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Boards 2021 > 3/7 > Flashcards

3/7 Flashcards

1
Q

when can you use a 5 alpha reductase inhibitor (finasteride) for BPH

A

if PSA > 1.5 or evidence of prostatic enlargement

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2
Q

first step if suspect nursemaids elbow

A

reduction attempt prior to imaging

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3
Q

intention tremor with ipsilateral involvement

A

think cerebellar tremor

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4
Q

tremor better w/ alcohol

A

essential tremor

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5
Q

TB PPD mms

A

> 5 +: exposed, HIV, immsupp, CXR suspicious
10+: increased risk (job?)
15+: no RFs

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6
Q

LTBI Tx in kids < 12

A

INH x 9 mo

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7
Q

shellfish allergy and IV contrast

A

not a thing, stop asking

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8
Q

muscle a/w internal lag (can’t lift arm off back in internal rotation)

A

subscapularis

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9
Q

imaging in kid suspect appendicitis

A

U/S first then CT when it doesnt work

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10
Q

DM meds shown to decrease CAD risk

A

liraglutide (victoza), empagliflozin (jardiance)

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11
Q

screening for kids with sickle cell

A

transcranial doppler

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12
Q

hand things in FAS

A

clinodactyly, camptodactyly

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13
Q

3 yo kid w/ OM w/ effusion: tx

A

recheck in 3 mo?

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14
Q

HCOM tx

A

beta blocker; verapamil if not tolerated

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15
Q

preferred antidepressant in old folks

A

escitalopram (not paxil)

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16
Q

Woodslamp skin colors

A

pale blue: pseudomonas

coral: corynebacterium (erythrasma)
yellow: tinea
white: vitiligo

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17
Q

foot stress fracture tx

A

non weight bearing for a few days then walking boot then rigid shoe in 4-6 wks

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18
Q

you diagnose hashimotos: do you need an U/S?

A

no

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19
Q

when to steroid inject vs surgery deputrens

A

contracture –> surgery

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20
Q

go to travelers diarrhea abx

A

azithro (cipro for severe)

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21
Q

PNA RFs for IP

A

> 65, male, RR > 30, COPD, CHF

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22
Q

most effective motion sickness med

A

scopolamine (patch) (more than dramamine)

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23
Q

pityriasis rosea in pregnancy

A

risk of spontaneous abortion before 15 wks

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24
Q

diarrhea after ileal resection cause

A

increased bile acids; treat with cholestyramine

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25
Q

test for acl

A

Lachman (anterior drawer too, but less sensitive)

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26
Q

new onset back pain on chemo (presentation and dx)

A

progressive, worse lying down

malignant epidural spinal cord compression (need MRI)

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27
Q

meniscal tear test

A

McMurray

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28
Q

scoliosis cobb angle for referral

A

20+

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29
Q

daily MME for naloxone

A

50

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30
Q

Ca, pth, phos in CKD

A

hypoca
hyperPTH
hyperphos

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31
Q

charcot neuropathy?

A

think obese, neuropathy with what seems like cellulitis but isn’t

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32
Q

nursemaids elbow

A

subluxation of radial head

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33
Q

suspect asthma but normal FEV1/FVC, next step?

A

methacholine challenge

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34
Q

aymptomatic PAD management

A

no smoking, walking routine, statin, diet

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35
Q

goal fasting, 1 hour Post prandial GDM

A

< 95, < 140

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36
Q

only NSAID not a/w MI

A

naproxen

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37
Q

long term steroids, what to prevent osteoporosis?

A

bisphosphonates

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38
Q

whats considered long term steroid use

A

> 2.5 mg daily x > 3 mo

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39
Q

anxiolytic that also treats ibs

A

SSRIs: citalopram, fluoxetine, paroxetine

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40
Q

how long on DAPT after stent placement

A

1 year if no bleeding risk

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41
Q

thyroidectomy vs radioactive iodine for multinodular goiter

A

compressive sx –> surgery

42
Q

best predictors of severity of pancreatitis

A

Hct, BUN, Cr

43
Q

when to get labs/imaging for premature adrenarche

A

secondary sex characteristics before 8

44
Q

workup for hypertensive 7 yo

A

renal u/s

45
Q

imaging for radiculopathy

A

not till after 6 weeks conservative management

46
Q

thyroiditis vs graves

A

iodine uptake increased in graves

47
Q

WPW tx

A

ablation

48
Q

FABER tests…

A 
SI joint (back pain)
femoroacetabular impingement (groin pain)
49
Q

test for piriformis syndrome

A

log roll

50
Q

provoked dvt AC duration

A

3 mo

51
Q

epididymitis tx

A

< 35: CTX and doxy

> 35: levofloxacin

52
Q

somatic symptoms d/o 1st line

A

SSRI

53
Q

thyroid hormones in preg

A

TSH lower, T4 initially higher (hcg acts like TSH)

54
Q

where to inject for rotator cuff

A

subacromial space

55
Q

timeline for PP thyroiditis

A

1 year

56
Q

when to start ASA for pts at risk for preeclampsia

A

after 12 wks

57
Q

signs of calcaneal stress frx

A

improve with rest, pain with heel squeeze, usually running on hard surfaces

58
Q

when to think about carotid endarterectomy

A

event

> 70% stenosis

59
Q

eosinophilic esophagitis tx

A

oral budesonide (or swallow inhaled corticosteroid)

60
Q

first step in normo/microcytic anemia workup

A

ferritin

61
Q

tx achilles tendinopathy

A

calf exercises

62
Q

crystals in pseudogout

A

rhomboid, positive bifringence, calcium pyrphosphate

63
Q

1st line AOM with PCN allergy

A

mild/mod: cefdinir

severe: clinda + bactrim

64
Q

fever, bruising, hepatosplenomegaly and LAD in kids

A

think ALL

65
Q

most common hypothyroid sx

A

cold intolerance and fatigue

66
Q

redosing levothyroid in pregnancy

A

start taking 2 extra doses a week

67
Q

NAFL vs NASH

A

NASH with ferritin > 1.5 x ULN

68
Q

1st line HTN for black people

A

thiazide and CCBs

69
Q

osteoporosis vs severe osteoporosis

A

< -2.5 +/- fragility fracture

70
Q

age range intussusception

A

6 mo - 3 yrs

71
Q

imaging for intussusception

A

U/S

72
Q

pain management vaso-occlusive sicklers

A

morphine, hydration, heat

73
Q

most common sx of sickle in infants

A

dactylitis

74
Q

management of acute mania

A

2nd gen antipsychotics: risperidone, olanzapine

75
Q

time frame HSV vesicle to crust

A

5 - 8 days

76
Q

strongyloides 1st line tx

A

ivermectin

77
Q

sjogrens tx

A

pilocarpine/cevelimine for sx, hydroxychloroquine for dz process

78
Q

sjogrens abs

A

anti Ro/SSA > anti La/SSB

79
Q

ARDS criteria

A

PaO2/FiO2 < 300

80
Q

when to test high risk babies for hip dysplasia

A

4 - 6 wks

81
Q

polymyalgia rheumatica a/w…

A

giant cell arteritis

82
Q

ESR in polymyalgia rheumatica

A

usually > 40

if > 100 worry about giant cell arteritis or malignancy

83
Q

when to surgery aortic aneurysms

A

> 5.5 cm

grows 0.5 cm in 6 mo

84
Q

stuff a/w pseudogout

A

hemochromatosis, hyperparathyroidism, fam hypocalciuric hypercalcemia, hypomag, hypophos

85
Q

PTSD timeline

A

> 1 mo (otherwise acute stress d/o)

86
Q

RA labs

A

CCP (most specific), RF, CRP, ESR

87
Q

sun exposures for skin cancers

A

chronic UVB = SSC

intermittent, intense UVA = BCC, melanoma

88
Q

diff esophageal cancers

A 
adenocarcinoma = GERD, obesity, hx barretts
SCC = booze and smoking
89
Q

bullous pemphigoid tx

A

start with topical steroids and tetracycline if mild
systemic steroids next
+/- immunosuppresives

90
Q

MC cancer age 15 - 19

A

Hodgkin lymphoma

91
Q

hip pain age 5-6

A

MCC: transient synovitis usually just 1 week, better with nsaids
(also think legg-calve perthes)

92
Q

legg calve perthes age

A

3 - 12 (4-10) intermittent limp

93
Q

scfe age

A

12 - 15 obese

94
Q

cutaneous manifestations of alpha-1-antitrypsin

A

necrotizing panniculitis

95
Q

scleroderma abs

A

ANA
anti-dsDNA
anti-ssDNA
APL

96
Q

rosacea tx

A

metronidazole gel 1st

then azaleic or ivermectin

97
Q

topical antihistamine for eyes

A

olopatadine

98
Q

tx prostatitis

A

< 35: CTX/doxy x 14 days

> 35: cipro or bactrim x 4 weeks

99
Q

skin flushing, wheezing, diarrhea

A

carcinoid

100
Q

shockable rhythms

A

VT, vfib

Boards 2021 (5 decks)

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