2/6/13 b

Question 1

_______ acetate is a long-term disease modifying treatment for MS that works by modulating T-cell-mediated autoimmunity to myelin basic protein.

Answer 1

Glatiramate

Question 2

How often should adults receive a DTaP booster?

Answer 2

every 10 years

Question 3

What screening test for osteoporosis should be provided to all women over 65 or those over 60 with risk factors?

Answer 3

DEXA scan

Question 4

What is an condition, common in elderly diabetics, that presents with ear pain and dranage with granulation in the ear canal? It may lead to osteomyelitis of the bbase of the skull and cranial nerve damage.

Answer 4

Malignant Oititis Externa (MOE)

Question 5

What is the most common pathogen in malignany otitis externa?

Answer 5

Pseudomonas

Question 6

You could perform a CT angiogram of the abdomen in a young woman w/ htn if you suspected that it was caused by what?

Answer 6

fibromuscular dysplasia or renal artery stenosis (atherosclerotic)

Question 7

What is the likely cause of sudden loss of vision with floaters in a pt w/ DM?

Answer 7

vitreous hemorrhage

Question 8

Multiple episodes of thrombosis w/op a clear precipitating factor should raise concern for _______ in a younger pt and _______ in an older pt.

Answer 8

genetic defect; malignancy

Question 9

Genetic defects of what anti-coagulation proteins can cause hypercoagulability in a young pt?

Answer 9

factor V Leiden, Proteins C and S, and antithrombin III

Question 10

What would be the next step in an older pt w/ recurrent, unprecipitated thromboses?

Answer 10

CT of the chest, abdomen, and pelvis