Step 2 CK - Uworld Notes
Study online at https://quizlet.com/_fcival
1. Normal Urine specific gravity: 1.005 - 1.030 (best if 1.010-1.025)
“with elderly adults
2. Nitrofurantoin Side effects: 3-9 days later:
lung injury/hypersensitivity pneumonitis - basilar crackles/opacities/pleural effusion
maculopapular rash
leukocytosis with eosinophilia
3. caput succedaneum: diffuse edema of the fetal scalp that crosses the suture
lines. reabsorbes within 1 to 3 days
4. Cephalohematoma: Swelling does NOT cross suture lines, caused by bleeding
from subperiosteal vessel rupture
5. Subgaleal hemorrhage: massive bleeding from subgaleal vein shearing that can
cross suture lines and move around, above periosteum in loose areolar tissue
-pallor, tachycardia
-risk for jaundice, severe blood loss
6. Echinococcus liver cyst: Hydatid cyst with daughter cysts (internal septations)
and egg shell calcifications, can rupture if >5 septations (percutaneous drainage
needed)
tx: albendazole +/- surgery if rupture
* cysts can also occur in lungs
7. Amebia liver cyst: subcapsular cyst
8. Liver flukes: Clonorchis sinensis (undercooked fish), cause BILIARY disease,
not liver cysts
9. Fish tapeworm: Diphyllobothrium latum (undercooked fish), causes Vit b12 def
with megaloblastic anemia
10. Cyclophosphamide side effects: hemorrhagic cystitis (accumulation of
metabolite acrolein in urine), bladder carcinoma, sterility, bone marrow suppression
11. fetus with lymphedema, loose neck skin and dysplastic nails: Turners Syn-
drome
12. When to perform aortic vale replacement?: if symptomatic (syncope, angina,
dyspnea from HF)
OR
EF<50%
13. Triggers of acute-angle closure glaucoma: decongestants (phenylephrine),
SSRIs/SNRIs/TCAs,
mydriatics (atropine, tropicamide), topiramate, sulfa drugs, anticoagulants, tamiflu,
nebulized albuterol + ipratropium,
NMJ blocking agents
14. Causes of sideroblastic anemia: alcohol, pyridoxine (B6) deficiency (sec-
ondary to isoniazid), lead poisoning
, Step 2 CK - Uworld Notes
Study online at https://quizlet.com/_fcival
15. Serotonin syndrome treatment: Supportive + benzos
If unresponsive: Cyproheptadine
16. TCA overdose treatment: sodium bicarbonate to prevent cardiotoxicity
17. T2 hyperintensity + sensory and motor impairment at distinct level: trans-
verse myelitis
18. NPO alcoholic on antibiotics with bleeding from venipuncture sites: Vit K
deficiency
- NPO: lose nutritional source
- alcoholic liver disease: lose storage
- antibiotics: lose gut source
19. Risk of bisphosphonates: Osteonecrosis of the jaw
20. Otitis media treatment if penicillin allergy: Azithromycin or Clindamycin
21. high fever, rash, joint pain, lymphopenia: Chikungunya
22. Oxytocin side effects: Maternal Side Effects: Cardiovascular: dysrhythmias,
chest pain, hypertension
Neurological: seizures
Respiratory: dyspnea
Gastrointestinal: nausea/vomiting
Genitourinary: Severe uterine cramping, uterine rupture
Fetal Side Effects: Cardiovascular: bradycardia, ectopic rhythms
Neurological: intracranial hemorrhage
Respiratory: hypoxia, asphyxia
23. Neuroblastoma presenting symptoms: abdominal mass, periorbital ecchymo-
sis (from orbital mets), opsoclonus-myoclonus, spinal cord compression
24. Lichen Planus associations: Hep C, thiazides, ACE inhibitors
25. contraindicated in migraine with aura: estrogen-containing contraceptives d/t
increased stroke risk
26. Laryngomalacia causes what: Intermittent collapse of arytenoid cartilage,
worse when crying and laying on back, inspiratory stridor
27. Newborn jaundice (indirect bili) presenting within 1st week, signs of de-
hydration, >10% weight loss, continued meconium: Breast Feeding / Lactation
Failure Jaundice
- decreased bilirubin elimination
28. Newborn jaundice (indirect bili) presenting after 1st week and peaking at
2 weeks, no signs of dehydration: Breast Milk Jaundice
- B glucuronidase in breast milk deconjugates intestinal bilirubin
29. When to initiate exchange transfusion for hyperbilirubinemia: if Bili >25 or
symptoms (lethargic, hypotonia)
, Step 2 CK - Uworld Notes
Study online at https://quizlet.com/_fcival
30. Unvaccinated neonate with spastic hypertonicity and swollen purulent
umbilical stump: Tetanus
31. Hypotonic neonate with poor feeding and constipation: Botulism
32. Polymyositis treatment: Glucocorticoid: Prednisone
Glucocorticoid-sparing agents: methotrexate or azathioprine
Assoc with paraneoplastic syndrome: cancer screening
33. Unilateral cervical lymphadenitis: D/t staph aureus or strep progenies
Tx: Clindamycin +/- I&D if abscess
34. Treatment of VFib and Pulseless VTach: Defibrillation
Epinephrine every 3-5 minutes
After several attempts: Amiodarone or Lidocaine
35. Treatment of AFib, AFlutter and VTach with a pulse: Synchronized cardio
version
36. Orbital floor fracture causes: Diplopia when looking up from inferior rectus
entrapment
37. Sick Sinus Syndrome: arrhythmia in which bradycardia alternates with tachy-
cardia (usually AFib), Tx: pacemaker +/- rate controlling agents
38. Treatment of high altitude sickness: oxygen
AMS: acetazolamide
Cerebal edema: dexamethasone
Definitive Tx: descend
39. Treatment of inevitable abortion: D&C (hemodynamically unstable) vs expec-
tant mgmt or misoprostol
40. Extrarenal manifestations of ADPKD: -intracranial aneurysms
- MVP, AR
-hepatic and pancreatic cysts
- diverticulosis
- ventral and inguinal hernias
41. Treatment of thyroid storm: Beta blockers (propranolol)
PTU + iodine
corticosteroids (hydrocortisone)
42. Management of congenital diaphragmatic hernia: Intubation
NGT decompression
Surgery
43. AFib with RVR d/t Hyperthyroid Tx: Propranalol
NOT CARDIOVERSION
44. Workup of unilateral bloody nipple discharge in woman over 30yrs: 1.
Mammogram
Study online at https://quizlet.com/_fcival
1. Normal Urine specific gravity: 1.005 - 1.030 (best if 1.010-1.025)
“with elderly adults
2. Nitrofurantoin Side effects: 3-9 days later:
lung injury/hypersensitivity pneumonitis - basilar crackles/opacities/pleural effusion
maculopapular rash
leukocytosis with eosinophilia
3. caput succedaneum: diffuse edema of the fetal scalp that crosses the suture
lines. reabsorbes within 1 to 3 days
4. Cephalohematoma: Swelling does NOT cross suture lines, caused by bleeding
from subperiosteal vessel rupture
5. Subgaleal hemorrhage: massive bleeding from subgaleal vein shearing that can
cross suture lines and move around, above periosteum in loose areolar tissue
-pallor, tachycardia
-risk for jaundice, severe blood loss
6. Echinococcus liver cyst: Hydatid cyst with daughter cysts (internal septations)
and egg shell calcifications, can rupture if >5 septations (percutaneous drainage
needed)
tx: albendazole +/- surgery if rupture
* cysts can also occur in lungs
7. Amebia liver cyst: subcapsular cyst
8. Liver flukes: Clonorchis sinensis (undercooked fish), cause BILIARY disease,
not liver cysts
9. Fish tapeworm: Diphyllobothrium latum (undercooked fish), causes Vit b12 def
with megaloblastic anemia
10. Cyclophosphamide side effects: hemorrhagic cystitis (accumulation of
metabolite acrolein in urine), bladder carcinoma, sterility, bone marrow suppression
11. fetus with lymphedema, loose neck skin and dysplastic nails: Turners Syn-
drome
12. When to perform aortic vale replacement?: if symptomatic (syncope, angina,
dyspnea from HF)
OR
EF<50%
13. Triggers of acute-angle closure glaucoma: decongestants (phenylephrine),
SSRIs/SNRIs/TCAs,
mydriatics (atropine, tropicamide), topiramate, sulfa drugs, anticoagulants, tamiflu,
nebulized albuterol + ipratropium,
NMJ blocking agents
14. Causes of sideroblastic anemia: alcohol, pyridoxine (B6) deficiency (sec-
ondary to isoniazid), lead poisoning
, Step 2 CK - Uworld Notes
Study online at https://quizlet.com/_fcival
15. Serotonin syndrome treatment: Supportive + benzos
If unresponsive: Cyproheptadine
16. TCA overdose treatment: sodium bicarbonate to prevent cardiotoxicity
17. T2 hyperintensity + sensory and motor impairment at distinct level: trans-
verse myelitis
18. NPO alcoholic on antibiotics with bleeding from venipuncture sites: Vit K
deficiency
- NPO: lose nutritional source
- alcoholic liver disease: lose storage
- antibiotics: lose gut source
19. Risk of bisphosphonates: Osteonecrosis of the jaw
20. Otitis media treatment if penicillin allergy: Azithromycin or Clindamycin
21. high fever, rash, joint pain, lymphopenia: Chikungunya
22. Oxytocin side effects: Maternal Side Effects: Cardiovascular: dysrhythmias,
chest pain, hypertension
Neurological: seizures
Respiratory: dyspnea
Gastrointestinal: nausea/vomiting
Genitourinary: Severe uterine cramping, uterine rupture
Fetal Side Effects: Cardiovascular: bradycardia, ectopic rhythms
Neurological: intracranial hemorrhage
Respiratory: hypoxia, asphyxia
23. Neuroblastoma presenting symptoms: abdominal mass, periorbital ecchymo-
sis (from orbital mets), opsoclonus-myoclonus, spinal cord compression
24. Lichen Planus associations: Hep C, thiazides, ACE inhibitors
25. contraindicated in migraine with aura: estrogen-containing contraceptives d/t
increased stroke risk
26. Laryngomalacia causes what: Intermittent collapse of arytenoid cartilage,
worse when crying and laying on back, inspiratory stridor
27. Newborn jaundice (indirect bili) presenting within 1st week, signs of de-
hydration, >10% weight loss, continued meconium: Breast Feeding / Lactation
Failure Jaundice
- decreased bilirubin elimination
28. Newborn jaundice (indirect bili) presenting after 1st week and peaking at
2 weeks, no signs of dehydration: Breast Milk Jaundice
- B glucuronidase in breast milk deconjugates intestinal bilirubin
29. When to initiate exchange transfusion for hyperbilirubinemia: if Bili >25 or
symptoms (lethargic, hypotonia)
, Step 2 CK - Uworld Notes
Study online at https://quizlet.com/_fcival
30. Unvaccinated neonate with spastic hypertonicity and swollen purulent
umbilical stump: Tetanus
31. Hypotonic neonate with poor feeding and constipation: Botulism
32. Polymyositis treatment: Glucocorticoid: Prednisone
Glucocorticoid-sparing agents: methotrexate or azathioprine
Assoc with paraneoplastic syndrome: cancer screening
33. Unilateral cervical lymphadenitis: D/t staph aureus or strep progenies
Tx: Clindamycin +/- I&D if abscess
34. Treatment of VFib and Pulseless VTach: Defibrillation
Epinephrine every 3-5 minutes
After several attempts: Amiodarone or Lidocaine
35. Treatment of AFib, AFlutter and VTach with a pulse: Synchronized cardio
version
36. Orbital floor fracture causes: Diplopia when looking up from inferior rectus
entrapment
37. Sick Sinus Syndrome: arrhythmia in which bradycardia alternates with tachy-
cardia (usually AFib), Tx: pacemaker +/- rate controlling agents
38. Treatment of high altitude sickness: oxygen
AMS: acetazolamide
Cerebal edema: dexamethasone
Definitive Tx: descend
39. Treatment of inevitable abortion: D&C (hemodynamically unstable) vs expec-
tant mgmt or misoprostol
40. Extrarenal manifestations of ADPKD: -intracranial aneurysms
- MVP, AR
-hepatic and pancreatic cysts
- diverticulosis
- ventral and inguinal hernias
41. Treatment of thyroid storm: Beta blockers (propranolol)
PTU + iodine
corticosteroids (hydrocortisone)
42. Management of congenital diaphragmatic hernia: Intubation
NGT decompression
Surgery
43. AFib with RVR d/t Hyperthyroid Tx: Propranalol
NOT CARDIOVERSION
44. Workup of unilateral bloody nipple discharge in woman over 30yrs: 1.
Mammogram
