Step 2 ck nbme 8 Study guides, Class notes & Summaries

NBME Ck 9-12 What is the common bug that causes post-transplant lymphoproliferative disorder? - correct answer Epstein Barr How do you diagnose Botulism? - correct answer Repetitive nerve stimulation study What if first line therapy for the treatment of mild to moderate acne vulgaris? - correct answer topical retinoids What is a common complication of juvenile rheumatoid arthritis? Wha screening should be done on kids with this condition? - correct answer uveitis, lymphadenopathy...

Step 2 CK NBME 6 High-yields 62M, abd pain x 48 yrs, 101.5, 130/80, 110, 15. abd Exam- diffuse LLQ tenderness with no peritoneal signs, Rectal NL, stool occult blood negative, leucocyte 14700, next step in diagnosis? - correct answer CT abdomen Patients with diverticulitis present with abdominal pain (usually lower left quadrant), fever, nausea/vomiting, and leukocytosis. Some (10%-15%) have urinary urgency, frequency, or dysuria due to bladder irritation from an inflamed sigmoid colon. Abd...

Free Step 2 CK NBME Sec 2-3What is the recommended treatment for organophosphate or acetylcholinesterase inhibitor poisoning? - correct answer Atropine (and removal of clothing) Atropine only reverses MUSCARINIC Pralidoxime is the only medication that reverses both muscarinic and nicotinic effects of organophosphates by "restoring" cholinesterase from its bond with these substances. Pralidoxime is effective only if given early after the exposure. ????? - correct answer Cause of...

Step 2 CK NBME 8 42 YO male presents with SOB for 3 weeks -Breath sounds decreased over left hemithorax -CXR shows mass involving the left upper and lower lobe -Biopsy shows uniform small round cells with darkly staining nuclei What is initial tx? Small cell lung cancer -initial therapy is chemotherapy bc surgery has limited role given that these tumors are nonresectable 27 YO male with cough , SOB, weight loss in 6 mons. PE shows A/P Cervical LAD and white plaques over buccal mucosa...

NBME Step 2 Form 8 Deficiency of serum glucuronosyltransferase What type of bilirubin For the mild version, what are the liver labs like - correct answer Gilbert's Disease Unconjugated Hyperbilirubinemia - Think hemolysis or Gilbert/Crigler-Najjar - Crigler-Najjar is typically fatal early on (total enzyme deficiency) - Gilbert becomes apparent when the body is under stress (e.g. infection, dehydration, etc.) - Whatever the cause, bilirubin is not being conjugated, causing a bui...

Step 2 CK First Aid Rapid Review Classic ECG finding in atrial flutter. - correct answer "Sawtooth" P waves. Definition of unstable angina. - correct answer Angina is new, is worsening, or occurs at rest. Antihypertensive for a diabetic patient with proteinuria. - correct answer ACEI. Beck's triad for cardiac tamponade. - correct answer Hypotension, distant heart sounds, and JVD. Drugs that slow AV node transmission. - correct answer β-blockers, digoxin, calcium channel blo...

NBME 9 STEP 2CK PPSV-23 vaccine - correct answer > or = to 65 yo or pts 19-64 yo w/ underlying medical conditions ie immune compromised ie HIV booster given 5 years after initial dose PCV 13 vaccine - correct answer Given kids up to 18 yo, or immunocompromised, CSF leaks, end stage kidney dz, cochlear implants Post-transplant lymphoproliferative disorder - correct answer Caused by EBV after pts have solid organ or stem cell transplants on high dose immunosuppressive medications. P...

NBME 13progressive weakness, dec strength, hand muscle atrophy, diffuse hyperreflexia and fasciculations on hands and arms, normal sensory exam; - correct answer amyotrophic lateral sclerosis (ALS) --death of both upper and lower motor neurons in the motor cortex of the brain, the brain stem, and the spinal cord --Stephen Hawking disease --*UMN and LMN signs* --rapidly progressive weakness with fasciculations eventually leading to muscle atrophy, spasticity, dysarthria, dysphagia, respirato...

Step 2, NBME 6First step in management of HYPERKALEMIA in patient with EKG CHANGES? - correct answer -IV calcium gluconate Treatment for small, cutaneous hemangiomas? - correct answer -no intervention is necessary What factors can decrease libido? List in order of importance? - correct answer 1. decreased androgens 2. decreased progesterone Cause of huntington's disease? - correct answer -CAG repeat on chromosome 4 Presenting features of Huntington's Disease? - correct answ...

Step 2 UWSA 2Pt with COPD and signs of pulmonary HTN develops worsening renal failure. Received Furosemide. What is likely cause - correct answer Prerenal AKI; which occurs d/t decreased renal perfusion Look for BUN: Creatinine ratio >20:1 Initial treatment for R sided heart failure with Lasix will improve cardiac function by decreased R ventricular end diastolic volume (preload) but pts with R ventricular dysfunction are *pre-load dependent* and therefore sensitive to excessive volume ...