USMLE STEP 2 CK FINAL STUDY
EXAM
compare to previous chest x-ray - CORRECT ANSWER-when
you find a pulmonary nodule on chest x-ray
Pulmonary angiogram (gold standard), but usually used in CT
pulmonary angiography or CT with contrast - CORRECT
ANSWER-most ...
LABA's - CORRECT ANSWER-what type of asthma treatment
should never be used alone
1. clinical scenario - unable to count to 10, use of accessory
muscles, etc
2. O2 < 50
3. CO2 > 50
* rule of 50's* - CORRECT ANSWER-when should you intubate
histoplasmosis - CORRECT ANSWER-ohio missipi
cocciodes - CORRECT ANSWER-southwest US
Wind - atelectasis
Water - UTI
Wound - wound infection
Walking - DVT
Wonder drugs -stuff we give them - CORRECT ANSWER-W's
of post-op fever
broncheoalveolar carcinoma - CORRECT ANSWER-repeat
lung infections in the same area in patient older than 40 years
old
CHADS2 > 2
CHF
HTN (140/70)
Age > 75
DM
Stroke/tia previous (2 pts) - CORRECT ANSWER-requirement
for anticoagulation in afib
amiodorone - CORRECT ANSWER-tx for v tach with a pulse
,BB and CCB - CORRECT ANSWER-rate control a fib
< 48 hours - cardioversion
> 48 hours - get TEE to look for intracardiac clot and then
cardiovert/ otherwise rate control + anticoag - CORRECT
ANSWER-tx of a fib
1. abdominal x-ray to look for pneumoperitoneum
2. if so, then immediate surgery, if no then move to contrast
enema -
a. if shows microcolon- meconium illeus- Gastriffin enema
b. if shows dilated macrocolon with taper- Hirshprung - recal
biopsy - CORRECT ANSWER-work up of bilous emesis
(progressive hip pain - can have normal physcial exam and x-
ray findings early on) - chronic corticosteriods - high RF - get
MRI of the hip - CORRECT ANSWER-next best step for
avascular necrosis of the hip
halothane and succinylcholine - tx dantrolene - CORRECT
ANSWER-which anesthetics are associated with malignant
hyperthermia? tx
cerebellum - CORRECT ANSWER-in what part of the brain is
the intention tremor
UMN - CORRECT ANSWER-bulbar symptoms are associated
with UMN or LMN
atropine, if non-responsive then epi/dopamine or
transcutaneous pacing - CORRECT ANSWER-tx of persistent
bradycardia
amiodorone (always check LFT's, PFT's, and TFT's) -
CORRECT ANSWER-tx of ventricular tachy with a pulse
, IV glucagon, K, and insulin - CORRECT ANSWER-tx of
suspected BB overdose
decrease in arterial elasticity - CORRECT ANSWER-cause of
isolated systolic hypertension
1. ACE -/ ARB
2. BB
3. spiranolactone - CORRECT ANSWER-confer a decrease in
mortality in CHF patients
no BB (crazy high BP), but yes to lorazepam - CORRECT
ANSWER-which drug should be given in a patient with cocaine-
induced MI
BB/ CCB - CORRECT ANSWER-rate control afib
adenosine - CORRECT ANSWER-tx of supraventricular tachy
procanimide (look for the delta wave) - CORRECT ANSWER-tx
of Wolf -parkinson white
pulmonary veins - CORRECT ANSWER-where does afib
originate
symptomatic - 70-99
assymptomatic 60-99 - CORRECT ANSWER-when is CEA
recommended
IV fouresemide - CORRECT ANSWER-tx of flash pulmonary
edema in the context of an MI
for original one - Troponin T, then for second CK-MB -
CORRECT ANSWER-what marker do we use to diagnose a
reinfarction
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