1. Tx for TCA overdose? - ANS ✓Sodium Bicarbonate will alleviate
depressant action on the myocardial fast sodium channels (helps
protect against the widen QRS complex)
2. waveform capnography after intubation normal level should be?
- ANS ✓35-45mmHg
-it measures end tidal Co2 levels
3. Syndesmophytes with Ank Spond - ANS ✓Syndesmophytes are
boney growths inside the ligaments
4. When would you give Clopidagrel and Aspirin together? - ANS
✓Post cardiac stent placement
-tx for at least one month
5. Pt has peripheral edema, JVD, alcoholic. What is the cause of her
heart failure? - ANS ✓Decreased systolic function - systolic
dysfunction CHF due to dilated cardiomyopathy from thiamine
deficiency.
USMLE Step 2 UWORLD Missed
, 2
USMLE
6. Beckwith-Weidman’s syndrome - ANS ✓-Macrosomia
-Macroglossia
-Umbilical hernia/Omphalocele
-
7. Early Clinical Manifestations of Compartment Syndrome - ANS
✓-Pain out of proportion to injury
-paraesthesia (burning etc)
-pain with passive flexion
-extensive tissue swelling
8. Reperfusion of an extremity due to arterial occlusion for longer
than 4-6 hours can cause what? - ANS ✓Compartment Syndrome
due to the increase of interstitial edema and pressures within the
fascial compartment
9. Patient with active bleeding esophageal varicose. What is the
first line treatment? - ANS ✓-IV Fluids
-octreotide
-Antibiotics
FFP if INR >1.3
Platelets if under 50,000
Pack Red Blood Cells with Hematocrit is <30 with cardiac disease or <25 in
pt w/o cardiac disease
10. Treatment of Chorioamnionitis in a stable fetus/mom -
ANS ✓-amp,gent,clinda
-Induction of Labor (Deliver NOW)
USMLE Step 2 UWORLD Missed
, 3
USMLE
11. 29yo female pt with knee pain. X-ray shows expansile and
eccentric lytic lesion in the distal femural epiphysis. What is the
diagnosis? - ANS ✓Giant Cell Tumor
12. The most characteristic finding in opiate intoxication? -
ANS ✓Severe Respiratory depression
13. Tight HbA1c control has shown to benefit Microvascular or
MAcrovascular complications? - ANS ✓Microvascular
Complications (retinopathy and nephropathy) and NOT all cause
mortality and macro vascular (stroke, MI, PAD)
14. Porphyria Cutanea Tarda is a skin blistering disease o sun-
exposed areas in those with a PMH oF...... - ANS ✓Hepatitis C
Liver Disease
OCPs
Iron overload
15. Preoperative evaluation for a pt with a known history of
cardiac disease needs 3 tests. What are they? - ANS ✓1. EKG
2. Stress EKG
3. Echo to monitor for EF
16. What is the BP cutoffs for Hypertensive emergency? - ANS
✓180 systolic and/or 120 diastolic
17. Number Needed To Treat - ANS ✓NNT - 1/Absolute Risk
Reduction
USMLE Step 2 UWORLD Missed
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