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1
Q

Pylephlebitis

A

Infective portal vein thrombosis 2/2 untreated intraabdominal infection

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2
Q

Acute varicella bleeding antibiotics

A

Prophylactic fluoroquinolone to prevent SBP

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3
Q

You cannot pursue aggressive treatments while in hospice

A

You can leave to pursue, then return

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4
Q

Abdominal pain, fecal urgency, bloody diarrhea, distension of colon, lactic acidosis, Leukocytosis

A

Colonic ischemia

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5
Q

Urinary incontinence management

A

Only test required is u/a

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6
Q

Acute otitis media prevention

A

Environmental smoke cessation, avoid daycare/pacifier, continue breastfeeding

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7
Q

Odds ratio table calculation

A

Ad/bc

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8
Q

Meningitis+ ears+eyes+ questionable sexual history

A

Syphilis

Secondary (rash+ LAD)

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9
Q

Apathetic thyrotoxicosis

A

Hyperthyroidism in elderly

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10
Q

Management of incidentaloma

A

Assess if functional: dexamethasone suppression test, urine metanephrines, serum electrolytes, steroids.
Excuse if functional/ malignant/ >4 cm

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11
Q

Vitamin B12 ineffective erythropoiesis

A

Markers of hemolytic anemia with low rec count

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12
Q

Extrapulm sarcoidosis

A

Fatigue, lymphadenopathy, facial nerve palsy, hepatomegaly

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13
Q

Scabies testing

A

Skin scrapings for microscopy

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14
Q

MS diagnosis

A

MRI, lumbar puncture if needed

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15
Q

Isolated anti-Hbc

A

Repeat serologies, IGM anti-Hbc and LFTs

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16
Q

Persistent urethritis after treatment with azithromycin

A

Non-gonococcal urethritis
Repeat gram stain and NAAT
Moxifloxacin

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17
Q

Erysipelas org

A

Strep

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18
Q

Functional abdominal pain

A

Nothing else on history or exam

Symptom dairy

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19
Q

Capital succedaneum

A

Crosses suture lines, benign

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20
Q

Graves vs thyroiditis

A

Vs fever, tender, post viral

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21
Q

Cluster headache treatment

A

Oxygen, intranasal sumatriptan, lidocaine

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22
Q

Syphilis+ neuro symptoms

A

LP

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23
Q

Erysipelas, nonpurulent cellulitis org

Purulent cellulitis

24
Q

V/q mismatch

25
PUV | Vesicoureteral reflux diagnosis
Voiding cystourethrogram
26
Vitamin E dementia
Modest benefit in mild-moderate dementia, not healthy people
27
Thyroid goiter/nodules
Ultrasound (only situation where reflex ultrasound)
28
Ethylene glycol and methanol ingestion
Fomepizole
29
Osteomyelitis in children
Staph (clinda/vanc) | Sickle cell: + salmonella (gram neg), cover with ceftriaxone
30
Postpartum blues vs depression
2 weeks
31
Breastfeeding antidepressants
Sertraline and paroxetine
32
BV
Clinda/flagyl | Treat for symptom management
33
Pregnancy thyroid screening
TSH only
34
Cryptococcal meningitis treatment
Amphotericin B and flucytosine till symptoms improve and CSF is sterile, then daily fluconazole
35
AKI after initiation of ACEI
Renal artery stenosis
36
Colorectal cancer risk factors
Family history, IBD, AA, alcohol, smoking, obesity
37
Reactive arthritis risk factors
Chlamydia, HLA B27
38
Lithium hypothyroid
Continue lithium, start levo
39
Population attributable risk percent
Proportion of disease in population that is attributable to exposure (Risk in total pop-risk in unexposed)/Rika of total pop *Risk in total pop=risk in smokers*prop of smokers+ risk in nonsmokers*prop
40
ACEI angioedema through
Bradykinin system (elevated)
41
Mechanical valve anticoagulation
Aspirin and warfarin forever | No risk factors: INR 2-3, otherwise 2.5-3.5
42
Pulm htn diagnosis
Initial test echo
43
Untreated prolactinoma
Hypogonadism-> osteoporosis
44
MDD treatment
Antidepressant for 6 months at least
45
>30 yo with breast mass
Mammogram, not u/s
46
Tuning fork test
Neuropathy
47
Preggo glucose parameters
Fasting <95, 1 hour postprandial <140, 2 hour postprandial <120
48
Lyme arthritis diagnosis
ELISA
49
Dichorionic/Diamniotic twins in vertex/vertex
If B remains vertex and has normal heart tracing, manage labor expectantly.
50
Arrest of labor
No fetal descent in nulliparous after 3 hours of pushing (4 with epidural).
51
Menopausal symptoms with anovulatory bleeding in >45 yo
Endometrial biopsy
52
Systolic function in chronic primary MR
Considered abnormal if LVEF<60%
53
Adjustment disorder timeline
Within 3 months
54
Psoriasis skin
High potency topical steroids like fluocinonide.
55
Adjustment disorder timeline
Within 3 months
56
Adjustment disorder timeline
Within 3 months

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