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UWSA 2 Step 2 Exam UPDATED ACTUAL Exam Questions and CORRECT Answers $10.49   Add to cart

Exam (elaborations)

UWSA 2 Step 2 Exam UPDATED ACTUAL Exam Questions and CORRECT Answers

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UWSA 2 Step 2 Exam UPDATED ACTUAL Exam Questions and CORRECT Answers cx and timing for parenteral nutrition - CORRECT ANSWER - central line-associated blood stream infxn if >48 hrs cholestasis if >2 wks whats a reactive nonstress test? - CORRECT ANSWER - in 20 min >2 HR acceleration...

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  • November 11, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • UWSA
  • UWSA
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MGRADES
UWSA 2 Step 2 Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
cx and timing for parenteral nutrition - CORRECT ANSWER - central line-associated
blood stream infxn if >48 hrs


cholestasis if >2 wks


whats a reactive nonstress test? - CORRECT ANSWER - in 20 min


>2 HR accelerations that peak at >15 beats/min above baseline and last >15 sec


if reactive, adequate fetal oxygenation, no additional monitoring


pts w virus, restrosternal chest pain radiates to arm and shoulder, weakness, dizziness,, syncope,
thready radial arteries that disappear w deep inspiration - CORRECT ANSWER - cardiac
tamponade 2/2 pericarditis


decreased in CO bc pressure on heart


cardiac filling can only occur during deep inhalation when negative intrathoracic pressure allows
for a presure differenec bw the vena cava and RA


pulsus paradoxis = large decrease in systolic BP in inspiration


definition of protactions vs arrest of active phase of labor? tx? - CORRECT ANSWER -
*protraction*: tx = oxytocin
-cerivcal change slower than expected
+/- inadequate contractions

,*arrest*: tx = c-section
-no cervical change for >4 hrs w adequate contractions
OR
-no cervical change for >6 hrs w inadequate contractions




active = 6-10cm dilation


what characterizes TB pleural effusions - CORRECT ANSWER - *high protein levels*
(always >4 g/dL)


lymphocytic leukocytosis


low glucose levels


markedly elevated LDH (>500)


low pH


pathophys of spontaneous bacterial peritonitis? - CORRECT ANSWER - enteric bacteria
translocate across intestinal wall and seed ascitic fluid within peritoneal cavity


which are itchy? which go on mucous membranes:
-bullous pempigoid

-pemphigus vulgaris - CORRECT ANSWER - bullous pemphigoid = itchy
-subepidermal
-linear Ig pattern


pemphigus vulgaris = mucosal involvement; blisters break easily

,-acantholysis
-intraepidermal


RF for neural tube defects:
-low folic acid intake


...what else? - CORRECT ANSWER - -methotrexate, antiepileptics
-DM
-prior pregnancy w neural tube defect


temporal lobe epilepsy - CORRECT ANSWER - common cause of complex partial
seizures


stare blankly for several minutes -> automatisms (lip smacking , chewing)
--> postictal state (eg todd's paralysis)


what's SLE serositis - CORRECT ANSWER - pleurisy, pericarditis, peritonitis


--> muffled heart sounds and enlarged cardiac silhouette


tx for regular, wide-complex tachy / v tach - CORRECT ANSWER - stable = amiodarone


(supraventricular = adenosine)


etiology, clx presentation, dx, mgmt for esophageal perf - CORRECT ANSWER -
*etiology*:
-spontaneous rupture (boerhaave)
-insturmentation (eg endoscopy)

, -esophagitis (infectious/pills/caustic)
-esophageal ulcer


*clx*:
-chest and abd pain, systemic findings (eg fever)
-subQ emphysema in neck
-hamman sign (crunching sound on chest auscultation)


*dx*:
-*CXR or CT scan*: wide mediastinum, pneumomediastinum, pneumothorax, air around
paraspinal muscles, pleural effusion (*late*)
-*CT scan*: esophageal wall thickening, mediastinal air fluid level
-*water soluble contrast esophagogram*: leak at perf site


*mgmt*:
-antibx and supportive
-surg repair for significant leakage w systemic inflam response


*cervical*: neck pain, dysphonia, dysphagia, subQ emphysema


*intrathoracic*: chest, back, or epigastric pain; dysphagia, hematemesis, dyspnea, cardiac
tamponade


*intraabd*: back pain, abd pain w radiation to the shoulder, peritonitis


what's metyrapone? - CORRECT ANSWER - inhibitor of cortisol synthesis


used in pts w cushing, waiting for surg

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