USMLE Final Exams| Latest
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inguinal, rectus sheath (or linea semilunaris), inguinal ligament, inferior epigastric
artery, direct hernias - ✔ ✔ Hesselbach triangle, or the ________ triangle, is an
area bounded by the _____________ medially, the _________________
inferiorly, and the __________________________ superolaterally. It is the site
where ______________ occur
medial, lateral - ✔ ✔ Direct hernias lie ______ to the epigastric vessels, Indirect
hernias lie _______ to the epigastric vessels
Haemolysis - ✔ ✔ Black pigmented gallstones result from?
Infection - ✔ ✔ Brown pigmented gallstones result from?
cholesterol, radiopaque - ✔ ✔ Most gallstones are precipitations of __________,
and therefor are not __________
C - ✔ ✔ Hepatitis _ Virus is Chronic in 70-80% of cases
2 ("you're toASTed") - ✔ ✔ An AST/ALT ratio of > ? suggests alcoholic hepatitis?
250 - ✔ ✔ Spontaneous bacterial peritonitis is diagnosed by > ? PMNs/mL of
ascitic fluid?
,Ulcerative colitis, Cholangiocarcinoma - ✔ ✔ Primary sclerosing cholangitis
is strongly associated with? And increases risk of?
Primary biliary cirrhosis (PBC) - ✔ ✔ What autoimmune disease presents
with Jaundice and pruritis in middle-aged women ???
bleeding, Vitamin K - ✔ ✔ Neonates lack enteric bacteria, making them prone to
?, unless given a shot of ?? at birth (usually made by enteric bacteria)
11 (XI), Ashkenazi Jews - ✔ ✔ Haemophilia C is a deficiency of which
clotting factor? It is most common in which people group??
Cryoprecipitate, Haemophylia A - ✔ ✔ Most concentrated source of factor VIII?
Required in?
von Willibrand Disease - ✔ ✔ Decreased agglutination seen on the
ristocetin cofactor assay is diagnostic of?
Warfarin - ✔ ✔ Protein C or S deficiency increase the risk of ________-induced skin
necrosis
PE (Pulmonary Embolism) - ✔ ✔ In a patient with rapid onset of dyspnoea,
pleuritic chest pain, hypoxia, tachycardia, and an increased alveolar-arterial
oxygen gradient... suspect ?
DIC (Diffuse Intravascular Coagulation) - ✔ ✔ What disease is characterised by
both thrombosis and haemorrhage?
,DIC (Disseminated Intravascular Coagulation), HUS (Haemolytic Uraemic
Syndrome), TTP (Thrombotic Thrombocytopenic Purpura), microangiopathic
haemolytic anaemia - ✔ ✔ "DICks HoUSe got TTPed" is a way of remember that
___, ___, and ___, are the three causes of ???
IVIgG - ✔ ✔ First-line treatment of Idiopathic Thrombocytopenic Purpura?
Idiopathic Thrombocytopenic Purpura (ITP) - ✔ ✔ Anti-D (Rh) antibodies
and Rituximab (anti-CD20) are both second-line therapies for?
Subacute combined degeneration of the cord, Vitamin B12 - ✔ ✔ A presentation
of peripheral neuropathy, vibration and proprioception loss, dementia and
spasticity, is characteristic of ? Which is caused by what deficiency?
Vitamin B12 - ✔ ✔ Infection with the tapeworm, Diphyllobothrium latum,
can cause what deficiency?
Phenytoin - ✔ ✔ Long term use of what drug can cause Folate malabsorption?
Pernicious anaemia - ✔ ✔ The most common cause of Vitamin B12 deficiency
in Europeans is?
Gastric - ✔ ✔ Pernicious anaemia increases the risk of what cancer?
, G6PD deficiency - ✔ ✔ A black male presents with fatigue, dark urine and SOB
after taking Cotrimoxazole for a cold... think ?
Splenectomy (life-long sepsis risk) - ✔ ✔ Pneumoccocal, meningococcl
and haemophilus vaccinations are necessary before which operation?
Sickle Cell Disease (if sickling occurs in vasa rectae vessels) - ✔ ✔
Polyuria/Nocturia at high altitude can be a presentation of ???
Salmonella, S aureus, avascular necrosis - ✔ ✔ The most common cause of
osteomyelitis in patients with Sickle Cell Disease is __________, followed by
________. These patients are also at increased risk for __________________ of
the hip
indirect, direct - ✔ ✔ The (direct / indirect) Coombs test detects antibodies to
RBCs in the patient's serum, whereas the (direct / indirect) Coombs test detects
sensitised erythrocytes
direct Coombs - ✔ ✔ AutoImmune Haemolytic Anaemia (AIHA) can
be distinguished from Hereditary Spherocytosis by a positive ?? test
Fanconi anaemia - ✔ ✔ Presentation of short stature, thumb (or hand)
hypoplasia, and café-au-lait spots... think ?
Minor transfusion reactions - ✔ ✔ Acetaminophen & Diphenhydramine
are sometimes used prophylactically to attempt to prevent ?