General Medicine MKASP

Question 1

Treatment resistant -statins, what is the next best step after -statin initation?

Answer 1

PCSK9

Question 2

What pain medication is contraindicated in dialysis 2/2 elevated renal metabolites?

Answer 2

Morphine

Question 3

What pain medication is encouraged for dialysis patients in acute pain? Can be given IV

Answer 3

Hydromorphone, u agonist, is metabolized by the liver

Question 4

What is the drug of choice for CIWA protocol?

Answer 4

Chlordiazepoxide

Question 5

First line treatment for eldery insomnia?

Answer 5

CBT therapy

Question 6

If a Korean Descent patient wants allopurinol, what is the first step in management?

Answer 6

HLA-B*58:01

Question 7

An elderly patient that has fall problems, a-fib with RVR, vitals are ok, they take Beta Blocker, apixaban, and Meclizine. What med should be stopped?

Answer 7

Meclizine, is the most potent anti-histamine

Question 8

First line therapy for elderly patients with a sleep disorder?

Answer 8

Behavioral Therapy

Question 9

50 to 80 years old with at least 20 packs per year of smoking, what should they have annually?

Answer 9

Low Dose CT scan annually, regardless of quit date

Question 10

Gradual vision loss with floater is what?

Answer 10

Retinal Detachment

Question 11

If a patient has an allergic reaction to Bactrim, what is the next medication to give?

Answer 11

Triamcinolone

Question 12

All people, over the age of 50 should receive what vaccine regardless of illness status?

Answer 12

Inactivated Herpes Zoster Virus

Question 13

What oral diabetes agents can best increase weight loss?

Answer 13

-glutides

Question 14

Bacterial Conjunctivitis topical bacteria of choice?

Answer 14

Trimethoprim-polymyxin

Question 15

Rivaroxaban should be stopped how many days before a surgery?

Answer 15

3 days before a surgery

Question 16

Melasma is a hyperpigmentation disorder that occurs mostly on sun exposed areas. What is the treatment of that?

Answer 16

Strict sunscreen and sun exposure limitation

Question 17

If a woman over 40 years old has no menstrual cycles over a year, menopause is presumed. Is any further testing needed?

Answer 17

No, hormones and other work up is done only if menopause occurs before age 40

Question 18

What is the first HA treatment after doxycycline?

Answer 18

Oral Retinoid, should not be given with doxycycline, can cause Idiopathic Intracranial Hypertension

Question 19

In HA, what is the best treatment after doxycycline and Oral Retinoids?

Answer 19

Adalimumab

Question 20

What is a superficial skin infection, thin/atrophic finely wrinkled pink-brown plaques in the intertriginous areas?

What is the treatment of choice?

Answer 20

Erythasma

Wood’s Lamp

Question 21

If a patient has had CABG, runs several miles a day and wants Viagra, can they have it?

Answer 21

yes

Question 22

Androgenic Alopecia is what?

Alopecia Areata is what?

Answer 22

Normal Male pattern baldness

Non scaring hair loss, “exclamation points”

Question 23

What is another name for exanthematous rash?

Answer 23

Morbilliform rash

Question 24

In a chronic COPD patient, are an ABG, Chest X-ray, and Spirometry needed for pre-op clearance? Assuming the patient is stable and has no issues

Answer 24

none

Question 25

When there is unexplained vaginal discharge, before medication is administered, what is the next best step?

Answer 25

Saline and potassium hydroxide wet mounts

Question 26

The USPTF recommends calculating what in all males between age 40-75 years, regardless of exercise tolerance?

Answer 26

ASCVD score

Question 27

How is inflamed seborrheic keratosis treated?

Answer 27

Cryotherapy

Question 28

What is the first line medication for obesity to encourage weight loss?

Answer 28

Liraglutide

Question 29

What is the best Migraine with aura birth control treatment? (not copper IUD)

Answer 29

Levonorgesterol-releasing uterine device

Question 30

MELD score above what number can be detremintal to patients?

Answer 30

8-10

Question 31

Cannot lose weight, BMI over 40, bad knees, what is the next best step?

Answer 31

do bariatric surgery

Question 32

Trichomonas treatment, first line, not pregnant?

Answer 32

Oral MTZ

Question 33

No thromboemoblic risk, what is the list line menopause treatment?

Answer 33

Transdermal Estrogen

Question 34

An 81-year-old COPD patient needs pre-operative hip surgery clearance, what test is next? Ambient on room air

Answer 34

Frailty Assessment

Question 35

Unexplained vaginal bleeding after 45 years old or vaginal bleeding less than 45 years old with risk factors equals what?

Answer 35

Endometrial Biopsy

Question 36

A patient taking warfarin before a surgery, how long should the stop before surgery? How long after surgery should they restart it?

Answer 36

5 days before 12 hours after surgery can restart

Question 37

``` Fever Tonsillar Exudates Tender Cervical Lymphadenopathy No cough These are what? ```

Answer 37

Centor Criteria

Question 38

Centor Criteria greater than 3 is code for what?

Answer 38

Give abx (penicillin or cephalexin)

Question 39

What is a severe, potentially fatal skin condition that is characterized by widespread erythema, scaling, exfoliation (later), and superficial pustules? May be worse with oral glucocorticoid withdrawal, what is this?

Answer 39

Erythrodermic Psoriasis