Health Care > QUESTIONS & ANSWERS > USMLE Step 2 CK High-Yield exam 2022/2023 (All)

USMLE Step 2 CK High-Yield exam 2022/2023

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Classic EKG finding in atrial flutter "Sawtooth" p waves Definition of unstable angina Angina that is new, is worsening, or occurs at rest Antihypertensive for a diabetic patient with ... proteinuria ACEI Beck's triad for cardiac tamponade Hypotension, distant heart sounds, and JVD Drugs that slow heart rate Beta-blockers, CCBs, digoxin, amiodarone Hypercholesterolemia treatment that leads to flushing and pruritus Niacin Murmur - hypertrophic obstructive cardiomyopathy A systolic ejection murmur heard along the lateral sternal border that increases with decreased preload (i.e. Valsalva maneuver) Murmur - aortic insufficiency Austin Flint murmur, a diastolic, decrescendo, low-pitched, blowing murmur that is best heard sitting up; increases with increased afterload (i.e. handgrip) Murmur - aortic stenosis A systolic crescendo/decrescendo murmur that radiates to the neck; increases with increased preload (i.e. squatting) Murmur - mitral regurgitation A holosystolic murmur that radiates to the axillar; increases with increased afterload (handgrip) Murmur - mitral stenosis A diastolic, mid to late, low-pitched murmur preceded by an opening snap Treatment for atrial fibrillation and atrial flutter If unstable, cardiovert. If stable or chronic, rate control with CCBs or beta-blockers Treatment for ventricular fibrillation Immediate cardioversion Dressler's syndrome 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? Treat existing heart failure and replace tricuspid valve Diagnostic test for hypertrophic cardiomyopathy Echocardiogram (showing a thickened left ventricular wall and outflow obstruction) Pulsus paradoxus A decrease in systolic BP of > 10 mmHg with inspiration; seen in cardiac tamponade Classic ECG finding in pericarditis Low-voltage, diffuse ST-segment elevation Definition of hypertension BP > 140/90 on 3 separate occasions 2 weeks apart Eight surgically correctable causes of HTN 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 Abdominal U/S and CT Indications for surgical repair of abdominal aortic aneurysm >5.5cm, rapidly enlarging, symptomatic, ruptured [Show More]

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