Usmle step 2 rapid stuvia Study guides, Class notes & Summaries

"Sawtooth" P waves - Answer Classic ECG finding in atrial flutter. Angina is new, is worsening, or occurs at rest - Answer Definition of unstable angina. ACEI - Answer Antihypertensive for a diabetic patient with proteinuria. Hypotension, distant heart sounds, and JVD - Answer Beck's triad for cardiac tamponade. β-blockers, digoxin, calcium channel blockers - Answer Drugs that slow AV node transmission. Niacin - Answer Hypercholesterolemia treatment that → flushing and pruri...

Four causes of microcytic anemia - Answer TICS: Thalassemia Iron-deficiency anemia Chronic disease Sideroblastic anemia Elderly man with hypochromic, microcytic anemia is asymptomatic. Diagnostic tests? - Answer Suspect colorectal cancer: Fecal occult blood test Sigmoidoscopy Precipitants of hemolytic crisis in patients with G6PD deficiency - Answer Sulfonamides Antimalarial drugs Fava beans Most common inherited cause of hypercoagulability - Answer Factor V Leiden mutation M...

Renal tubular acidosis (RTA) associated with abnormal H+ secretion and nephrolithiasis - Answer Type 1 (Distal) RTA RTA associated with abnormal HCO3 and rickets - Answer Type 2 proximal RTA RTA associated with aldosterone defect - Answer Type 4 distal RTA Doughy skin - Answer hypernatremia Differential for hypervolemic Hyponatremia - Answer Cirrhosis, CHF, nephrotic syndrome Chovestks sign, and Trosseuas - Answer Hypocalcemia The most common cause of Hypercalcemia - Answer mal...

Risk factors for DVT - Answer Virchow triad: Stasis Endothelial injury Hypercoagulability Criteria for exudative effusion - Answer Pleural/serum protein >0.5 Pleural/serum LDH >0.6 Causes of exudative effusion - Answer Think of leaky capillaries: Malignancy TB Bacterial or viral infection Pulmonary embolism with infarct Pancreatitis Causes of transudative effusion - Answer Thik of intact capillaries: CHF Cirrhosis Nephrotic syndrome (protein-losing enteropathy) Nor...

"Stuck on" appearance - Answer Seborrheic keratosis Red plaques with silvery white scaled and sharp margins - Answer Psoriasis The most common type of skin cancer; the lesion is a pearly colored papule with a translucent surface and telangiectasisas - Answer Basal cell carcinoma Honey crusted lesions - Answer Impetigo A febrile patient with a history of diabetes presents with a red, swollen , painful lower extremity - Answer Cellulitis

Back pain that is excacerbated by standing and walking and relieved with sitting and hyperflecion of the hips - Answer Spinal stenosis Joints in the hand affected in rheumatoid arthritis. - Answer MCP and PIP joints; DIP joints are spared. Joint pain and stiffness that worsen over the course of the day and relieved by rest. - Answer Osteoarthritis Genetic disorder associated with multiple fractures and commonaly mistaken for child abuse. - Answer Osteogenesis Imperfectica.

Patient presents with sudden onset of severe, diffuse abdominal pain. Exam reveals peritoneal signs and abdominal radiograph reveals free air under the diaphragm. Management? - Answer Emergent laparotomy to repair a perforated viscus. The most likely cause of acute lower GI bleeding in patients >40 - Answer Diverticulosis Diagnostic modality used when ultrasonography is equivocal for cholecystitis - Answer Hepatobiliary iminodiacetic acid (HIDA) scan Risk factors for cholelithiasis -...

Four causes of microcytic anemia - Answer TICS - Thalassemia, Iron Deficiency, anemia of Chronic disease, and Sideroblastic anemia An elderly man with hypochromic, microcytic anemia is asymptomatic. Diagnostic test? - Answer Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer Precipitant of hemolytic crisis in patients with G6PD deficiency. - Answer Sulfonamides, antimalarial drugs, fava beans The most common inherited cause of hypercoagulability - Answer Factor V Leide...