MSP Step 2 Rapid 6
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| Antidepressants associated with hypertensive crisis | MAOIs
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| Galactorrhea, impotence, menstrual dysfunction, and decreased libido | Dopamine antagonists
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| mother who is angry at her husband yells at her child | Displacement
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| Pedophile enters the monastery | Reaction formation
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| Woman calmly describes a grisly murder | Isolation
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| Hospitalized 10-year-old child begins to wet his bed again | Regression
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| Life-threatening muscle rigidity, high fever, and rhabdomyolysis | Neuroleptic malignant syndrome
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| Recurrent episodes of palpitations, diaphoresis, and fear of going crazy | Panic disorder
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| Most serious side effect of clozapine | Agranulocytosis
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| 3 months of social withdrawal, worsening grades, flattened affect, and concrete thinking | Schizophrenic form disorder
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| Key side effects of atypical antipsychotics | Weight gain, metabolic syndrome, type II diabetes mellitus, QT prolongation
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| After treatment with IV haloperidol patients eyes deviate sideways | Acute dystonia (oculogyric crisis)
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| Treatment of Acute dystonia (oculogyric crisis) | Benztropine or diphenhydramine
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| Medication to avoid in patients with a history of alcohol withdrawal seizures | Neuroleptics
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| 13-year-old with a history of theft, vandalism, and violence towards animals | Conduct disorder
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| Medications to avoid in patients with PTSD | Benzodiazepines
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| Violent patient with vertical or horizontal nystagmus | PCP intoxication
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| A woman who was abused as a child frequently feels outside of or detached from her body | Depersonalization disorder
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| A schizophrenic patient develops uncontrolled tongue movement after a year of medication | Tardive dyskinesia
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| Treatment of tardive dyskinesia | Decrease or discontinue medication and consider another antipsychotic
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| Risk factors for DVT | Stasis, endothelial injury, hypercoagulability
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| Criteria for exudative effusion | peural/serum Protein >0.5 peural/serum LDH >0.6 LDH greater than two thirds the upper limit of normal
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| Causes of exudative effusion | Leaky capillaries, malignancy, TB, bacterial or viral infection, PE with infarct, and pancreatitis
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| Causes of transudative effusion | CHF, liver or kidney disease, protein losing enteropathy
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| ↓ FEV1/FVC | obstructive pulmonary disease
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| ↑ FEV1/FVC, ↓ TLC | Restrictive pulmonary disease
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| Honeycomb pattern on chest x-ray | Diffuse interstitial pulmonary fibrosis
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| Treatment of diffuse interstitial pulmonary fibrosis | Supportive care, steroids
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| Treatment of superior vena cava syndrome | Radiation
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| Treatment for mild persistent asthma | Inhaled beta agonists and inhaled corticosteroids
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| Treatment for COPD exacerbation | Oxygen, bronchodilators, antibiotics, corticosteroids with paper, smoking cessation
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| Treatment for chronic COPD | Smoking cessation, home ox tin, beta agonists, anti-cholinergic, systemic or inhaled corticosteroids, flu and pneumococcal vaccines
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| Acid-base disorder in pulmonary embolus | Respiratory alkalosis with hypoxia and Hypocarbia
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| Non-small cell lung cancer associated with hypercalcemia | Squamous cell carcinoma
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| Lung cancer associated with SIADH | Small cell lung cancer
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| Lung cancer highly related to cigarette exposure | Small cell lung cancer
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| Treatment of tension pneumothorax | Needles thoracotomy
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| Characteristics favoring carcinoma in an isolated pulmonary nodule | -Age >45 to 50 -new or large in comparison to old film -absence of calcification or irregular calcifications -greater than 2 cm -irregular margins
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| Hypoxemia and pulmonary edema with normal pulmonary capillary wedge pressure | ARDS
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| Pulmonary fibrosis, pleural plaques, broncogenic carcinoma, mesothelioma | Asbestos exposure
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| Infection commonly associated with silicosis | Mycobacterium tuberculosis
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| Causes of hypoxemia | Right to left shunt, hypoventilation, low inspired oxygen tension, diffusion defect, and VQ mismatch
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| Renal tubular acidosis associated with abnormal hydrogen ion secretion and kidney stones | RTA type 1 (Distal)
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| Renal tubular acidosis associated with abnormal HCO3- and rickets | RTA type II (proximal)
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| Renal tubular acidosis associated with aldosterone defect and hyperkalemia | RTA type IV (distal)
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| Differential of hypervolemic hyponatremia | Cirrhosis, CHF, nephritic syndrome
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| doughy skin | Hypernatremia
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| Chvostek and Trousseau's sign | Hypocalcemia
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| Most common causes of hypercalcemia | Malignancy and hyperparathyroidism
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| T wave flattening and U waves | Hypokalemia
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| Peaked T waves and widened QRS | Hyperkalemia
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| First-line treatment for moderate hypocalcemia | IV hydration and loop diuretics
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| Most common type of kidney stone | Calcium oxalate
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| Hematuria, hypertension, and only Curia | Nephritic syndrome
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| most common form of Nephritic syndrome | Membranous
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| most common form of glomerulonephritis | IgA nephropathy/bergers disease
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| Glomerular nephritis with deafness | Alport syndrome
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| Glomerulonephritis with hemoptysis | Wegener's granulomatosis and Goodpasture syndrome
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| Red cells in urine sediment | Glomerulonephritis/nephrotic syndrome
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| Eosinophils in urine sediment | Allergic interstitial nephritis
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| Waxy cast in urine sediment and Maltese crosses | Nephrotic syndrome
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| Drowsiness, Asterixis, nausea, and pericardial action rubs | Uremic syndrome in patients with renal failure
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| Low urine specific gravity in the presence of high urine osmolality | Diabetes insipidus
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| Treatment of SIADH | Fluid restriction, demeclocycline
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| Hematuria, flank pain, and palpable flank masses | Renal cell carcinoma
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| Testicular cancer associated with increased hCG and AFP | Choriocarcinoma
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| Most common type of testicular cancer | Seminoma
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| Most common histology of bladder cancer | Transitional cell carcinoma
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| Complication of overly rapid correction of hyponatremia | Central Pontine demyelination
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| Acid base disturbance seen in pregnant women | Respiratory alkalosis
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| Elevated erythropoietin, elevated hematocrit, and normal oxygen saturation | Renal cell carcinoma or erythropoietin producing tumor
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| Treatment of benign prostate hyperplasia | Terazosin, finasteride, or TURP
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| Side effects of corticosteroids | Acute mania, immunosuppression, thin skin, osteoporosis, bruising, myopathies
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| Treatment for acetaminophen overdose | N-acetylcysteine
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| Treatment for opioid overdose | naloxone
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| Treatment for benzodiazepine overdose | Flumazenil
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| Treatment for neuroleptic malignant syndrome and malignant hyperthermia | Dantrolene
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| Treatment for malignant hypertension | Nitroprusside
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| Treatment of atrial fibrillation | Rate control, rhythm conversion, anti- coagulation
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| Treatment of supraventricular tachycardia | Stable = rate control with carotid massage or vagal stimulation
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| Causes of drug induced SLE | INH penicillamine Hydralazine procainamide chlorpromazine methyldopa quinidine
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| Macrocytic, megaloblastic anemia with neurologic symptoms | B12 deficiency
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| Macrocytic, megaloblastic anemia without neurologic symptoms | Folate deficiency
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| Carbon monoxide poisoning treatment | 100% O2 or hyperbaric oxygen
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| Plugged in the urethral meatus or high riding prostate | Bladder rupture or urethral injury
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| Test to rule out urethral injury | Retrograde cystourethrogram
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| Radiographic evidence of aortic dissection | Widened mediastinum, tracheal deviation to the right
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| Acceptable urine output for trauma patients | 50 mL per hour
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| Acceptable urine output in a stable patient | 30 mL per hour
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| Signs of neurogenic shock | Hypotension and bradycardia
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| Signs of increased intracranial pressure | Hypertension, bradycardia, and abnormal respirations
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| ↓ CO, ↓ PCWP, ↑ PVR | Hypovolemic shock
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| ↓ CO, ↑ PCWP, ↑ PVR | Cardiogenic shock
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| ↑ CO, ↓PCWP, ↓PVR | Septic shock
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| Treatment of septic shock | fluid and antibiotics
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| Treatment of cardiogenic shock | Pressers such as dopamine
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| Treatment of hypovolemic shock | Fluid and blood repletion
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| Treatment of anaphylactic shock | Diphenhydramine or epinephrine 1:1000
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| Signs of air embolism | A patient with a chest trauma who was previously stable suddenly dies
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| Signs of cardiac tamponade | Distended neck veins, hypotension, diminished heart sounds, pulses paradoxes
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| Absent breath sounds, dullness to percussion, shock, flat neck veins | Massive hemothorax
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| Absent practice sounds, tracheal deviation, shock, distended neck veins | Tension pneumothorax
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