2017 ITE

Question 1

LABA are not recommended for asthma in individuals age — or under.

Answer 1

12

Question 2

Criteria to start patient with BPH on Finasteride

Answer 2

PSA > 1.5ng/dL and/or symptoms of enlarged prostate

Question 3

Patients with life expectancy of less than — do not need any cancer screening.

Answer 3

<10 yrs

*think of ur dementia pts

Question 4

What is Sever’s Dz/Calcaneal Apophysitis? Sx? Tx?

Answer 4

one of the most common causes of heel pain in growing children and adolescents. It is an inflammation of the growth plate in the calcaneus (heel).
SX: pain at calcaneus - kinda looks like achilles tendonitis but also has lateral heel pain.
TX: stretching, rest, NSAIDs

Question 5

Which method of rx for motion sickness is most effective? transdermal or po?

Answer 5

transdermal works better

Question 6

How long after organ transplant should you avoid pregnancy?

Answer 6

12 month. Female fertility increases after transplant. IUD = best option for contraceptive as it wont interfere with immunosupressive rx.

Question 7

Rx for dental ppx w/prosthetic heart valve in pt whos PCN allergic?

Answer 7

Clindamycin or Azithromycin

Question 8

Fracture involving greater than —% of the joint space/intra-articular space require surgery.

Answer 8

> 25%

Question 9

carbamazepine is associated with what electrolyte abnormality?

Answer 9

hyponatremia 2/2 SIADH

Question 10

22 yo F w/PCOS cc: hirsutism & irregular mensus. Which PO rx would be best for her?

Answer 10

oral COMBINED hormonal contraceptive rx

Question 11

Cubital Tunnel Syndrome

sx?

Answer 11

2nd most common peripheral neuropathy. Due to ulnar nerve compression = numbness, thingling in ulnar digits & weakness

Question 12

Diameter of which chamber of the heart best predicts patient will remain in NSR after cardioversion for A-fib?

Answer 12

Left Atrium

Question 13

Which anticoagulant would you use for cancer related DVTs?

Answer 13

Lovenox = 2B recommendation

Question 14

Inpatient blood glucose goal range?

Answer 14

140-180

Question 15

Which thyroid drug reduces the risk of development of opthalmopathy in graves disease?

Answer 15

methimazole

Question 16

Bariatric surgery results in decreased risk of dying from —–.

Answer 16

obesity related illness

Question 17

C/I to GLP-1’s

Answer 17

Thyroid cancer

Question 18

Coin rubbing is a healing practice in….

Answer 18

east asian countries = cambodia, korea, china, vietnam

Question 19

What age and for who shoudl you recommend iron supplimentation in children?

Answer 19

Breastfed kids or kids born <37 weeks. Start at 1month and continue to 12months

Question 20

What effect of elevated Cr or Low albumin have on BNP?

Answer 20

falsely elevate it

Question 21

Who needs only 2 doses of HPV?

Answer 21

11-14 yoa 6 months apart. If <5 months apart then will need 3 doses. >14 yoa needs 3 doses.

Question 22

rx for female pattern hair loss?

Answer 22

female pattern = parietal hair loss w/preservation of frontal hair line = can use minoxidil 2% BID

Question 23

Rx for altitude sickness ppx? when shoudl you start it? what if u have a sulfa allergy?

Answer 23

acetazolamide or dexamthasone(if sulfa) – start 1 day prior to ascent and continue until back to normal

Question 24

which type of colon cancer polyp is at highest risk of becomming malignant?

Answer 24

villous adenoma

Question 25

What dietary recommendations are made for ppl wit liver cirrhosis?

Answer 25

Limit dietary Na to 2g/d & increase dietary protein = improves mental status

Question 26

A1C goal in individuals >65 yoa w/T2DM?

Answer 26

7-8%

Question 27

Steroid dosage for PMR

Answer 27

Prednisone 10-20 mg daily -- will see improvement in 2-3 days. pt need long taper over 2-4 months. Often patients will need steroids continued for 1-2 years.

Question 28

Rx to ppx against meningitis? (4 abx that u can use)

Answer 28

Cipro x1d, Azith 500 mg x1d, Rocephin 250 mg x1d, Rifampin 600 mg BID x2d

Question 29

Grotton Sign?

Answer 29

Macules of extensor surfaces of joints associated with dermatomyositis

Question 30

inhaled steroids are indicated for COPD with FEV1 < ---.

Answer 30

50%

Question 31

All individuals >--- need further eval for ANY AUB.

Answer 31

>45 -- this includes if periods are just getting heavier lately.

Question 32

When should you refer a pt with ovarian cyst to GYN?

Answer 32

1. cysts are symptomatic(usually only when they are bigger than 10 cm) 2. > 6 cm in size 2/2 risk of torsion 3. cyst persist >12 weeks (this is why you should always repeat US)

Question 33

FADIR test is positive with...

Answer 33

Femoroacetabular impingement

Question 34

FABER test is positive with...

Answer 34

OA

Question 35

T/F elevated triglycerides can cause a false elevated Na.

Answer 35

FALSE they cause PseudoHYPOnatremia.

Question 36

Which forms of birth control can be used in a women that smokes?

Answer 36

progesteron only OCP, Depo shot, nexplanon, IUD

Question 37

Bronchitis on average last about...

Answer 37

18 days. usually viral

Question 38

Adults age ----- should be screened for T2DM if BMI over ----.

Answer 38

40-70 if BMI >25 with fasting glucose

Question 39

Patellofemoral pain syndrome is worse when.....

Answer 39

going downstairs or running down hill

Question 40

Metformin is C/I with Cr > ...

Answer 40

1.5

Question 41

SGLT2 are C/I with GFR

Answer 41

50