December 2013 Step 2 studying
random step 2 studying @ memorizing...
Terms in this set (28)
Multiple sclerosis: Classical finding in the CSF exam
Multiple sclerosis: Brief pathophysiology
Demyelination, gliosis and neuronal loss in the CNS. Recurrent or multiple new neurological symptoms in young to middle age adults esp women
Guillain- Barre syndrome
Autoimmune demyelination in which weakness in all 4 extremities ascending from the legs, leading to paralysis. Preceded by URI symptoms (Campylobacter, CMV, EBV) 3 weeks prior
Classic symptoms of Gonococcal septic arthritis
Migratory arthritis with red maculopapular rash
Treatment for Gonorrhea
Ceftriaxone, or any 3rd generation cephalosporin
Reactive arthritis aka Reiter's syndrome
Joint pain, infection of the eyes, and pain during urination, preceded by Viral infection 3 weeks prior. Commonly occur in men 20-40 years old,
treatment for opioid overdose
treatment for benzodiazepine overdose
gold standard for hypertensive encephalopathy
Nitroprusside and labetalol.
Second-line treatment is Clonidine
Treatment for someone who is brought into the ER unconscious for unknown reason
BP cutoff for hypertensive emergency/urgency
Side effect of erythropoietin therapy
Most common cause of spontaneous (non-trauma) subarachnoid hemorrhage
Rupture of aneurysm
Most feared complication of Subarachnoid hemorrhage
Vasospasm in the brain
Which ulcer (gastric or duodenal) is associated with adenocarcinoma?
Gastric ulcer! If you find an ulcer in the stomach, you need to biopsy it for the possibility of adenocarcinoma
Unconjugated bilirubin is increased because of the deficiency of the enzyme UDP-glucoronate, which helps conjugate the unconjugated bilirubin in the liver.
Does thalassemia cause unconjugated or conjugated bili increase?
Does Gilbert's syndrome cause unconjugated or conjugated bili increase?
Mneumonic for the causes of Acute Pancreatitis
I GET SMASHED
E--ERCP (Endoscopic Retrograde CholangioPancreatography)
Hereditary angioedema is caused by
C1 inhibitor deficiency
Lithium side effects
Fetal cardiac defects
Narrow therapeutic window
Almost exclusively excreted by the kidneys
Diabetes Insipidus: definition
Characterized by intense thirst and polyuria with inability to concentrate urine due to kidneys' inability to react to ADH (nephrogenic)
How do you decide if you want to give aspirin or warfarin for anticoagulant after AFib?
CHADS2 score >2 then give warfarin
S--Stroke (2 points)
2 Calcium Channel Blocker drugs that have more effect on the heart than the peripheral vasculature
Diltiazem and Verapamil
Of all the people who have disease, what % test positive?
Of all the people without disease, what % test negative?
Positive predictive value
Of all people with positive test, what % have disease?
Negative predictive value
Of all people with negative test, what % do not have disease?
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