100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
USMLE STEP 2 CK NEXT STEP IN MANAGEMENT $12.49   Add to cart

Exam (elaborations)

USMLE STEP 2 CK NEXT STEP IN MANAGEMENT

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

USMLE STEP 2 CK NEXT STEP IN MANAGEMENT

Preview 2 out of 12  pages

  • October 23, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • USMLE STEP 2 CK
  • USMLE STEP 2 CK
avatar-seller
GEEKA
USMLE STEP 2 CK: NEXT STEP IN MANAGEMENT
High-grade reflux in females that persists into adulthood with no clear secondary cause
- Answers-surgical repair

Multiple 2nd trimester spontaneous abortions - Answers-cervical cerclage

Erythematous knee with effusion and fever - Answers-arthrocentesis [ need to tell apart
gout from septic arthritis]

Spontaneous pneumothorax in a tall young man - Answers-supplemental oxygen

Clue cells seen in vaginal swab in a fertile woman - Answers-oral metronidazole

Mini-mental status exam of <24 - Answers-neuropsychologic testing to rule-out
alzheimer's (other causes of dementia)

Cord compression confirmed with CT-spine - Answers-dexamethasone ( before MRI of
the spine to gold-standard confirm cord compression)

Borderline personality disorder - Answers-dialectical behavioral therapy

Pulmonary edema in acute CHF exacerbation - Answers-100% O2 therapy

Pulmonary edema in acute CHF exacerbation after 100% O2 therapy - Answers-IV
furosemide

Supraventricular tachycardia with HR=160 bpm with p-wave preceding all QRS sinus
rhythm - Answers-Vagal manuevers first -carotid massage, then valsalva , then
pharmacological-ccbs or adenosine

Asymptomatic aortic stenosis - Answers-Hydrocholorothiazide to reduce preload

Hypertension with underlying diabetes type 2 - Answers-ACE-inhibitor or ARB

Syncope with normal vitals and no previous episodes - Answers-Check the electrolytes
and medications - thiazide diuretics can cause hypokalemia and arrythmia

PR interval=o.3 sinus rhythm normal - Answers-Nothing, no management needed;
PR>0.2 is first degree heartblock

A-fib secondary to hypertension for >48 hours - Answers-Diltiazem; rate control +
anticoagulant

, Acute open-angle glaucoma - Answers-1)beta-2-antagonist eye drops i.e. Timolol,
betaxolol
2) carbonic anhydrase inhibitors
3) if medication fails, then a trabeculoplasty or trabeculectomy can improve aqueous
drainage

Chronic sinusitis - Answers-CT scan of the face (coronal section)

Someone with tinnitus, progressive hearing loss, and multiple episodes of vertigo -
Answers-dietary restrictions- particularly of caffeine, salt, and tobacco (Meniere's
disease)

Someone that comes in with headaches and shows papilledema in the opthalmic exam
- Answers-CT scan of the head non-contrast - r/o mass

Treament for scabies - Answers-permethrin

Scaphoid fracture that is negative on X-ray - Answers-spica cast and re-evaluate in 2~3
weeks

3-hour old infant with poor feeding who vomits green material and has a double-bubble
on KUB - Answers-decompression of the GI tract...requires nasogastric tube

A patient presents with hypertension and chest pain on exertion - Answers-IV
nitroglycerin for lowering the blood pressure

Palpitations with underlying lung disease i.e. COPD - Answers-72 hr Holter monitor

Angina symptoms - Answers-Beta-blockers - they increase the threshold of angina

Posterior anterolateral MI and Percutaneous coronary intervention - Answers-
Clopidogrel

Teenage patient grunting and blinking many times a day for at least 1 year - Answers-
haloperidol

Suspected pulmonary embolism - Answers-spiral CT scan

Prinzmetal angina - Answers-calcium channel blockers or nitrates (also for esophageal
spasm)

Lambert Eaton Syndrome - Answers-radiation and chemotherapy as it is the
manifestation of a pre-existing small cell carcinoma of the lung.

Stroke outside the 3 hour period but within 6 hours - Answers-intra-arterial tpa
administration

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 GEEKA. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67163 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
$12.49
  • (0)
  Add to cart