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MSP Step 2 Rapid 6
| Question | Answer |
|---|---|
| Antidepressants associated with hypertensive crisis | MAOIs |
| Galactorrhea, impotence, menstrual dysfunction, and decreased libido | Dopamine antagonists |
| mother who is angry at her husband yells at her child | Displacement |
| Pedophile enters the monastery | Reaction formation |
| Woman calmly describes a grisly murder | Isolation |
| Hospitalized 10-year-old child begins to wet his bed again | Regression |
| Life-threatening muscle rigidity, high fever, and rhabdomyolysis | Neuroleptic malignant syndrome |
| Recurrent episodes of palpitations, diaphoresis, and fear of going crazy | Panic disorder |
| Most serious side effect of clozapine | Agranulocytosis |
| 3 months of social withdrawal, worsening grades, flattened affect, and concrete thinking | Schizophrenic form disorder |
| Key side effects of atypical antipsychotics | Weight gain, metabolic syndrome, type II diabetes mellitus, QT prolongation |
| After treatment with IV haloperidol patients eyes deviate sideways | Acute dystonia (oculogyric crisis) |
| Treatment of Acute dystonia (oculogyric crisis) | Benztropine or diphenhydramine |
| Medication to avoid in patients with a history of alcohol withdrawal seizures | Neuroleptics |
| 13-year-old with a history of theft, vandalism, and violence towards animals | Conduct disorder |
| Medications to avoid in patients with PTSD | Benzodiazepines |
| Violent patient with vertical or horizontal nystagmus | PCP intoxication |
| A woman who was abused as a child frequently feels outside of or detached from her body | Depersonalization disorder |
| A schizophrenic patient develops uncontrolled tongue movement after a year of medication | Tardive dyskinesia |
| Treatment of tardive dyskinesia | Decrease or discontinue medication and consider another antipsychotic |
| Risk factors for DVT | Stasis, endothelial injury, hypercoagulability |
| Criteria for exudative effusion | peural/serum Protein >0.5 peural/serum LDH >0.6 LDH greater than two thirds the upper limit of normal |
| Causes of exudative effusion | Leaky capillaries, malignancy, TB, bacterial or viral infection, PE with infarct, and pancreatitis |
| Causes of transudative effusion | CHF, liver or kidney disease, protein losing enteropathy |
| ↓ FEV1/FVC | obstructive pulmonary disease |
| ↑ FEV1/FVC, ↓ TLC | Restrictive pulmonary disease |
| Honeycomb pattern on chest x-ray | Diffuse interstitial pulmonary fibrosis |
| Treatment of diffuse interstitial pulmonary fibrosis | Supportive care, steroids |
| Treatment of superior vena cava syndrome | Radiation |
| Treatment for mild persistent asthma | Inhaled beta agonists and inhaled corticosteroids |
| Treatment for COPD exacerbation | Oxygen, bronchodilators, antibiotics, corticosteroids with paper, smoking cessation |
| Treatment for chronic COPD | Smoking cessation, home ox tin, beta agonists, anti-cholinergic, systemic or inhaled corticosteroids, flu and pneumococcal vaccines |
| Acid-base disorder in pulmonary embolus | Respiratory alkalosis with hypoxia and Hypocarbia |
| Non-small cell lung cancer associated with hypercalcemia | Squamous cell carcinoma |
| Lung cancer associated with SIADH | Small cell lung cancer |
| Lung cancer highly related to cigarette exposure | Small cell lung cancer |
| Treatment of tension pneumothorax | Needles thoracotomy |
| Characteristics favoring carcinoma in an isolated pulmonary nodule | -Age >45 to 50 -new or large in comparison to old film -absence of calcification or irregular calcifications -greater than 2 cm -irregular margins |
| Hypoxemia and pulmonary edema with normal pulmonary capillary wedge pressure | ARDS |
| Pulmonary fibrosis, pleural plaques, broncogenic carcinoma, mesothelioma | Asbestos exposure |
| Infection commonly associated with silicosis | Mycobacterium tuberculosis |
| Causes of hypoxemia | Right to left shunt, hypoventilation, low inspired oxygen tension, diffusion defect, and VQ mismatch |
| Renal tubular acidosis associated with abnormal hydrogen ion secretion and kidney stones | RTA type 1 (Distal) |
| Renal tubular acidosis associated with abnormal HCO3- and rickets | RTA type II (proximal) |
| Renal tubular acidosis associated with aldosterone defect and hyperkalemia | RTA type IV (distal) |
| Differential of hypervolemic hyponatremia | Cirrhosis, CHF, nephritic syndrome |
| doughy skin | Hypernatremia |
| Chvostek and Trousseau's sign | Hypocalcemia |
| Most common causes of hypercalcemia | Malignancy and hyperparathyroidism |
| T wave flattening and U waves | Hypokalemia |
| Peaked T waves and widened QRS | Hyperkalemia |
| First-line treatment for moderate hypocalcemia | IV hydration and loop diuretics |
| Most common type of kidney stone | Calcium oxalate |
| Hematuria, hypertension, and only Curia | Nephritic syndrome |
| most common form of Nephritic syndrome | Membranous |
| most common form of glomerulonephritis | IgA nephropathy/bergers disease |
| Glomerular nephritis with deafness | Alport syndrome |
| Glomerulonephritis with hemoptysis | Wegener's granulomatosis and Goodpasture syndrome |
| Red cells in urine sediment | Glomerulonephritis/nephrotic syndrome |
| Eosinophils in urine sediment | Allergic interstitial nephritis |
| Waxy cast in urine sediment and Maltese crosses | Nephrotic syndrome |
| Drowsiness, Asterixis, nausea, and pericardial action rubs | Uremic syndrome in patients with renal failure |
| Low urine specific gravity in the presence of high urine osmolality | Diabetes insipidus |
| Treatment of SIADH | Fluid restriction, demeclocycline |
| Hematuria, flank pain, and palpable flank masses | Renal cell carcinoma |
| Testicular cancer associated with increased hCG and AFP | Choriocarcinoma |
| Most common type of testicular cancer | Seminoma |
| Most common histology of bladder cancer | Transitional cell carcinoma |
| Complication of overly rapid correction of hyponatremia | Central Pontine demyelination |
| Acid base disturbance seen in pregnant women | Respiratory alkalosis |
| Elevated erythropoietin, elevated hematocrit, and normal oxygen saturation | Renal cell carcinoma or erythropoietin producing tumor |
| Treatment of benign prostate hyperplasia | Terazosin, finasteride, or TURP |
| Side effects of corticosteroids | Acute mania, immunosuppression, thin skin, osteoporosis, bruising, myopathies |
| Treatment for acetaminophen overdose | N-acetylcysteine |
| Treatment for opioid overdose | naloxone |
| Treatment for benzodiazepine overdose | Flumazenil |
| Treatment for neuroleptic malignant syndrome and malignant hyperthermia | Dantrolene |
| Treatment for malignant hypertension | Nitroprusside |
| Treatment of atrial fibrillation | Rate control, rhythm conversion, anti- coagulation |
| Treatment of supraventricular tachycardia | Stable = rate control with carotid massage or vagal stimulation |
| Causes of drug induced SLE | INH penicillamine Hydralazine procainamide chlorpromazine methyldopa quinidine |
| Macrocytic, megaloblastic anemia with neurologic symptoms | B12 deficiency |
| Macrocytic, megaloblastic anemia without neurologic symptoms | Folate deficiency |
| Carbon monoxide poisoning treatment | 100% O2 or hyperbaric oxygen |
| Plugged in the urethral meatus or high riding prostate | Bladder rupture or urethral injury |
| Test to rule out urethral injury | Retrograde cystourethrogram |
| Radiographic evidence of aortic dissection | Widened mediastinum, tracheal deviation to the right |
| Acceptable urine output for trauma patients | 50 mL per hour |
| Acceptable urine output in a stable patient | 30 mL per hour |
| Signs of neurogenic shock | Hypotension and bradycardia |
| Signs of increased intracranial pressure | Hypertension, bradycardia, and abnormal respirations |
| ↓ CO, ↓ PCWP, ↑ PVR | Hypovolemic shock |
| ↓ CO, ↑ PCWP, ↑ PVR | Cardiogenic shock |
| ↑ CO, ↓PCWP, ↓PVR | Septic shock |
| Treatment of septic shock | fluid and antibiotics |
| Treatment of cardiogenic shock | Pressers such as dopamine |
| Treatment of hypovolemic shock | Fluid and blood repletion |
| Treatment of anaphylactic shock | Diphenhydramine or epinephrine 1:1000 |
| Signs of air embolism | A patient with a chest trauma who was previously stable suddenly dies |
| Signs of cardiac tamponade | Distended neck veins, hypotension, diminished heart sounds, pulses paradoxes |
| Absent breath sounds, dullness to percussion, shock, flat neck veins | Massive hemothorax |
| Absent practice sounds, tracheal deviation, shock, distended neck veins | Tension pneumothorax |
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