|
||||
| Incomplete vs. complete abortion - cervical os on physical exam? | show 🗑
|
||||
| show | Unstable angina; start IV heparin (unstable angina tx is same as non-ST elevation MI: β-blocker, aspirin, oxygen, nitroglycerin, morphine, heparin)
🗑
|
||||
| ST-elevation MI vs. non-ST elevation MI - tx difference? | show 🗑
|
||||
| show | Necrotic tissue
🗑
|
||||
| 13 y.o. male pt w/ gynecomastia, denies drugs use, thyroid, BUN/Cr normal, increased estradiol - next step? | show 🗑
|
||||
| 21 y.o. male w/ painful, grouped vesicles on his penis, tender inguinal lymphadenopathy, T103 - next step? | show 🗑
|
||||
| show | Fournier gangrene (necrotizing soft tissue infxn of male genitals and perineum, much more painful than orchitis)
🗑
|
||||
| [OMM] Child w/ AOM - why would V spead of the occipitomastoid suture be helpful? | show 🗑
|
||||
| COPD - which tx increases survival? | show 🗑
|
||||
| show | At least five obstructive breathing events (apnea or hypopnea) per hour of sleep
🗑
|
||||
| Acetaminophen toxicity - tx (include timing)? | show 🗑
|
||||
| show | Seminoma has high β-HCG, yolk sac has high AFP; seminoma à "fried egg," yolk sac à Schiller-Duvall bodies
🗑
|
||||
| show | Interferon α-2b, lamivudine, tenofovir; interferon, ribavirin; acyclovir
🗑
|
||||
| show | Contrast CT of the neck; retropharyngeal abscess vs. retropharyngeal cellulitis; clindamycin & ampicillin-sulbactam; surgical drainage
🗑
|
||||
| show | Low; low; high; high
🗑
|
||||
| show | Lithium
🗑
|
||||
| Oral thrush in an otherwise healthy 35 y.o. male - tx? | show 🗑
|
||||
| HIV - most sensitive test for dx; most specific test for dx; tx for cryptococcal meningitis | show 🗑
|
||||
| show | S. aureus & p. aeruginosa; topical ciprofloxacin plus hydrocortisone otic
🗑
|
||||
| CHF - drug that prolongs survival; other tx in acute exacerbation for sx relief only w/ EF 35%? | show 🗑
|
||||
| Pulsus paradoxus - how many mm Hg difference? | show 🗑
|
||||
| Newly prescribed lithium for a female - tests to order before beginning tx? | show 🗑
|
||||
| show | Blood lead level
🗑
|
||||
| Written consent is given for release of medical records - how long do you have to comply? | show 🗑
|
||||
| Pt w/ pyrosis and globus sensation, negative cardiac work-up - what are those sxs; likely dx? | show 🗑
|
||||
| show | She cannot sue (she can sue if a geographical subdivision smaller than a state was used)
🗑
|
||||
| Cavernous sinus - cranial nerves that pass through it; first nerve usu. affected? | show 🗑
|
||||
| show | Abscess, cauda equina, tumor, fracture; start w/ upper lumbar then go to psoas muscle itself (b/c psoas receives innervation from upper lumbar spine)
🗑
|
||||
| Intrinsic renal failure - labs? | show 🗑
|
||||
| show | Under-representation of acute disease
🗑
|
||||
| show | Trisomy 13 has close-set eyes and cleft lip/palate, trisomy 18 has widely-spaced eyes and prominent occiput
🗑
|
||||
| show | Membranous glomerulonephritis à syphilis, HBV, HCV, malaria, gold salts, penicillamine, SLE, malignancy...focal segmental glomerulosclerosis àHIV, IV drug abuse, sickle cell disease
🗑
|
||||
| Suspected insulinoma, pt has low glucose, high C-peptide and high insulin levels - next dx step? | show 🗑
|
||||
| Shy-Drager syndrome - what is it? | show 🗑
|
||||
| show | Toxoplasmosis infection (from maternal exposure to raw meat or cat feces)
🗑
|
||||
| show | Restricted posterior; restricted anterior
🗑
|
||||
| Rabies - first time vaccination schedule of doses; postexposure prophylaxis for non-immunized; immunized | show 🗑
|
||||
| Pt w/ CNS depression, respiratory/cardiac arrest and "almond-like odor in breath" - likely toxicity; tx | show 🗑
|
||||
| show | α-1 adrenergic, muscarinic ACh, histamine
🗑
|
||||
| Quinidine toxicity - causes what; tx? | show 🗑
|
||||
| show | Did the pt lose bladder control? (yes for seizure, usu. tonic-clonic)
🗑
|
||||
| show | Hearing loss & cerebral calcifications
🗑
|
||||
| 23 y.o. | show 🗑
|
||||
| 16 y.o. female undergoes D&C for missed abortion, 2 days later vaginal bleeding and abdominal pain, BP105/70, T 100.5, P105, R18, cervix dilated 2 cm w/ uterine tenderness - tx? | show 🗑
|
||||
| Pt's dog bit him - tx? | show 🗑
|
||||
| show | EMG (confirms lower motor neuron lesions, r/o myasthenia gravis, MS, carpal tunnel, Guillain-Barre)
🗑
|
||||
| show | X-ray; MRI; weight loss
🗑
|
||||
| Pseudomembranous colitis - fastest test to establish dx? | show 🗑
|
||||
| Pt w/ sickle cell anemia is getting 3 units PRBC, 30 min after initiation of transfusion develops chills, mild SOB, T101 - dx; tx? | show 🗑
|
||||
| Blood transfusion results in acute hemolytic reaction due to ABO incompatibility - physical findings? | show 🗑
|
||||
| Pt is non-compliant with her medicine, has altered mental status for past 2 hours, T96.2, BP90/60, R6, sugar is normal - which med caused it: propranolol, levothyroxine, spironolactone, insulin, hydrocortisone? | show 🗑
|
||||
| show | Trazodone
🗑
|
||||
| Polycythemia vera - increases what type of cells? | show 🗑
|
||||
| Lesch-Nyhan - what do you see? | show 🗑
|
||||
| Pain upon defecation - term? | show 🗑
|
||||
| show | Only decreases vaginal bleeding (increases uterine contraction by promoting oxytocin release...breast milk is high in IgA)
🗑
|
||||
| Asbestosis - DLCO finding? | show 🗑
|
||||
| Postpartum blues vs. postpartum depression - difference? | show 🗑
|
||||
| show | Cervical à BUM (backwards/upwards/medial), thoracic à BUL (backwards/upwards/lateral), lumbar à BUM (these apply to superior facet joints...opposite for inferior facets)
🗑
|
||||
| show | Pt, doctor & researcher unaware of which tx pt is being given (double blind is when pt and doctor do not know, but researcher does)
🗑
|
||||
| Opioid overdose - naltrexone vs. naloxone? | show 🗑
|
||||
| show | Spironolactone +/- furosemide plus Na+ restrictive diet (spironolactone is good b/c it's K+ sparing, K+ is hard to replete in cirrhotics... paracentesis if that fails)
🗑
|
||||
| show | If symptomatic, more than 5 cm, or do not regress after oral contraception discontinuation
🗑
|
||||
| Burn pt - fluid choice for 1st 24 hours? | show 🗑
|
||||
| 10 y.o. burn pt - percentages? | show 🗑
|
||||
| show | Fanconi anemia (bone marrow failure, thumb abnormalities, multiple café-au-lait spots, renal anomalies, microcephaly, and short stature)
🗑
|
||||
| show | Sigmoid colon (NOT descending colon)
🗑
|
||||
| show | Varenicline (Chantix) or buproprion
🗑
|
||||
| show | Central incisorsà lateral incisors à 1st molars à canines à 2nd molars
🗑
|
||||
| Pt w/ newly dx diabetes mellitus has increased glucagon and decreased amino acid levels - likely physical finding? | show 🗑
|
||||
| show | No (you must directly answer the question b/c the pt sees this information as important for coming to informed consent)
🗑
|
||||
| Mortality rate vs. case fatality rate - difference? | show 🗑
|
||||
| Pregnancy recommended weight gain - underweight; normal; overweight; obese? | show 🗑
|
||||
| show | Precocious puberty, café au lait spots, bone lesions, short stature
🗑
|
||||
| show | Mullerian inhibiting substance; testosterone; dihydrotestosterone
🗑
|
||||
| Ectopic pregnancy - what is cut-off β-hCG level that one can see gestational sac w/ transvaginal US? | show 🗑
|
||||
| show | 1-2 days
🗑
|
||||
| Pt w/ acute pancreatitis respiratory distress, you want to confirm ARDS as pt does not improve w/ 100% O2 therapy, CXR shows b/l infiltrates - best test to confirm dx? | show 🗑
|
||||
| show | Lithium
🗑
|
||||
| VIPoma - lab findings; tx? | show 🗑
|
||||
| Osteoarthritis - long-term tx of choice? | show 🗑
|
||||
| show | Hiccups; myofascial diaphragm release
🗑
|
||||
| Fugue state - what is it? | show 🗑
|
||||
| Polio - presentation; how do you confirm dx? | show 🗑
|
||||
| show | Measure glucose at 3am; if low à overtreatment (pt will compensate with higher glucose in morning [Somogyi effect])...if high à early morning growth hormone secretion is antagonizing insulin (dawn phenomenon)
🗑
|
||||
| 54 y.o. multiparous female c/o 5 month hx of urinary incontinence, she admits to urinary frequency, dribbling, and hesitancy - first step? | show 🗑
|
||||
| Group of physicians contract w/ an HMO for a flat fee per pt - term described? | show 🗑
|
||||
| show | Midgut volvulus ("bird's beak" = compression/torsion... "double bubble" = duodenal obstruction...duodenal atresia of Trisomy 21 does not have blood per rectum)
🗑
|
||||
| show | AEIOU...Acidosis (metabolic acidosis), Electrolytes (severe hyperkalemia), Intoxications (lithium, aspirin, methanol, ethylene glycol), Overload (CHF), Uremia (uremic pericarditis)
🗑
|
||||
| show | Hyperphosphatemia (complexes w/ ionized Ca2+) & and decreased calcitriol production
🗑
|
||||
| Anemia of chronic disease vs. thalassemia - iron panel differences? | show 🗑
|
||||
| Sickle cell disease - tx for painful crisis; tx for aplastic crisis; what does hydroxyurea do for sickle cell? | show 🗑
|
||||
| show | Vitamin A supplementation; return to school 4 days after onset of rash (also contagious 5 days before rash)
🗑
|
||||
| [OMM] SBS compression - cranial findings? | show 🗑
|
||||
| show | Hyperreflexia, loss of bowel/bladder control, back pain, muscle weakness, loss of sensation; high does corticosteroids (surgery is sometimes indicated, but steroid first)
🗑
|
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Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
michael316