Usmle Step 3 High Yield Facts Study Guide Questions And Correct Answers

Patient who was just placed on HAART therapy, and now has a clinical febrile like episode with new CXR finding.Dx? {Ans: Immune reconstitution inflammatory syndrome (IRIS).}IV pentamadine adverse drug reaction: {Ans: Such adverse effects include hypo-/hyperkalaemia, hypocalcaemia, and hypo-/hyperglycaemia. If you get a question that shows biochemistry/glucose as normal and then the patient is given pentamidine and has an adverse effect (e.g., seizure), do a finger stick blood test to make sure the patient's values haven't changed.}What is angiodysplasia associated with? {Ans: Sortic stenosis (Heyde syndrome) and end-stage renal disease (ESRD).}When a child has inguinal hernia what is the next best step? {Ans: You need to schedule elective surgery - in infants with an undescended testicle, it is appropriate to wait until six months of age before definitive treatment bc the affected testes may descend spontaneously.}When do you do colposcopy? {Ans: Always do colposcopy if any Pap smear comes back with ASCGH (atypical squamous cells-cannot rule out high-grade squamous lesion), atypical glandular cells (AGC), or high-grade intraepithelial lesion (HGIL).}Indications for platelet transfusion {Ans: include a platelet count <10K, active bleeding with a platelet count <50K or major planned surgery}