Usmle step 3 - Study guides, Class notes & Summaries

Clues to ischemic disease - correct answer dull pain 15-30 minutes occurs on exertion substernal radiates to jaw or left arm PE findings for ischemic chest pain - correct answer S3 (dilated LV) S4 (hypertrophic LV) holosystolic murmur (MR) JVD Rales (CHF) Edema Gen: distressed, SOB, clutching chest. MI: diagnostic testing: 1. first test to do: 2. if choosing between testing and treatment: 3. first treatment to give: 4. Other tests to do: 5. most accurate test: - co...

USMLE Step 3 Latest Update Questions and 100% Verified Correct Answers Actual Exam Guaranteed A+

Pseudogout associations (Ans - hemochromatosis, hyperparathyroidism, acromegaly, hypothyroidism Gout crystals (Ans - negatively birefringent needles Pseudogout crystals (Ans - positively birefringent needles Vasculitis associated with chronic Hep B (Ans - polyarteritis nodosa Vasculitis associated with chronic Hep C (Ans - cryoglobulinemia Best blood test for polyarteritis nodosa (Ans - There is none. Get abdominal angiography first, then biopsy of muscle, skin, or sural ner...

Tx of IBS - correct answer Best initial therapy: *Fiber* Antispasmodic/Anticholingergics: dicyclomine, Hyoscyamine Second line- TCAs (amitryptiline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should screen for TSH anyway) What three metabolic conditions...

what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - correct answer aggressive volume resuscitation - they are generally severely volume depleted then IV insulin *avoid management of hyperkalemia because these guys usually have a total body potassium deficit what can occur in patients with poorly controlled diabetes - correct answer hyperosmolar hyperglycemic state (HHS) or DKA describe Hyperosmolar hyperglycemic state (HHS) - correct answe...

Tx of IBS - correct answer Best initial therapy: *Fiber* If fiber fails: Antispasmodic/anticholinergic agents. First line: 1. Dicyclomine 2. Hyoscyamine Secondline: 1. TCA's (amitriptyline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should scree...

Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and primary sclerosing cholangitis? - correct answer Urs...

What is the genetic inheritance pattern of Hemophilia A? - correct answer X-linked recessive: women born to fathers with X linked recessive disorder will be carriers. Males are 50% carriers if born to an affected mother. What is tx of Lewy body dementia? - correct answer Dopamine agonist therapy (PD) & AchE inhibitors (Alzeihmer's) - watch for dopamine agonist therapy causing complex visual hallucinations. A patient treated for LTBI and now has positive PPD. Asymptomatic and also has ...

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