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

Breast mass above 30+ {Ans: Do mammogram +/G ultrasound}What do you add to an old lady who has a hip fracture and T score > -2.5 in magnitude? {Ans: A bisphosphonate is added to Ca/VitD in an osteopenic person who has had a fracture. That is, T-score need not be greater than G2.5 in magnitude.}What is workup for dermatomyositis? {Ans: increased CPK, aldolase and LDH; also test for antiJo1, anti-Mi2 and anti-RNP.}Why no CTX or TMP-SMX? {Ans: Ceftriaxone and sulfonamides are avoided in neonates because they can displace albumin from bilirubin, increasing risk of kernicterus. TMPGSMX is avoided <6 weeks because it can cause methaemoglobinaemia.}A patient who has esophageal varices that is bleeding what is the first step? {Ans: Band ligation via endoscopy}What vaccine recc for all adults >60 yrs. {Ans: VZV}