25 APR 2017 2047 MIX

Question 1

vaccinations should be administered at ________________ (gestational / chronological) age

Answer 1

chronological (vaccination of a premature infant is safe)

Question 2

what is the only exception to scheduling vaccines by age?

Answer 2

hep B - administer when patient weighs at least 2 kg

Question 3

what is the treatment for GAD?

Answer 3

• CBT

- SSRI / SNRI

Question 4

what is the preferred route of delivery for intrauterine fetal demise at 24 weeks and after?

Answer 4

• vaginal (regardless of presentation)

- induction of labor can also be delayed until patient is ready

Question 5

what is the preferred route of delivery for intrauterine fetal demise before 24 weeks?

Answer 5

dilation and evacuation

Question 6

what are the possible treatment medications for essential tremor?

Answer 6

• propanolol (first line)
• primidone
• topiramate

Question 7

which organism is most likely responsible for epididymitis in a man over 35? under 35?

Answer 7

• over 35: coliform bacteria (e. coli), UTI symptoms

- under 35: gonorrhea, chlamydia

Question 8

what is used for neuroprotection in patients at under 32 weeks gestation who are expected to deliver within the next 24 hours?

Answer 8

magnesium sulfate

Question 9

what should patients who are in preterm labor at under 34 weeks receive to reduce the risk of neonatal respiratory distress syndrome? if she is under 32 weeks?

Answer 9

• tocolytic agent
• corticosteroids

if under 32 weeks:

• tocolytic
• corticosteroids
• magnesium sulfate

Question 10

keratic precipitates (“mutton fat”) and iris nodules may be seen in what condition?

Answer 10

uveitis

Question 11

what vaccines are recommended during pregnancy?

Answer 11

• tdap
• inactivated influenza
• rho(D) Ig

*toxoids and inactivated vaccines in general are safe during pregnancy

Question 12

what vaccines are CONTRAINDICATED during pregnancy?

Answer 12

• HPV
• MMR
• live attenuated influenza
• varicella

Question 13

what are the criteria for initiating long term oxygen therapy in patients with COPD?

Answer 13

• resting arterial oxygen tension (PaO2) 55 mm Hg or less or pulse oxygen saturation (SaO2) 88% or less on room air
• PaO2 59 mm Hg or less or SaO2 89% or less in patients with cor pulmonale, evidence of right heart failure, or hematocrit over 55%

Question 14

pernicious anemia is related to an increased risk of what cancers?

Answer 14

• gastric adenocarcinoma

- gastric carcinoid