33-36

Question 1

What should you suspect in a patient with fever and persistence of flank pain despite appropriate antibiotic tx

Answer 1

Perinephric abscess

fever >4 days after initiation of Ab therapy

Question 2

Does cataract surgery need any preoperative testing?

Answer 2

Nah, no low risk procedures in patients with no known disease do

Question 3

Vertigo after scuba diving could be

Answer 3

perilymphatic fistula

Question 4

Dx test for septic arthritis

Answer 4

US

Question 5

Female athlete triad

Answer 5

amenorrhea, osteoporosis, and disordered eating

(eating disorder can now be more energy out than in

Question 6

Withdrawal bleeding after a progesterone challenge in a patient with amenorrhea indicates

Answer 6

Anovulation

Question 7

Most common cause of recurrent otitis media in children

Answer 7

Penicillin resistant S. pneumo

Question 8

Only dietary changed really needed to prevent diverticulitis

Answer 8

Increased fiber

Question 9

What should be given for persistent v-fib in addition to defibrillation and CPR

Answer 9

Vasopressors

Question 10

Gold standard for diagnosis of renal colic

Answer 10

CT

Question 11

Doubling time for malignant nodules

Answer 11

1 month to 1 year

Question 12

What do you do with hypothyroid patients when they get pregnant

Answer 12

Increase their thyroid medication to prevent maternal hypothyroidism
increase around 4-6 weeks gestation

Question 13

When should complete rotator cuff tears be fixed? Why

Answer 13

Within 6 weeks to prevent muscle atrophy

Question 14

Drug indicated for all patients with heart failure

Answer 14

ACEi

Question 15

Pioglitazone should not be used in what kind of patients

Answer 15

Those with hepatic disease

Question 16

Tx for lichen sclerosis

Answer 16

steroids

Question 17

Physical activity in the elderly is best for

Answer 17

Preventing falls

Question 18

Prevent anti-coagulant in DVT

Answer 18

LMW heparin

unfractionated heparin requires more monitoring

Question 19

Best drug after MI? For high risk? For high risk w/ arrhythmia?

Answer 19

B-blocker
ARBs
Amioderone

Question 20

Most common presenting feature of hodgkins lymphoma?

Answer 20

Painless lymphadenopathy

Question 21

Test for abnormal bleeding after pregnancy, structural and hematologic abnormalities are all ruled out

Answer 21

Progesterone

Question 22

What is pseudoaddication

Answer 22

Behaviors that may occur when the pain is untreated in chronic narcotic use

Question 23

Most case of osteosarcomas over 50 seen with what disease

Answer 23

Pagets

Question 24

Preffered paget’s tx

Answer 24

Bisphosphonates

Question 25

OTC cold medicines should not be used in children under

Answer 25

2 years old

Question 26

High protein food that will reduce chances of having another gout attack

Answer 26

milk

Question 27

In transdermal patches, what changes very little with age

Answer 27

Transdermal absorption of the drug