Details Title: Step 2 USMLE secrets B Description: questions and answers for COMLEX and USMLE 2 study Total Flash Cards: 57 Created: 02/15/2009 19:40:13		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Medieval Studies Flashcards
Cards in this set: 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