100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
USMLE STEP 2 CK EXAM REVIEW QUESTIONS AND ANSWERS, EXAMS OF NURSING $20.99   Add to cart

Exam (elaborations)

USMLE STEP 2 CK EXAM REVIEW QUESTIONS AND ANSWERS, EXAMS OF NURSING

 4 views  0 purchase
  • Course
  • USMLE STEP 2 CK
  • Institution
  • USMLE STEP 2 CK

USMLE STEP 2 CK EXAM REVIEW QUESTIONS AND ANSWERS, EXAMS OF NURSING

Preview 4 out of 94  pages

  • September 5, 2024
  • 94
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • USMLE STEP 2 CK
  • USMLE STEP 2 CK
avatar-seller
mnyawira477
USMLE STEP 2 CK EXAM REVIEW
QUESTIONS AND ANSWERS, EXAMS OF
NURSING

lead poisoning Correct Answer Mild (5-44): no med, repeat
levels & relocation
Moderate (45-69): DMSA
Severe (>70): Dimercaprol + EDTA if encephalopathy

Sideroblastic anemia Correct Answer Basophilic stippling in
peripheral smear
Ringed sideroblasts only in bone marrow

B12 deficiency Correct Answer MMA and homocysteine

Folate deficiency Correct Answer Normal MMA and increased
homocysteine

Warm AIHA Correct Answer SLE, CLL, drugs

Cold AIHA Correct Answer Mycoplasma, mononucleosis,
walderstrom macroglobulinemia

Polycythemia vera Correct Answer Hydroxyurea IFN
Ruxolitinib (JAK inh.)

acute leukemia Correct Answer >20% blast cells

Pleural fluid in TB Correct Answer Increased protein level
(>4g/dL)
Increased lymphocytic leukocytosis
Decreased glucose levels

,Decreased ph
Increased LDH levels (>500)

Uncomplicated pleural effusion Correct Answer Negative culture
and gram stain (no bacteria)
ph > 7.2
Glucose >60
WBC < 50.000
Management: ATB only

Complicated Pleural Effusion or Empyema Correct Answer ph <
7.2
Glucose <60
WBC > 50.000
Negative gram stain and culture ( FN due to low concentration of
bacteria)
Management: chest tube + ATB

Severe PCP Correct Answer Prednisone if: PaO2 <70 mmHg or
an A-a gradient > 35

hyperlipidemia screening Correct Answer Men > 35 and older
Women > 45
All at Higher risk for CAD >20 years
Fasting samples
Repeat every 5 years

Dyslipidemia Correct Answer Total cholesterol >200 mg/dl
LDL >130 mg/dl
HDL <40 mg/dl
triglicerides >150 mg/dl

Hypertension screening Correct Answer Age >18 at every visit

Patients >60 years: >150/90 mmHg

,Patients <60 years: >140/90 mmHg
Patients >18 years + CKD or diabetes: >140/90 mmHg

Hypertensive Emergency Correct Answer >180/120 mmHg +
end-organ damage

- Malignant HTN: severe HTN + retinal hemorrhages, papilledema
or exudates
- Hypertensive encephalopathy: severe HTN + cerebral edema or
non-localizing neurologic signs and symptoms

Osteoporosis Screening Correct Answer Women >65
Start at 60 if decreased body weight or increased risk for fractures

PPSV23 Alone for age 19-64 Correct Answer Chronic heart,
lung or liver disease, diabetes, smoker, alcoholics

Sequential PCV13 + PPSV23 for age 19-64 Correct Answer
CSF leaks, choclear implants, sickle cell disease, asplenia, CKD,
Inmunocompromised

Sequential PCV13 + PPSV23 for age >65 Correct Answer 1
dose of PCV13 followed by PPSV23 at a later time

Marfan Syndrome Correct Answer AD, Upward lens dislocation,
normal intellect

Homocystinuria Correct Answer AR, downward lens dislocation,
intellectual disability

Criteria for Parathyroidectomy Correct Answer Symptomatic
hypercalcemia
Ca >11.5 mg/dL
Renal Insufficiency
Age <50

, Nephrolithiasis
Osteoporosis
Pregnant

Drugs that cause SIADH Correct Answer Carbamazepine,
Cyclophosphamide, SSRIs, antipsychotics, NSAIDs

Herpagina Correct Answer 3-10 yrs
Seasonal (summer/fall)
Ulcers and vesicles in posterior oropharynx
Tx: supportive

Herpetic gingivostomatitis Correct Answer 6mo-5yrs
No seasonality
Clusters of small ulcers on anterior oropharynx
Tx: oral acyclovir

Initial HIV screening Correct Answer Age 15-65
Treatment of TB
another STD present
Pregnant
Occupational exposure to blood/fluids

Annual Screening for HIV Correct Answer IV drug user + sex
partner
Men who have sex with men
Sex for money
Partner of a HIV positive person
>1 partner since last HIV test
Homeless
Correctional facility incarceration

S4 heart sound Correct Answer Atrial gallop sound (before S1)
Heard immediately after atrial contraction phase as blood is
forced into a stiff ventricle

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller mnyawira477. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $20.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79650 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$20.99
  • (0)
  Add to cart