Tentamen (uitwerkingen)
USMLE STEP 2 CK HIGH-YIELD
- Vak
- Instelling
USMLE STEP 2 CK HIGH-YIELD
[Meer zien]Voorbeeld 3 van de 30 pagina's
Voorbeeld 3 van de 30 pagina's
In winkelwagen
In winkelwagen
gesponsord bericht van onze partner
Verkoper
Volgen
GEEKA
Ontvangen beoordelingen
Voorbeeld van de inhoud
USMLE STEP 2 CK HIGH-YIELDClassic EKG finding in atrial flutter - Answers-"Sawtooth" p waves
Definition of unstable angina - Answers-Angina that is new, is worsening, or occurs at
rest
Antihypertensive for a diabetic patient with proteinuria - Answers-ACEI
Beck's triad for cardiac tamponade - Answers-Hypotension, distant heart sounds, and
JVD
Treatment for ventricular fibrillation - Answers-Immediate cardioversion
Dressler's syndrome - Answers-An autoimmune reaction with fever, pericarditis and
increased ESR occurring 2-4 weeks post-MI
IV drug use with JVD and holosystolic murmur at left sternal border. Treatment? -
Answers-Treat existing heart failure and replace tricuspid valve
Diagnostic test for hypertrophic cardiomyopathy - Answers-Echocardiogram (showing a
thickened left ventricular wall and outflow obstruction)
Pulsus paradoxus - Answers-A decrease in systolic BP of > 10 mmHg with inspiration;
seen in cardiac tamponade
Classic ECG finding in pericarditis - Answers-Low-voltage, diffuse ST-segment elevation
Definition of hypertension - Answers-BP > 140/90 on 3 separate occasions 2 weeks
apart
Eight surgically correctable causes of HTN - Answers-Renal artery stenosis, coarc of
aorta, pheo, Conn's, Cushing's syndrome, unilateral renal parenchymal dz,
hyperthyroid, hyperparathyroid
Evaluation of pulsatile abdominal mass and bruit - Answers-Abdominal U/S and CT
Indications for surgical repair of abdominal aortic aneurysm - Answers->5.5cm, rapidly
enlarging, symptomatic, ruptured
Treatment for acute coronary syndrome - Answers-ASA, heparin, clopidogrel, morphine,
oxygen, sublingual nitro, IV beta-blockers
Metabolic syndrome - Answers-Abdominal obesity, high triglycerides, low HDL,
hypertension, insulin resistance, prothrombotic or proinflammatory states
,Appropriate diagnostic test: 50yo male with stable angina can exercise to 85% of
maximum predicted heart rate - Answers-Exercise stress treadmill with ECG
Appropriate diagnostic test: 65yo female with LBBB and severe OA has unstable angina
- Answers-Pharmacologic stress test (e.g. dobutamine echo)
Target LDL in a patient with diabetes - Answers-<70mg/dL
Signs of active ischemia during stress testing - Answers-Angina, ST-segment changes
on ECG or decreased BP
ECG findings suggestive of MI - Answers-ST-segment elevation (depression means
ischemia), flattened T waves, Q waves
Coronary territories in MI - Answers-Anterior wall (LAD/diagonal), inferior (PDA),
posterior (left circumflex/oblique, RCA/marginal), septum (LAD/diagonal)
A young patient with angina at rest and ST-segment elevation with normal cardiac
enzymes - Answers-Prinzmetal's angina
Common symptoms associated with silent MIs - Answers-CHF, shock, AMS
Diagnostic test for PE - Answers-Spiral CT with contrast
Protamine - Answers-Reverses effects of heparin
Prothrombin time - Answers-Coagulation paramter affected by warfarin
Drugs that slow heart rate - Answers-Beta-blockers, CCBs, digoxin, amiodarone
Hypercholesterolemia treatment that leads to flushing and pruritus - Answers-Niacin
Murmur - aortic stenosis - Answers-A systolic crescendo/decrescendo murmur that
radiates to the neck; increases with increased preload (i.e. squatting)
Murmur - mitral regurgitation - Answers-A holosystolic murmur that radiates to the
axillar; increases with increased afterload (handgrip)
Murmur - mitral stenosis - Answers-A diastolic, mid to late, low-pitched murmur
preceded by an opening snap
Murmur - hypertrophic obstructive cardiomyopathy - Answers-A systolic ejection murmur
heard along the lateral sternal border that increases with decreased preload (i.e.
Valsalva maneuver)
, Murmur - aortic insufficiency - Answers-Austin Flint murmur, a diastolic, decrescendo,
low-pitched, blowing murmur that is best heard sitting up; increases with increased
afterload (i.e. handgrip)
Treatment for atrial fibrillation and atrial flutter - Answers-If unstable, cardiovert. If stable
or chronic, rate control with CCBs or beta-blockers
A young patient with FHx of sudden death collapses and dies while exercising -
Answers-Hypertrophic cardiomyopathy
Endocarditis prophylaxis regimens - Answers-Oral surgery - amoxicillin for certain
situations; GI or GU procedures - not recommended
Virchow's triad - Answers-Stasis, hypercoagulability, endothelial damage
The most common cause of HTN in young women - Answers-OCPs
The most common cause of HTN in young men - Answers-Excessive EtOH
Figure 3 sign - Answers-Aortic coarctation
Water-bottle shaped heart - Answers-Pericardial effusion, look for pulsus paradoxus
"Stuck-on" appearance - Answers-Seborrheic keratosis
Red plaques with silvery-white scales and sharp margins - Answers-Psoriasis
The most common type of skin cancer; lesion is pearly-colored papule with translucent
surface and telangiectasias - Answers-Basal cell carcinoma
Honey-crusted lesions - Answers-Impetigo
A febrile patient with h/o diabetes presents with red, swollen, painful lower extremity -
Answers-Cellulitis
Positive Nikolsky's sign - Answers-Pemphigus vulgaris
Negative Nikolsky's sign - Answers-Bullous pemphigoid
A 55yo obese patient presents with dirty, velvety patches on the back of the neck -
Answers-Acanthosis nigricans. Check FBG to r/o diabetes
Dermatomal distribution - Answers-Varicella zoster
Flat-topped papules - Answers-Lichen planus
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper GEEKA. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €12,88. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 82871 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen