Exam (elaborations)
USMLE STEP 2 CK EXAM REVIEW QUESTIONS AND ANSWERS, EXAMS OF NURSING
- Course
- Institution
USMLE STEP 2 CK EXAM REVIEW QUESTIONS AND ANSWERS, EXAMS OF NURSING
[Show more]
Seller
Follow
Content preview
USMLE STEP 2 CK EXAM REVIEWQUESTIONS 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
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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)
82215 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now