Rapid Review

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Rapid Review
2011-07-25 16:57:46
High Yield Facts

Rapid Review of USMlE2
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  1. Drugs that slow AV node transmission
    • Beta blockers
    • Digoxin
    • CCBs
  2. Diastolic, decrescendo, high-pitched, blowing murmur that is best heard sitting up; increase with decrease preload (hand-grip) maneuver.
    aortic insufficiency
  3. holosystolic murmur that radiates to the axillae or carotids
    Mitral regurgitation
  4. Diastolic, mid- to late, low-pitched murmur
    Mitral stenosis
  5. treatment for afib or a flutter
    • if unstable - cardiovert.
    • if stable or chronic - rate control with CCBs or Beta blockers
  6. Autoimmune complication occuring 2-4 weeks post-MI
    Dressler's syndrome: fever, pericarditis, Increase ESR
  7. IV drug use with JVD and holosystolic murmur at the left sternal border. Treatment?
    Treat existing heart failure and replace the tricuspid valve.
  8. A fall of systolic BP of >10 mmHg with inspiration
    • Pulsus paradoxus
    • (Cardiac tamponade)
  9. Common symptoms associated with silent Mis
    CHF, shock, and altered mental status.
  10. The most common cause of hypertension in young women
  11. The most common cause of hypertension in young men
    Excessive ETOH
  12. + Nikolsky's sign
    Pemphigus vulgaris
  13. -Nikolsky's sign
    Bullous pemphigoid
  14. Flat-topped papules
    Lichen planus
  15. Iris-like target lesions
    Erythema multiforme
  16. Pinkish,scaling, glat lesions on the chest and back; KOH prep has a "spaghetti-and-meatballs" appearance
    Pityriasis versicolor
  17. "Cradle cap."
    Seborrheic dermatitis. Treat with antifungals.
  18. Associated with Propionibacterium acnes and changes in androgen levels
    Acne vulgaris.
  19. inflammation and epithelial thinning of the anogenital area, predominantly in postmenopausal women
    lichen sclerosus
  20. A patient presents with signs of hypocalcemia, high phosphorus, and low PTH
  21. stones, bones, groans, psychiatric overtones
    signs and symptoms of hypercalcemia
  22. A patient complains of headache, weakness,and polyuria; exam reveals hypertension & tetany. Labs reveal hypernatremia, hypokalemia, and metabolic alkalosis
    Primary hyperaldosteronism (due to Conn's syndrome or bilateral adrenal hyperplasia)
  23. Alpha antagonists used to treat Pheo.
    • phentolamine
    • phenoxybenzamine
  24. A patient with a hx of Lithium use presents with copious amounts of dilute urine
    Neurogenic diabetes insipidus
  25. An antidiabetic agent associated with lactic acidosis
  26. A patient presents with weakness, nausea, vomiting, weight loss, and new skin pigmentation. Labs show hyponatremia and hyperkalemia. Treatment?
    Primary adrenal insufficiency (Addison's Disease). Treat with replacement glucocoritcoids, mineralocorticoids, and IV fluids.