deck 15

Question 1

problem with trazodone

Answer 1

sedation + orthostatic hypotension

Question 2

other problem with bupropion

Answer 2

aggravates insomnia

Question 3

med that can worsen gout

Answer 3

HCTZ

Question 4

med that can improve gout

Answer 4

losartan

Question 5

optimal hemoglobin range for patients with chronic normocytic anemia

Answer 5

10-12

Question 6

vocal cord dysfunction presentation

Answer 6

tightness of throat + choking sensation + SOB + coughing

- symptoms worse with inspiration

Question 7

rhonchi suggests..

Answer 7

HF

Question 8

TTP over shin + trace edema over area of tenderness…

Answer 8

stress fracture

Question 9

initial imaging of suspected stress fracture

Answer 9

plain films

Question 10

contraindication to metformin..

Answer 10

creatinine greater than 1.5

Question 11

med for DM patients with CKD

Answer 11

glipizide (glyburide has an active metabolite excreted by kidneys)

Question 12

therapy for drug-eluting stent

Answer 12

clopidrogel + aspirin for 12 months

Question 13

arrhythmia associated with methadone

Answer 13

torsades

Question 14

cross allergen with latex

Answer 14

avocados

Question 15

other GERD findings

Answer 15

• need to clear throat

- nocturnal wheezing

Question 16

mgmt of small pneumo

Answer 16

repeat CXR in 1-2 days

Question 17

best test for genital HSV

Answer 17

PCR (assuming ulcer)

Question 18

how to determine anticoagulation for Afib

Answer 18

CHADS 2!

Question 19

CHADS 2 stands for…

Answer 19

CHF
Hypertension
Age greater than 75
DM
Previous stroke/TIA
*stroke is worth 2 points

Question 20

interpreting CHADS 2

Answer 20

4 or more = high risk (warfarin
2-3 = moderate risk (warfarin)
less than 1 = low risk (aspirin)

Question 21

leading cause of cancer death in the US

Answer 21

lung

Question 22

initial therapy of choice for RA

Answer 22

DMARDS – methotrexate

Question 23

fluticasone

Answer 23

low dose glucocorticoid

Question 24

treatment of choice for pneumocystis pneumonia

Answer 24

bactrim + *adjunctive corticosteroids for any patient with Po2 less than 70

Question 25

management of scaphoid fracture

Answer 25

thumb spica

Question 26

two doses of varicella vaccine are recommended for...

Answer 26

kids

Question 27

bilateral nipple pain with and between feedings in breastfeeding women usually due to...

Answer 27

candida

Question 28

bartonella abx

Answer 28

azithromycin

Question 29

enlarged tongue (macroglossia) think...

Answer 29

primary amyloidosis

Question 30

allergic rhinitis presentation

Answer 30

clear rhinorrhea + nasal congestion + watery, itchy eyes

Question 31

allergic rhinitis treatment

Answer 31

intranasal corticosteroids are mainstay of treatment

Question 32

contraindications to mirena

Answer 32

uterine anomalies, postpartum endometritis, untreated cervicitis, and current pelvic inflammatory disease.

Question 33

management of small-volume, low grade prostate cancer

Answer 33

observation

Question 34

SMA artery embolization presentation

Answer 34

sudden severe abdominal pain + vomiting + diarrhea + pt with cardiac source of emboli + separate source of embolization (eg pulseless arm - often normal abdominal exam

Question 35

threshold for platelet transfusion

Answer 35

10,000

Question 36

only osteoporosis drugs known to prevent hip fracture

Answer 36

zoledronic acid, risedronate, alendronate

Question 37

1st line agents for ovulation induction in PCOS

Answer 37

metformin | clomiphene

Question 38

adjunctive treatment for venous ulcers

Answer 38

compression + aspirin or ptenoxifylline

Question 39

COPD exacerbation

Answer 39

O2 + abx + bronchodilators + systemic corticosteroids (oral or parenteral)

Question 40

initial sign of anaphylaxis

Answer 40

Pruritus around mouth and on palms of hands and soles of the feet.

Question 41

other features of anaphylaxis

Answer 41

flushing of face and neck + rhinitis and conjunctivitis + angioedema of oral mucosa + urticaria + dyspnea and bronchospasm + hypotension

Question 42

indications for pneumovax under 65

Answer 42

chronic cardiac or pulmonary disease, diabetes mellitus, anatomic asplenia, chronic liver disease, or kidney failure; and health-care workers

Question 43

pneumovax for healthy people

Answer 43

single dose over age of 65

Question 44

proven benefits of palliative care

Answer 44

- improved QOL + mood - less depression - reduces aggressive end-of-life care + health care costs