MSP Step 2 Rapid 6 Word Scramble

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

Created by: dudedudedudedude

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