UWSA 1 Step 2 Comprehensive
Questions and Solutions
Graded A+
What heart condition causes distal pulses to disapear with inspiration? - Answer: cardiac
tamponade - pulsus paradoxus
right atrial filling is impaired leading to an increase in the SVR
What are the CSF findings in Herpes meningitis? - Answer: lymphocytic pleocytosis, an
increased number of erythrocytes, elevated protein
CT shows abnormalities in frontotemporal region of the brain
How do CSF's of TB vs Bacterial meningitis appear? - Answer: They are alike except for WBC --TB
has lower count and WBC's predominant, Bacterial has high count with neutrophils
What chemical composition is ACTH? - Answer: polypeptide hormone
lung cancer can produce it
small lung cancer is the most common cause of paraneoplastic Cushing's syndrome
Define active phase protraction and management? - Answer: active phase - 6cm or greater and
cervix should dilate by at least 1 cm every 2 hours
give oxytocin
, ideally contractions occur every 2-3 minutes at this stage
(or warfarin)
Pt has hx of afib with TIA. What preventative medication should they be on? - Answer: direct
factor Xa inhibitor- apixaban or rivaroxaban or direct thrombin inhibitor -dabigatran
What is a very elevated pleural effusion protein level? - Answer: greater than 4 - TB is a common
cause if this high, also has a very high LDH
Are live influenza vaccines ever given to HIV pts? - Answer: nope
What is the MOA of sponatenous bacterial peritonitis? - Answer: enteric bacteria translocate
across the intestinal wall and seed ascitic fluid within the peritoneal cavity
Bullous or pemphious vulgaris presents with flaccid blisters that form erosions? - Answer:
pemphigus
mucosal involvement almost alwasy present!
What are the 4 top cancers causing brain metastases? - Answer: breast, lung, renal carcinoma,
melanoma
What does temporal lobe epilepsy appear as? - Answer: pts appear alert but do not interact
with their environment (blank stare) - automatisms (lip smacking, hand movements are the
common signals of epilepsy)
Transient hypo or hyperglycemia is to be expected for a baby born to a mom with gestational
diabetes? - Answer: transient hypoglycemia
What is the treatment for wide-complex tachycardia? - Answer: amiodarone
Questions and Solutions
Graded A+
What heart condition causes distal pulses to disapear with inspiration? - Answer: cardiac
tamponade - pulsus paradoxus
right atrial filling is impaired leading to an increase in the SVR
What are the CSF findings in Herpes meningitis? - Answer: lymphocytic pleocytosis, an
increased number of erythrocytes, elevated protein
CT shows abnormalities in frontotemporal region of the brain
How do CSF's of TB vs Bacterial meningitis appear? - Answer: They are alike except for WBC --TB
has lower count and WBC's predominant, Bacterial has high count with neutrophils
What chemical composition is ACTH? - Answer: polypeptide hormone
lung cancer can produce it
small lung cancer is the most common cause of paraneoplastic Cushing's syndrome
Define active phase protraction and management? - Answer: active phase - 6cm or greater and
cervix should dilate by at least 1 cm every 2 hours
give oxytocin
, ideally contractions occur every 2-3 minutes at this stage
(or warfarin)
Pt has hx of afib with TIA. What preventative medication should they be on? - Answer: direct
factor Xa inhibitor- apixaban or rivaroxaban or direct thrombin inhibitor -dabigatran
What is a very elevated pleural effusion protein level? - Answer: greater than 4 - TB is a common
cause if this high, also has a very high LDH
Are live influenza vaccines ever given to HIV pts? - Answer: nope
What is the MOA of sponatenous bacterial peritonitis? - Answer: enteric bacteria translocate
across the intestinal wall and seed ascitic fluid within the peritoneal cavity
Bullous or pemphious vulgaris presents with flaccid blisters that form erosions? - Answer:
pemphigus
mucosal involvement almost alwasy present!
What are the 4 top cancers causing brain metastases? - Answer: breast, lung, renal carcinoma,
melanoma
What does temporal lobe epilepsy appear as? - Answer: pts appear alert but do not interact
with their environment (blank stare) - automatisms (lip smacking, hand movements are the
common signals of epilepsy)
Transient hypo or hyperglycemia is to be expected for a baby born to a mom with gestational
diabetes? - Answer: transient hypoglycemia
What is the treatment for wide-complex tachycardia? - Answer: amiodarone
