usmle ck step 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Classic ECG finding in atrial flutter.
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| show | Definition of unstable angina.
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| show | Antihypertensive for a diabetic patient with proteinuria.
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| show | Beck's triad for cardiac tamponade.
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| show | Drugs that slow AV node transmission.
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| Niacin | show 🗑
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| Anticoagulation, rate control, cardioversion | show 🗑
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| Immediate cardioversion | show 🗑
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| show | Autoimmune complication occurring 2–4 weeks post-MI.
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| show | IV drug use with JVD and holosystolic murmur at the left sternal border. Treatment?
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| Echocardiogram (showing thickened left ventricular wall and outflow obstruction) | show 🗑
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| show | A fall in systolic BP of > 10 mmHg with inspiration.
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| Low-voltage, diffuse ST-segment elevation | show 🗑
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| BP > 140/90 on three separate occasions two weeks apart | show 🗑
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| Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism | show 🗑
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| show | Evaluation of a pulsatile abdominal mass and bruit.
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| > 5.5 cm, rapidly enlarging, symptomatic, or ruptured | show 🗑
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| show | Treatment for acute coronary syndrome.
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| Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or proinflammatory states | show 🗑
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| Exercise stress treadmill with ECG | show 🗑
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| Pharmacologic stress test (e.g., dobutamine echo) | show 🗑
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| show | Signs of active ischemia during stress testing.
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| ST-segment elevation (depression means ischemia), flattened T waves, and Q waves | show 🗑
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| Prinzmetal's angina | show 🗑
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| CHF, shock, and altered mental status | show 🗑
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| V/Q scan | show 🗑
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| show | An agent that reverses the effects of heparin.
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| show | The coagulation parameter affected by warfarin.
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| Hypertrophic cardiomyopathy | show 🗑
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| show | Endocarditis prophylaxis regimens.
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| Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia | show 🗑
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| show | Virchow's triad.
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| OCPs | show 🗑
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| show | The most common cause of hypertension in young men.
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| show | "Stuck-on" appearance.
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| Psoriasis | show 🗑
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| Basal cell carcinoma | show 🗑
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| show | Honey-crusted lesions.
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| show | A febrile patient with a history of diabetes presents with a red, swollen, painful lower extremity.
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| show | + Nikolsky's sign.
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| show | - Nikolsky's sign.
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| show | A 55-year-old obese patient presents with dirty, velvety patches on the back of the neck.
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| show | Dermatomal distribution.
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| show | Flat-topped papules.
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| Erythema multiforme | show 🗑
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| Contact dermatitis | show 🗑
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| Pityriasis rosea | show 🗑
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| Alopecia areata (autoimmune process) | show 🗑
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| Pityriasis versicolor | show 🗑
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| Asymmetry, border irregularity, color variation, large diameter | show 🗑
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| show | Premalignant lesion from sun exposure that can → squamous cell carcinoma.
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| show | "Dewdrop on a rose petal."
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| show | "Cradle cap."
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| show | Associated with Propionibacterium acnes and changes in androgen levels.
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| show | A painful, recurrent vesicular eruption of mucocutaneous surfaces.
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| show | Inflammation and epithelial thinning of the anogenital area, predominantly in postmenopausal women.
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| show | Exophytic nodules on the skin with varying degrees of scaling or ulceration; the second most common type of skin cancer.
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| Hashimoto's thyroiditis | show 🗑
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| show | Lab findings in Hashimoto's thyroiditis.
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| Graves' disease | show 🗑
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| show | The most common cause of Cushing's syndrome.
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| show | A patient presents with signs of hypocalcemia, high phosphorus, and low PTH.
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| show | "Stones, bones, groans, psychiatric overtones."
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| show | A patient complains of headache, weakness, and polyuria; exam reveals hypertension and tetany. Labs reveals hypernatremia, hypokalemia, and metabolic alkalosis.
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| Pheochromocytoma | show 🗑
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| α-antagonists (phentolamine and phenoxybenzamine) | show 🗑
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| show | A patient with a history of lithium use presents with copious amounts of dilute urine.
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| Administration of DDAVP ↓ serum osmolality and free water restriction | show 🗑
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| SIADH due to stress | show 🗑
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| show | An antidiabetic agent associated with lactic acidosis.
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| 1° adrenal insufficiency (Addison's disease). Treat with replacement glucocorticoids, mineralocorticoids, and IV fluids | show 🗑
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| < 7.0 | show 🗑
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| Fluids, insulin, and aggressive replacement of electrolytes (e.g., K+) | show 🗑
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| They can mask symptoms of hypoglycemia | show 🗑
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| show | Bias introduced into a study when a clinician is aware of the patient's treatment type.
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| show | Bias introduced when screening detects a disease earlier and thus lengthens the time from diagnosis to death.
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| Confounding variable | show 🗑
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| Sensitivity | show 🗑
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| Out | show 🗑
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| show | PPD reactivity is used as a screening test because most people with TB (except those who are anergic) will have a +PPD. Highly sensitive or specific?
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| Higher prevalence | show 🗑
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| show | Epidemics such as influenza—higher prevalence or incidence?
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| Prevalence | show 🗑
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| show | Cohort study—incidence or prevalence?
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| show | Case-control study—incidence or prevalence?
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| show | Describe a test that consistently gives identical results, but the results are wrong.
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| Cohort studies can be used to calculate relative risk (RR), incidence, and/or odds ratio (OR). Case-control studies can be used to calculate an OR | show 🗑
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| The incidence rate (IR) of a disease in exposed − the IR of a disease in unexposed | show 🗑
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| show | Relative risk?
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| The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed | show 🗑
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| show | Number needed to treat?
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| Patients with IBD; those with familial adenomatous polyposis (FAP)/hereditary nonpolyposis colorectal cancer (HNPCC); and those who have first-degree relatives with adenomatous polyps (< 60 years of age) or colorectal cancer | show 🗑
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| Prostate cancer is the most common cancer in men, but lung cancer causes more deaths | show 🗑
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| show | The percentage of cases within one SD of the mean? Two SDs? Three SDs?
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| show | Birth rate?
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| Number of live births per 1000 women 15–44 years of age | show 🗑
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| Number of deaths per 1000 population | show 🗑
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| show | Neonatal mortality?
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| Number of deaths from 28 days to one year per 1000 live births | show 🗑
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| show | Infant mortality?
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| Number of deaths from 20 weeks' gestation to birth per 1000 total births | show 🗑
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| show | Perinatal mortality?
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| Number of deaths during pregnancy to 90 days postpartum per 100,000 live births | show 🗑
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| False. Patients may change their minds at any time. Exceptions to the requirement of informed consent include emergency situations and patients without decision-making capacity | show 🗑
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| No. Parental consent is not necessary for the medical treatment of pregnant minors | show 🗑
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| Conflict of interest | show 🗑
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| The patient is a danger to self, a danger to others, or gravely disabled (unable to provide for basic needs) | show 🗑
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| show | True or false: Withdrawing life-sustaining care is ethically distinct from withholding sustaining care.
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| show | When can a physician refuse to continue treating a patient on the grounds of futility?
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| Treat immediately. Consent is implied in emergency situations | show 🗑
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| Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse | show 🗑
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| show | Involuntary commitment or isolation for medical treatment may be undertaken for what reason?
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| show | A 10-year-old child presents in status epilepticus, but her parents refuse treatment on religious grounds.
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| A patient's family cannot require that a doctor withhold information from the patient | show 🗑
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| Emergent laparotomy to repair perforated viscus, likely stomach | show 🗑
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| show | The most likely cause of acute lower GI bleed in patients > 40 years old.
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| show | Diagnostic modality used when ultrasound is equivocal for cholecystitis.
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| Acute pancreatitis | show 🗑
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| show | Risk factors for cholelithiasis.
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| show | Inspiratory arrest during palpation of the RUQ.
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| Campylobacter | show 🗑
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| show | Identify key organisms causing diarrhea: ■ Recent antibiotic use
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| Giardia | show 🗑
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| show | Identify key organisms causing diarrhea: ■ Traveler's diarrhea
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| S. aureus | show 🗑
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| E. coli O157:H7 | show 🗑
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| show | Identify key organisms causing diarrhea: ■ Fried rice
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| show | Identify key organisms causing diarrhea: ■ Poultry/eggs
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| show | Identify key organisms causing diarrhea: ■ Raw seafood
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| show | Identify key organisms causing diarrhea: ■ AIDS
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| show | Identify key organisms causing diarrhea: ■ Pseudoappendicitis
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| Crohn's disease | show 🗑
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| Ulcerative colitis | show 🗑
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| Uveitis, ankylosing spondylitis, pyoderma gangrenosum, erythema nodosum, 1° sclerosing cholangitis | show 🗑
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| 5-aminosalicylic acid +/− sulfasalazine and steroids during acute exacerbations | show 🗑
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| show | Difference between Mallory-Weiss and Boerhaave tears.
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| RUQ pain, jaundice, and fever/chills in the setting of ascending cholangitis | show 🗑
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| show | Reynolds' pentad.
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| show | Medical treatment for hepatic encephalopathy.
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| show | First step in the management of a patient with acute GI bleed.
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| show | A four-year-old child presents with oliguria, petechiae, and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
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| show | Post-HBV exposure treatment.
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| TB medications (INH, rifampin, pyrazinamide), acetaminophen, and tetracycline | show 🗑
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| show | A 40-year-old obese female with elevated alkaline phosphatase, elevated bilirubin, pruritus, dark urine, and clay-colored stools.
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| Femoral hernia | show 🗑
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| Confirm the diagnosis of acute pancreatitis with elevated amylase and lipase. Make patient NPO and give IV fluids, O2, analgesia, and "tincture of time" | show 🗑
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| show | Four causes of microcytic anemia.
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| show | An elderly male with hypochromic, microcytic anemia is asymptomatic. Diagnostic tests?
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| Sulfonamides, antimalarial drugs, fava beans | show 🗑
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| Factor V Leiden mutation | show 🗑
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| Hereditary spherocytosis | show 🗑
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| Osmotic fragility test | show 🗑
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| Diamond-Blackfan anemia | show 🗑
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| Fanconi's anemia | show 🗑
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| show | Medications and viruses that → aplastic anemia.
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| Both have ↑ hematocrit and RBC mass, but polycythemia vera should have normal O2 saturation and low erythropoietin levels | show 🗑
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| show | Thrombotic thrombocytopenic purpura (TTP) pentad?
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| show | HUS triad?
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| Emergent large-volume plasmapheresis, corticosteroids, antiplatelet drugs | show 🗑
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| show | Treatment for idiopathic thrombocytopenic purpura (ITP) in children.
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| show | Which of the following are ↑ in DIC: fibrin split products, D-dimer, fibrinogen, platelets, and hematocrit.
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| Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements | show 🗑
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| von Willebrand's disease; treat with desmopressin, FFP, or cryoprecipitate | show 🗑
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| Monoclonal gammopathy, Bence Jones proteinuria, "punched-out" lesions on x-ray of the skull and long bones | show 🗑
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| Hodgkin's lymphoma | show 🗑
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| show | A 10-year-old boy presents with fever, weight loss, and night sweats. Examination shows anterior mediastinal mass. Suspected diagnosis?
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| Anemia of chronic disease | show 🗑
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| show | Microcytic anemia with ↓ serum iron, ↓ ferritin, and ↑ TIBC.
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| show | An 80-year-old man presents with fatigue, lymphadenopathy, splenomegaly, and isolated lymphocytosis. Suspected diagnosis?
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| show | A late, life-threatening complication of chronic myelogenous leukemia (CML).
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| show | Auer rods on blood smear.
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| show | AML subtype associated with DIC.
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| ↓ Ca2+ , ↑ K− , ↑ phosphate, ↑ uric acid | show 🗑
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| show | Treatment for AML M3.
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|
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| show | A 50-year-old male presents with early satiety, splenomegaly, and bleeding. Cytogenetics show t(9,22). Diagnosis?
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|
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| Intracellular inclusions seen in thalassemia, G6PD deficiency, and postsplenectomy | show 🗑
|
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| Glanzmann's thrombasthenia | show 🗑
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| Parvovirus B19 | show 🗑
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| O2, analgesia, hydration, and, if severe, transfusion | show 🗑
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| Iron overload; use deferoxamine | show 🗑
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| Infection, cancer, and autoimmune disease | show 🗑
|
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| Fever, pharyngeal erythema, tonsillar exudate, lack of cough | show 🗑
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| Postinfectious glomerulonephritis | show 🗑
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| show | Asplenic patients are particularly susceptible to these organisms.
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| 105 bacteria/mL | show 🗑
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| show | Which healthy population is susceptible to UTIs?
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|
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| show | A patient from California or Arizona presents with fever, malaise, cough, and night sweats. Diagnosis? Treatment?
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| show | Nonpainful chancre.
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|
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| show | A "blueberry muffin" rash is characteristic of what congenital infection?
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|
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| show | Meningitis in neonates. Causes? Treatment?
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|
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| Pneumococcus, meningococcus, H. influenzae. Treat with cefotaxime and vancomycin | show 🗑
|
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| Check for ↑ ICP; look for papilledema | show 🗑
|
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| Bacterial meningitis | show 🗑
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| Aseptic (viral) meningitis | show 🗑
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| show | CSF findings: ■ Numerous RBCs in serial CSF samples
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|
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| MS | show 🗑
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| show | Initially presents with a pruritic papule with regional lymphadenopathy and evolves into a black eschar after 7–10 days. Treatment?
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|
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| show | Findings in 3° syphilis.
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| show | Characteristics of 2° Lyme disease.
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| Mycoplasma | show 🗑
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| Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension | show 🗑
|
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| show | Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV-positive patient at what CD4 count? Mycobacterium avium-intracellulare (MAI) prophylaxis?
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|
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| Pregnancy, vesicoureteral reflux, anatomic anomalies, indwelling catheters, kidney stones | show 🗑
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| 7–10 days | show 🗑
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| show | Erythema migrans.
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|
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| Fever, heart murmur, Osler's nodes, splinter hemorrhages, Janeway lesions, Roth's spots | show 🗑
|
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| show | Aplastic crisis in sickle cell disease.
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|
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| show | Ring-enhancing brain lesion on CT with seizures
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|
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| Actinomyces israelii | show 🗑
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| show | Name the organism: ■ Painful chancroid.
🗑
|
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| Pasteurella multocida | show 🗑
|
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| Sporothrix schenckii | show 🗑
|
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| show | Name the organism: ■ Pregnant women with pets.
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|
||||
| show | Name the organism: ■ Meningitis in adults.
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|
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| Streptococcus pneumoniae | show 🗑
|
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| Klebsiella | show 🗑
|
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| Klebsiella | show 🗑
|
||||
| show | Name the organism: ■ Infection in burn victims.
🗑
|
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| Pseudomonas | show 🗑
|
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| Salmonella | show 🗑
|
||||
| Legionella pneumonia | show 🗑
|
||||
| Lyme disease, Ixodes tick, doxycycline | show 🗑
|
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| show | A patient develops endocarditis three weeks after receiving a prosthetic heart valve. What organism is suspected?
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|
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| show | A patient presents with pain on passive movement, pallor, poikilothermia, paresthesias, paralysis, and pulselessness. Treatment?
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|
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| show | Back pain that is exacerbated by standing and walking and relieved with sitting and hyperflexion of the hips.
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|
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| MCP and PIP joints; DIP joints are spared | show 🗑
|
||||
| Osteoarthritis | show 🗑
|
||||
| Osteogenesis imperfecta | show 🗑
|
||||
| show | Hip and back pain along with stiffness that improves with activity over the course of the day and worsens at rest. Diagnostic test?
🗑
|
||||
| show | Arthritis, conjunctivitis, and urethritis in young men. Associated organisms?
🗑
|
||||
| show | A 55-year-old man has sudden, excruciating first MTP joint pain after a night of drinking red wine. Diagnosis, workup, and chronic treatment?
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|
||||
| show | Rhomboid-shaped, positively birefringent crystals on joint fluid aspirate.
🗑
|
||||
| show | An elderly female presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and ↑ ESR.
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|
||||
| show | An active 13-year-old boy has anterior knee pain. Diagnosis?
🗑
|
||||
| Distal radius (Colles' fracture) | show 🗑
|
||||
| Avascular necrosis | show 🗑
|
||||
| Wrist drop, loss of thumb abduction | show 🗑
|
||||
| Duchenne muscular dystrophy | show 🗑
|
||||
| show | A first-born female who was born in breech position is found to have asymmetric skin folds on her newborn exam. Diagnosis? Treatment?
🗑
|
||||
| show | An 11-year-old obese, African-American boy presents with sudden onset of limp. Diagnosis? Workup?
🗑
|
||||
| show | The most common 1° malignant tumor of bone.
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|
||||
| show | Unilateral, severe periorbital headache with tearing and conjunctival erythema.
🗑
|
||||
| show | Prophylactic treatment for migraine.
🗑
|
||||
| show | The most common pituitary tumor. Treatment?
🗑
|
||||
| show | A 55-year-old patient presents with acute "broken speech." What type of aphasia? What lobe and vascular distribution?
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|
||||
| Trauma; the second most common is berry aneurysm | show 🗑
|
||||
| show | A crescent-shaped hyperdensity on CT that does not cross the midline.
🗑
|
||||
| Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation | show 🗑
|
||||
| Elevated ICP, RBCs, xanthochromia | show 🗑
|
||||
| Guillain-Barré (↑ protein in CSF with only a modest ↑ in cell count) | show 🗑
|
||||
| show | Cold water is flushed into a patient's ear, and the fast phase of the nystagmus is toward the opposite side. Normal or pathological?
🗑
|
||||
| Lung, breast, skin (melanoma), kidney, GI tract | show 🗑
|
||||
| Absence seizures | show 🗑
|
||||
| Headache | show 🗑
|
||||
| show | The most common cause of seizures in children (2–10 years).
🗑
|
||||
| show | The most common cause of seizures in young adults (18–35 years).
🗑
|
||||
| IV benzodiazepine | show 🗑
|
||||
| show | Confusion, confabulation, ophthalmoplegia, ataxia.
🗑
|
||||
| show | What % lesion is an indication for carotid endarterectomy?
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|
||||
| show | The most common causes of dementia.
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|
||||
| show | Combined UMN and LMN disorder.
🗑
|
||||
| show | Rigidity and stiffness with resting tremor and masked facies.
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|
||||
| show | The mainstay of Parkinson's therapy.
🗑
|
||||
| show | Treatment for Guillain-Barré syndrome.
🗑
|
||||
| show | Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior.
🗑
|
||||
| show | A six-year-old girl presents with a port-wine stain in the V2 distribution as well as with mental retardation, seizures, and leptomeningeal angioma.
🗑
|
||||
| Neurofibromatosis 1 | show 🗑
|
||||
| Klüver-Bucy syndrome (amygdala) | show 🗑
|
||||
| Edrophonium | show 🗑
|
||||
| Placental abruption and placenta previa | show 🗑
|
||||
| Snowstorm on ultrasound. "Cluster-of-grapes" appearance on gross examination | show 🗑
|
||||
| show | Chromosomal pattern of a complete mole.
🗑
|
||||
| Partial mole | show 🗑
|
||||
| Continuous, painful vaginal bleeding | show 🗑
|
||||
| Self-limited, painless vaginal bleeding | show 🗑
|
||||
| Never | show 🗑
|
||||
| show | Antibiotics with teratogenic effects.
🗑
|
||||
| show | Shortest AP diameter of the pelvis.
🗑
|
||||
| Betamethasone or dexamethasone × 48 hours | show 🗑
|
||||
| show | The most common cause of postpartum hemorrhage.
🗑
|
||||
| show | Treatment for postpartum hemorrhage.
🗑
|
||||
| show | Typical antibiotics for group B streptococcus (GBS) prophylaxis.
🗑
|
||||
| Sheehan's syndrome (postpartum pituitary necrosis) | show 🗑
|
||||
| Inevitable abortion | show 🗑
|
||||
| Threatened abortion | show 🗑
|
||||
| show | The first test to perform when a woman presents with amenorrhea.
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|
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| show | Term for heavy bleeding during and between menstrual periods.
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||||
| show | Cause of amenorrhea with normal prolactin, no response to estrogen-progesterone challenge, and a history of D
🗑
|
||||
| Weight loss and OCPs | show 🗑
|
||||
| Clomiphene citrate | show 🗑
|
||||
| Endometrial biopsy | show 🗑
|
||||
| Stable, unruptured ectopic pregnancy of < 3.5 cm at < 6 weeks' gestation | show 🗑
|
||||
| show | Medical options for endometriosis.
🗑
|
||||
| show | Laparoscopic findings in endometriosis.
🗑
|
||||
| show | The most common location for an ectopic pregnancy.
🗑
|
||||
| Ultrasound | show 🗑
|
||||
| Regresses after menopause | show 🗑
|
||||
| Trichomonas vaginitis | show 🗑
|
||||
| Oral or topical metronidazole | show 🗑
|
||||
| Intraductal papilloma | show 🗑
|
||||
| show | Contraceptive methods that protect against PID.
🗑
|
||||
| Endometrial or estrogen receptor– breast cancer | show 🗑
|
||||
| show | A patient presents with recent PID with RUQ pain.
🗑
|
||||
| Paget's disease | show 🗑
|
||||
| CA-125 and transvaginal ultrasound | show 🗑
|
||||
| show | A 50-year-old woman leaks urine when laughing or coughing. Nonsurgical options?
🗑
|
||||
| Anticholinergics (oxybutynin) or β-adrenergics (metaproterenol) for urge incontinence. | show 🗑
|
||||
| ↑ serum FSH | show 🗑
|
||||
| show | The most common cause of female infertility.
🗑
|
||||
| show | Two consecutive findings of atypical squamous cells of undetermined significance (ASCUS) on Pap smear. Follow-up evaluation?
🗑
|
||||
| Lobular carcinoma in situ | show 🗑
|
||||
| show | Nontender abdominal mass associated with elevated VMA and HVA.
🗑
|
||||
| show | The most common type of tracheoesophageal fistula (TEF). Diagnosis?
🗑
|
||||
| Mild illness and/or low-grade fever, current antibiotic therapy, and prematurity | show 🗑
|
||||
| show | Tests to rule out shaken baby syndrome.
🗑
|
||||
| CF or Hirschsprung's disease | show 🗑
|
||||
| Duodenal atresia | show 🗑
|
||||
| show | A two-month-old presents with nonbilious projectile emesis. What are the appropriate steps in management?
🗑
|
||||
| show | The most common 1° immunodeficiency.
🗑
|
||||
| show | An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
🗑
|
||||
| show | Acute-phase treatment for Kawasaki disease.
🗑
|
||||
| show | Treatment for mild and severe unconjugated hyperbilirubinemia.
🗑
|
||||
| Reye's syndrome | show 🗑
|
||||
| show | A child has loss of red light reflex. Diagnosis?
🗑
|
||||
| HBV, DTaP, Hib, IPV, PCV | show 🗑
|
||||
| Precocious puberty | show 🗑
|
||||
| RSV bronchiolitis | show 🗑
|
||||
| Surfactant deficiency | show 🗑
|
||||
| Chronic granulomatous disease | show 🗑
|
||||
| Wiskott-Aldrich syndrome | show 🗑
|
||||
| show | What is the immunodeficiency? ■ A four-month-old boy has life-threatening Pseudomonas infection.
🗑
|
||||
| Intussusception | show 🗑
|
||||
| show | A congenital heart disease that cause 2° hypertension.
🗑
|
||||
| Amoxicillin × 10 days | show 🗑
|
||||
| show | The most common pathogen causing croup.
🗑
|
||||
| Kwashiorkor (protein malnutrition) | show 🗑
|
||||
| Lesch-Nyhan syndrome (purine salvage problem with | show 🗑
|
||||
| HGPRTase deficiency) | show 🗑
|
||||
| Patent ductus arteriosus (PDA) | show 🗑
|
||||
| SSRIs | show 🗑
|
||||
| show | Antidepressants associated with hypertensive crisis.
🗑
|
||||
| Patient on dopamine antagonist | show 🗑
|
||||
| Conversion disorder | show 🗑
|
||||
| show | Name the defense mechanism: ■ A mother who is angry at her husband yells at her child.
🗑
|
||||
| Reaction formation | show 🗑
|
||||
| Isolation | show 🗑
|
||||
| Regression | show 🗑
|
||||
| Neuroleptic malignant syndrome | show 🗑
|
||||
| show | Amenorrhea, bradycardia, and abnormal body image in a young female.
🗑
|
||||
| Panic disorder | show 🗑
|
||||
| Agranulocytosis | show 🗑
|
||||
| show | A 21-year-old male has three months of social withdrawal, worsening grades, flattened affect, and concrete thinking.
🗑
|
||||
| Weight gain, type 2 DM, QT prolongation | show 🗑
|
||||
| show | A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Diagnosis? Treatment?
🗑
|
||||
| Neuroleptics | show 🗑
|
||||
| Conduct disorder | show 🗑
|
||||
| Rett's disorder | show 🗑
|
||||
| show | A patient hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Diagnosis? Treatment?
🗑
|
||||
| show | After a minor fender bender, a man wears a neck brace and requests permanent disability.
🗑
|
||||
| Factitious disorder (Munchausen syndrome) | show 🗑
|
||||
| show | A patient continues to use cocaine after being in jail, losing his job, and not paying child support.
🗑
|
||||
| Phencyclidine hydrochloride (PCP) intoxication | show 🗑
|
||||
| show | A woman who was abused as a child frequently feels outside of or detached from her body.
🗑
|
||||
| Frotteurism (a paraphilia) | show 🗑
|
||||
| Tardive dyskinesia. ↓ or discontinue haloperidol and consider another antipsychotic (e.g., risperidone, clozapine) | show 🗑
|
||||
| show | A man unexpectedly flies across the country, takes a new name, and has no memory of his prior life.
🗑
|
||||
| show | Risk factors for DVT.
🗑
|
||||
| Pleural/serum protein > 0.5; pleural/serum LDH > 0.6 | show 🗑
|
||||
| show | Causes of exudative effusion.
🗑
|
||||
| Think of intact capillaries. CHF, liver or kidney disease, and protein-losing enteropathy | show 🗑
|
||||
| Fatigue and impending respiratory failure | show 🗑
|
||||
| show | Dyspnea, lateral hilar lymphodenopathy on CXR, noncaseating granulomas, increased ACE, and hypercalcemia.
🗑
|
||||
| show | PFT showing ↓ FEV1/FVC.
🗑
|
||||
| show | PFT showing ↑ FEV1/FVC.
🗑
|
||||
| show | Honeycomb pattern on CXR. Diagnosis? Treatment?
🗑
|
||||
| Radiation | show 🗑
|
||||
| Inhaled β-agonists and inhaled corticosteroids | show 🗑
|
||||
| show | Acid-base disorder in pulmonary embolism.
🗑
|
||||
| Squamous cell carcinoma | show 🗑
|
||||
| show | Lung cancer associated with SIADH.
🗑
|
||||
| SCLC | show 🗑
|
||||
| show | A tall white male presents with acute shortness of breath. Diagnosis? Treatment?
🗑
|
||||
| Immediate needle thoracostomy | show 🗑
|
||||
| show | Characteristics favoring carcinoma in an isolated pulmonary nodule.
🗑
|
||||
| show | Hypoxemia and pulmonary edema with normal pulmonary capillary wedge pressure.
🗑
|
||||
| show | ↑ risk of what infection with silicosis?
🗑
|
||||
| Right-to-left shunt, hypoventilation, low inspired O2 tension, diffusion defect, V/Q mismatch | show 🗑
|
||||
| Cardiomegaly, prominent pulmonary vessels, Kerley B lines, "bat's-wing" appearance of hilar shadows, and perivascular and peribronchial cuffing | show 🗑
|
||||
| show | Renal tubular acidosis (RTA) associated with abnormal H+ secretion and nephrolithiasis.
🗑
|
||||
| Type II (proximal) RTA | show 🗑
|
||||
| show | RTA associated with aldosterone defect.
🗑
|
||||
| Hypernatremia | show 🗑
|
||||
| show | Differential of hypervolemic hyponatremia.
🗑
|
||||
| show | Chvostek's and Trousseau's signs.
🗑
|
||||
| Malignancy and hyperparathyroidism | show 🗑
|
||||
| Hypokalemia | show 🗑
|
||||
| Hyperkalemia | show 🗑
|
||||
| IV hydration and loop diuretics (furosemide) | show 🗑
|
||||
| show | Type of ARF in a patient with FeNa < 1%.
🗑
|
||||
| show | A 49-year-old male presents with acute-onset flank pain and hematuria.
🗑
|
||||
| Calcium oxalate | show 🗑
|
||||
| show | A 20-year-old man presents with a palpable flank mass and hematuria. Ultrasound shows bilateral enlarged kidneys with cysts. Associated brain anomaly?
🗑
|
||||
| show | Hematuria, hypertension, and oliguria.
🗑
|
||||
| Nephrotic syndrome | show 🗑
|
||||
| Membranous glomerulonephritis | show 🗑
|
||||
| show | The most common form of glomerulonephritis.
🗑
|
||||
| Alport's syndrome | show 🗑
|
||||
| Wegener's granulomatosis and Goodpasture's syndrome | show 🗑
|
||||
| Glomerulonephritis/nephritic syndrome | show 🗑
|
||||
| Allergic interstitial nephritis | show 🗑
|
||||
| show | Waxy casts in urine sediment and Maltese crosses (seen with lipiduria).
🗑
|
||||
| show | Drowsiness, asterixis, nausea, and a pericardial friction rub.
🗑
|
||||
| show | A 55-year-old man is diagnosed with prostate cancer. Treatment options?
🗑
|
||||
| show | Low urine specific gravity in the presence of high serum osmolality.
🗑
|
||||
| Fluid restriction, demeclocycline | show 🗑
|
||||
| show | Hematuria, flank pain, and palpable flank mass.
🗑
|
||||
| Choriocarcinoma | show 🗑
|
||||
| Seminoma—a type of germ cell tumor | show 🗑
|
||||
| show | The most common histology of bladder cancer.
🗑
|
||||
| show | Complication of overly rapid correction of hyponatremia.
🗑
|
||||
| show | Salicylate ingestion → in what type of acid-base disorder?
🗑
|
||||
| show | Acid-base disturbance commonly seen in pregnant women.
🗑
|
||||
| DM, SLE, and amyloidosis | show 🗑
|
||||
| RCC or other erythropoietin-producing tumor; evaluate with CT scan | show 🗑
|
||||
| Likely BPH. Options include no treatment, terazosin, finasteride, or surgical intervention (TURP) | show 🗑
|
||||
| Antipsychotics (neuroleptic malignant syndrome) | show 🗑
|
||||
| show | Side effects of corticosteroids.
🗑
|
||||
| Benzodiazepines | show 🗑
|
||||
| N-acetylcysteine | show 🗑
|
||||
| Naloxone | show 🗑
|
||||
| show | Treatment for benzodiazepine overdose.
🗑
|
||||
| show | Treatment for neuroleptic malignant syndrome.
🗑
|
||||
| Nitroprusside | show 🗑
|
||||
| show | Treatment of AF.
🗑
|
||||
| Rate control with carotid massasge or other vagal stimulation | show 🗑
|
||||
| show | Causes of drug-induced SLE.
🗑
|
||||
| B12 deficiency | show 🗑
|
||||
| show | Macrocytic, megaloblastic anemia without neurologic symptoms.
🗑
|
||||
| show | A burn patient presents with cherry-red flushed skin and coma. SaO2 is normal, but carboxyhemoglobin is elevated. Treatment?
🗑
|
||||
| Bladder rupture or urethral injury | show 🗑
|
||||
| Retrograde cystourethrogram | show 🗑
|
||||
| Widened mediastinum (> 8 cm), loss of aortic knob, pleural cap, tracheal deviation to the right, depression of left main stem bronchus | show 🗑
|
||||
| Free air under the diaphragm, extravasation of contrast, severe bowl distention, space-occupying lesion (CT), mesenteric occlusion (angiography) | show 🗑
|
||||
| show | The most common organism in burn-related infections.
🗑
|
||||
| Parkland formula | show 🗑
|
||||
| show | Acceptable urine output in a trauma patient.
🗑
|
||||
| show | Acceptable urine output in a stable patient.
🗑
|
||||
| Third-degree heart block | show 🗑
|
||||
| Hypotension and bradycardia | show 🗑
|
||||
| Hypertension, bradycardia, and abnormal respirations | show 🗑
|
||||
| show | ↓ CO, ↓ pulmonary capillary wedge pressure (PCWP), ↑ peripheral vascular resistance (PVR).
🗑
|
||||
| show | ↓ CO, ↑ PCWP, ↑ PVR.
🗑
|
||||
| Septic or anaphylactic shock | show 🗑
|
||||
| show | Treatment of septic shock.
🗑
|
||||
| show | Treatment of cardiogenic shock.
🗑
|
||||
| Identify cause; fluid and blood repletion | show 🗑
|
||||
| show | Treatment of anaphylactic shock.
🗑
|
||||
| Continuous positive airway pressure | show 🗑
|
||||
| show | Signs of air embolism.
🗑
|
||||
| AP chest, AP/lateral C-spine, AP pelvis | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
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.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
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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