17-20 Flashcards Preview

Family Medicine > 17-20 > Flashcards

Flashcards in 17-20 Deck (27):
1

Prophylactic platelet transplant at what levels

10k

2

Drugs proven to prevent hip fracture

zoledronic acid
Risedronate
Alendronate

3

First line agents for inducing ovulation in PCOS

metformin and clomiphene
Also pioglitazone

4

What is Pentoxifylline used for

Venous ulcers

5

A pulmonary-capillary wedge pressure of 8 suggests

Hypovolemia

6

Acute COPD exacerbation tx

oxygen and bronchodilators
systemic steroids and Ab

7

How do anaphylactic reactions begin

Pruritus around the mouth and on the palms of the hands and soles of the feet

8

Single dose prophylaxis after an Ixodes tick bite

single 200-mg dose of doxycycline

9

Pneumonia vaccine schedule

Once at 65 if healthy
Once after 50 and one at 65 (or 5 years after initial dose if after 60)

10

Next test if a single pulmonary nodule is seen on CXR

Chest CT

11

What is secondary prevention

Targets individuals who have a disease but are asymptomatic

12

Murmer of VSD

Pansystolic best heard at lower left sternal border

13

Most common cause of liver abnormalities in developed world

Non-alcoholic fatty liver disease
(association with metabolic syndrome and DM)

14

Patients with CAP should have their urine tested for what?

Legionella and pneumococcus

15

Best tx for lower back pain with no neuro signs (without sciatica)

Exercise as tolerated

16

Check what if a patient has unresponsive hypotension after surgery

Cortisol level
(Delta cortisol = cosyntropin challenge)

17

What is not a factor when assessing exercise induced asthma control

Pre-medication with a B agonist

18

What do you use to prevent further seizures in eclampsia

Mag-sulfate

19

What is see in patients with a hx of sexual abuse

Lifelong GI disturbances

20

Tobacco raises the risk of colon cancer by?

50%

21

Earliest and most specific sign of autism

Delayed attainment of social skill milestones

22

When can heparin be stopped after a new onset PE?

After 5 days, if the INR has been ≥2.0 for 24 hours
(24 hours needed to make sure factors II and X have stabilized)

23

CV changes associated with aging

decreased cardiac output, maximum heart rate, and stroke volume
*also increased BP*

24

What reduces incidence of atopic dermatitis in children

Exclusive breastfeeding until the infant is 4 months of age

25

Tx of recurrent migraines in children under 12

B-blockers

26

palpable purpuric rash, without thrombocytopenia

HSP

27

Worst NSAID for CNS effects

Indomethacin