Exam (elaborations)
USMLE STEP 2 CK HIGH-YIELD
- Course
- Institution
USMLE STEP 2 CK HIGH-YIELD
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now