2015 ITE

Question 1

Pt with mallet fracture(fracture of dorsal surface of the proximal distal phalanx). Tx?

Answer 1

Splinting the DIP joint in extension x8 weeks

Question 2

How often should you check TSH in someone with amiodarone?

Answer 2

q6m

Question 3

Most common cause of unintentional death in children?

Answer 3

MVA

Question 4

1st line for treatment of CAP in little kid. like a 3 yr?

Answer 4

amoxicillin

Question 5

T/F steroids are routinely used for RSV

Answer 5

F! only in some cases

Question 6

T/F the live flu vaccine is more effective in children 2-6 yoa than the inactivated vaccine

Answer 6

T

Question 7

What is opioid induced hyperalgesia? tx?

Answer 7

increased pain sensitivity despite increased opioid dosage. Tx by reducing opioid dose or changing medications

Question 8

T/F pt with asplenia needs lifelong abx?

Answer 8

FALSE! only children <5 need BID PCN. After that can get abx any time they have a fever or for 1-2 years after splenectomy if high risk.

Question 9

30 yo F unable to conceive in the last 15 months. Husbands semen analysis was WNL. What can you check on her to assure shes ovulating?

Answer 9

Luteal-phase progesterone level – level >5 on day 21 of cycle confirms ovulation

Question 10

Leading cause of death in patients with rhematoid arthritis?

Answer 10

CAD

Question 11

When can u send the kid with lice back to school?

Answer 11

immediately! as long as the little shit isnt rubbing his head on other kids hes fine

Question 12

Which vitamin is recommended by the USPTFS to prevent falls at home: ABCDE?

Answer 12

D!

Question 13

T/F obesity is a risk factor for esophageal adenocarcinoma

Answer 13

T! due to risk of GERD

Question 14

1st line for treatment of pertussis

Answer 14

Azithromycin

Question 15

T/F Pulmonary embolism will give a transudative pleural effusion.

Answer 15

F! exudative

Question 16

T/F u can dx fibromyalgia on hx alone

Answer 16

TRUE - dnt need tender points anymore

Question 17

Which vitamin increases iron absorption?

Answer 17

Vitamin C! (also high protein meals help too)

Question 18

Which NSAID is save in cardiac patients(besides ASA)

Answer 18

Naproxen! - only one that wont cause Na retention & worsen CHF & edema

Question 19

Male pt found to have osteoporosis. Which hormone should you check?

Answer 19

testosterone

Question 20

Most common cause of resistent HTN? #2?

Answer 20

1: OSA 2: primary aldosteronism

Question 21

Which flu vaccine is safe in egg allergy?

Answer 21

recombinant trivalent flu vaccine

Question 22

Which has BEST EVIDENCE for LONG TERM SUCCESS in nocturnal enuresis: Reward system, Bed alarm, Desmopressin, Imipramine, oxybutynin

Answer 22

Bed alarm

Question 23

Inital treatment of pt with SIADH 2/2 CAP w/Na 121 & no other symptoms other than cough & SOB which are improving.

Answer 23

Fluid restriction

Question 24

Most common form of child abuse in the US

Answer 24

Neglect

Question 25

Age cut off for drugs for kids with ADD

Answer 25

6 yoa; before this CBT

Question 26

Pt with genital ulcers and your concerned for syphilis. RPR is negative. Next step?

Answer 26

repeat RPR in 3 weeks. it can take 3 weeks FROM SYMPTOM ONSET for RPR to become positive

Question 27

How often do you need to repeat ECHO w/AS?

Answer 27

3-5 years

Question 28

Best test for vitamin D deficiency?

Answer 28

25- hydroxyvitamin D

Question 29

Which rx reduces the severity & duration of erythema multiforme?

Answer 29

acyclovir - otherwise treatment is supportive with NSAIDS or steroids if not resolving

Question 30

Pt with what seems like PMR is also complaining of head pain. ESR 88, no pain with palpation of head, normal vision. next step?

Answer 30

Temporal A bx. the pain all over the head is still concerning for temporal arteritis. Can have a normal PE and still have sx on bx.