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Exam (elaborations)

Usmle Step 2 Ck Questions With Correct Answers

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USMLE STEP 2 CK QUESTIONS WITH CORRECT ANSWERS

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triad- flushing, diarrhea, wheezing. Serotonin. Tx- surgery, octreotide


Give this one a try later!


carcinoid




normal: increase in TBG, increased total T3/T4, normal free T3/T4/TSH


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thyroid studies in pregnancy




aortoiliac occlusion. Triad- hip/thigh/butt weakness, impotence, atrophy of muscles.
Diminished pulses

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Lerich syndrome




typicals better for positive Sx, atypicals better for negative Sx.


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schizo positive/negative symptom tx




positive hydrogen breath test, stool reducing substances, acidic stool pH, high stool
osmotic gap, NO steatorrhea


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lactose intolerance




v-fib, a reentrant rhythm


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Sudden death during MI




rapid rewarming with warm water immersion


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, frostbite




can be due to hypomagnesemia --> often occurs in alcoholics.


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refractory hypokalemia




dyslipidemia, accelerated atherosclerosis, hypercoagulable, risk for MI/stroke, higher
infxn susceptibility. Can have renal vein thrombosis, usually with membranous GN


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nephrotic syndrome




sympathetic fiber block --> LE vasodilation --> LE venous pooling


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hypotension in epidural block for labor




acute onset of HA and focal neurologic symptoms shortly after acute otitis media or
sinusitis. CT/MRI- ring enhancing lesions.


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, brain abscess




most common primary adrenal insufficiency in developing countries (autoimmune
adrenalitis most common in developed countries). CT- adrenal calcifications. Tx of TB
often does not resolve adrenal insufficiency and patients need lifelong replacement.


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adrenal tuberculosis




latin america. Protozoa - Trypanosoma cruzi. Megaesophagus, megacolon,
myocarditis, CHF


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chagas disease




elderly diabetics. Pseudomonas. Ear pain, drainage, granulation tissue in ear canal,
osteomyelitis of skull base, facial nerve destruction. Dx- CT or MRI. Tx-
antipseudomonal Abx (ciprofloxacin first choice). Oral Abx DON'T WORK


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malignant otitis externa




ethosuximide, valproate

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