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Step 2 USMLE secrets B
questions and answers for COMLEX and USMLE 2 study
57
Medieval Studies
Professional
02/15/2009

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Cards

Term
What is the most notorious side effect of trazadone?
Definition
priapism
Term
What are factitious disorders?
Definition
disorders of pts who intentionally create an illness or symptom
Term
What are somatoform disorders?
Definition
physical symptoms unintentionally manifested from a psychogenic order
Term
What psychiatric disorder is most likely to be associated with childhood sexual abuse?
Definition
multiple personality disorder
Term
Describe a schizoid pt.
Definition
classic loner with no friends and no interest in having friends
Term
T or F: Withdrawal from opioids can be fatal.
Definition
False; while pts withdrawing from opioids may feel like they are dying the withdrawal itself will not kill them.
Term
Which anti-hypertensive agents should be avoided in pts with asthma or COPD?
Definition
beta-blockers
Term
What is the number one cause of emphysema?
Definition
smoking
Term
A solitary pulmonary nodule found in a pt with a history of cave exploring should be suspected of having what?
Definition
histoplasmosis
Term
What disease pathology should be suspected in a pt under 40 with no history of smoking, and an otherwise unremarkable history with concomitant solitary pulmonary nodule?
Definition
hamartoma
Term
Which bacterium is the single most common cause of pnuemonia?
Definition
Streptococcus pneumoniae
Term
What is the difference between typical and atypicle pnuemonia?
Definition
Typical pneumonia is Strep. pneumoniae; atypical is pneumoniae due to any other cause
Term
Atypical pneumoniae should be suspected in what types of pts?
Definition
over 40 w/ high fever, one distinct lobe on CXR
Term
An alcoholic pt with currant jelly sputum should be suspected of having what bacterial cause of pneumonia?
Definition
Klebsiella
Term
What type of pneumonia should be suspected in a known TB+ ptwith a demonstratable pulmonary cavitation on CXR?
Definition
Aspergillus
Term
What is the most common cause infant respiratory distress syndrome in pemature neonates?
Definition
atelectasis from surfactant deficiency
Term
What laboratory assessment of maternal amniotic fluid helps determine the risk of infant respiratory distress syndrome?
Definition
lecithin-to-sphingomyelin ration greater than 2:1 (alternatively phosphatidylglycerol may be utilized in diabetic mothers)
Term
90% of diaphragmatic hernias occur on which side?
Definition
left
Term
Which type of arthritis is associated with Heberden's nodules, Bouchard's nodules, and worsening of symptoms in the evening?
Definition
osteoarthritis
Term
What are Heberden's nodules?
Definition
OA of the distal interphalangeal joints
Term
What are Bouchard's nodules?
Definition
OA of the proximal interphalangeal joints
Term
What type of light refraction do gout crystals demonstrate?
Definition
negative birefringence
Term
What shape are gout crystals?
Definition
needle
Term
Which NSAID should be avoided in the treatment of gout?
Definition
ASA
Term
What type of crystals cause pseudogout?
Definition
calcium phryophosphate
Term
What shape are the crystals of pseudogout?
Definition
rhomboid (square)
Term
What type of light refraction do pseudogout crystals have?
Definition
weakling positive birefringence
Term
What is the most common cause of septic arthritis?
Definition
staph aureus
Term
Which joints are most commonly affected by ankylosing spondylitis?
Definition
SI joints
Term
What is Kawasaki syndrome?
Definition
autoimmune vasculitis
Term
In which type of shock is cardiac output high?
Definition
septic
Term
In which type of shock is systemic venous oxygen saturation elevated?
Definition
septic
Term
In which type of shock is pulomnary capillary wedge pressure elevated?
Definition
cardiogenic
Term
Virchow's triad (endothelial damage, stasis, hyper-coag state) is useful in the diagnosis of what condition?
Definition
venous thrombotic events (DVT/PE)
Term
What are the three elements to Virchow's triad?
Definition
endothelial damage, stasis, hypercoaguable state
Term
What is meant by tamponade?
Definition
pathologic compression of an organ
Term
What is the causative agent of toxic shock syndrome?
Definition
staphylococcus aureus
Term
What is the most common type of testicular cancer?
Definition
germ cell tumor (seminoma)
Term
AFP elevation is common in which type of testicular cancer?
Definition
yolk sac tumors
Term
HCG elevation is common in which type of testicular cancer?
Definition
choriocarcinoma
Term
Which type of testicular cancer is likely to increase endogenous androgens?
Definition
Leydig cell tumors
Term
What is the most common presenting sign of renal cell carcinoma?
Definition
painless hematuria
Term
What sudden ocular manifestation often represents the first signs of carotid artery stenosis?
Definition
amaurosis fugax
Term
What precentage occlusion of carotid artery stenosis be treated with endarterectomy?
Definition
70%
Term
What is the most common cause of death during vascular surgery?
Definition
MI
Term
What size must a Triple A be for monitoring to be the only intervention?
Definition
less than 5 cm
Term
What is Leriche's syndrome (aka aortoiliac occlusive disease)?
Definition
buttock claudication, buttock atrophy, and impotence due to aortoiliac occlusive disease
Term
Which two vitamine deficiencies commonly cause megaloblastic anemia?
Definition
B12 and folate
Term
How can megaloblastic anemia due to B12 and folate deficiency be differentiated based on clinical exam?
Definition
B12 deficiency has neurologic manifestations; Folate deficiency does not present with neurologic manifestations
Term
What are the fat soluble vitamins?
Definition
KADE
Term

Which medication is most commonly responsible for iatrogenic vit B6 deficiency?

Definition
isoniazid
Term
Which vitamin is a known teratogen?
Definition
Vit A
Term
Which vitamin should be administered to all neonates?
Definition
K
Term
Which vitamin deficiency is commonly seen in pts treated with broadspectrum antibiotics?
Definition
K
Term
What are the vitamin K-dependent blood factors?
Definition
2, 7, 9, 10, proteins C and S
Term
What is isoniazid used for?
Definition
treatment of TB with other agents
Term
Leydig cells secerte what?
Definition
testosterone
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