Kahoot

Question 1

Which ABX is least likely to affect INR if a pt is on warfarin?

Answer 1

Cefalexin
(PCN least likely to interact with warfarin)

***ANTIFUNGALS WILL GREATLY impact INR

Question 2

Thiazide diuretics are contraindicated in patients who have?

Answer 2

A sensitivity to sulfonamides

Question 3

Potassium wasting diuretics

Answer 3

Loop

Thiazide

Question 4

What is the longest recommended time interval between cervical screens for patients who are 30-64 yrs old

Answer 4

five years

Question 5

pt taking ACE inhibitors should avoid….

Answer 5

Potassium rich supplements

ACE/ARBS can cause elevated K.

Question 6

Who needs to avoid protein rich meals

Answer 6

Renal failure pts

Question 7

Decreasing hepatic glucose production and absorption and increasing insulin sensitivity is the MOa of which drug?

Answer 7

Metformin

Question 8

SGLT2 inhibitors MOA

Answer 8

pee out extra glucose
causes osmotic diuresis

“Serum Glucose Leaves Through 2 Kindeys” (SGLT2 inhibitor)

Question 9

What is an anticholinergic used to tx overactive bladder?

Answer 9

Oxybutynin -

SE: orthostatic hypotension in elderly

Question 10

What medications treat BPH

Answer 10

Alpha Blockers (-sin) / Alpha reductase inhibitor (-ride)
Tamsulosin
dutasteride
Doxazosin

“2sins and a ride”

Question 11

Which vaccine is not recommended in pregnancy

Answer 11

MMR - live vaccine

Question 12

Which medication is contraindicated in pregnancy

a. bactrim
b. Keflex
c. amoxicillin
d. nitrofurantoin

Answer 12

Bactrim - ALWAYS (d/t sulfa)

Nitrofurantoin - can be used until 3rd trimester

Question 13

McMurrays tests evaluates for

Answer 13

Meniscal injury of the knee

“M for Meniscus”

Question 14

what is the name of the test to evaluate for cholecystitis?

Answer 14

Murphys

• RUQ under rib. as a release of breath

Question 15

your pt forgot to take their coumadin last night, 10 hours ago, what do you say?

Answer 15

Take last nights dose now, and your next one this evening when its due?

(Hasn’t been more then 12 hours)

Question 16

A 28 year old has a 3/6 systolic murmur. Which characteristic indicates a need for referral?

Answer 16

A fixed split S2 - always abnormal

indicates pulmonary HTN as pulmmonic valve closing a second later then aortic valve causing split sound

Question 17

Which mitral disorder results from redundancy of the mitral valves leaflets?

Answer 17

Mitral valve prolapse

Question 18

How should a patient suspected with syphilis be screened?

what specific test?

Answer 18

Serum assessment

RPR - rapid plasma reagin

Question 19

A diuretic that does not promote secretion of K into the urine?

a. lasix
b. HCTZ
c. bumetanide
d. triamterene

Answer 19

Triamterene “Tries to save K”

Bumetanide & Lasix = LOOP diuretic
HCtZ & metolazone - thiazide (super powerful, sig decrease in K )

Question 20

Pt with poorly controlled HTN for 10 years… where would you expect to palpate the PMI?

Answer 20

5th ICS, left of the MCL

displaced laterally due to enlarged heart

Question 21

sulfonylurea agents such as glimeperide work by

Answer 21

stimulate the release of insulin from pancreatic beta cells

Question 22

continuous urinary leaking or dribbling with a full bladder is referred to as

Answer 22

Overflow incontinence (ex BPH) - physical block

Other types
stress incontinence - weakening of pelvic muscle
urge incontinence - overactivity of decrease muscle
functional incontinence - cognitive impairment, elderly that are bedridden, restraints ect

Question 23

which of the following is formed in the liver as a byproduct of protien metabolism and eliminated entirely by the kidney?

Answer 23

urea

Question 24

25 yr old with Aortic stenosis. What is the likely etiology?

Answer 24

Congenital - typically affects Aortic

Acquired calcification - often with age that results in aortic stenosis
Rheumatic - often affects MITRAL stenosis

Question 25

male pt presents with dysuria and penile discharge. what should be part of the differential?

Answer 25

Chlamydia and gonorrhea

Question 26

your pt presences with a painless chancre in the genital area. the most appropriate medication is likely to be

Answer 26

Chancre = syphillis tx PCN LA Gonorrhea --> ceftriaxone Metrodniazole - BV & tricha Doxycycline - chlamydia

Question 27

which insulin has the lowest risk of hypoglycemia

Answer 27

Glargine (Long acting)

Question 28

Pt has UTI. what findings on a dipstick will best describe a typical UTI

Answer 28

Leukocytes and Nitrates

Question 29

First line treatment for acute gout

Answer 29

Colchicine

Question 30

a 65yr with BPH with overflow incontinence. what med is most appropriate?

Answer 30

Tamsulosin (Alpha blocker)

Question 31

Chronic transmural inflammation of the GI tract, small and or large intestine often involving the terminal ileum

Answer 31

Crohns - affects ALL layeers of instine UC - confined to colon only

Question 32

empiric tx of STI

Answer 32

Ceftriaxone 500mg IM x 1, doxycycline 100mg po BID x 7 days

Question 33

Pt has mild HFrEF. which drug will reduce morbidity and mortality long term?

Answer 33

Metoprolol succinate or carvedilol ACE/ARBS mineral corticoids - spironolactone (K sparing) Entresto NOT metoprolol tartrate- short acting NEVER - Ca channel blocker - negative inotrope

Question 34

Which of the following areas drain into the RIGHT lymphatic duct

Answer 34

Right Arm only

Question 35

which is not a normal finding during pregnancy?

Answer 35

Diastolic murmur

Question 36

what is the medication desferal used for?

Answer 36

Decreases iron levels -

Question 37

which ABX may increase photosensitivity?

Answer 37

Ciprofloxacin & Tetracyclines

Question 38

A characteristic in RA that is not characteristic in OA

Answer 38

symmetrical joint involvement

Question 39

Which of the following is a skin manifestation dof INFLAMMATORY breast CA?

Answer 39

Peu D'Orange

Question 40

a female pt diagnosed with chlamydia. how should this be managed?

Answer 40

tx with doxycycline Gonorrhea - ceftriaxone

Question 41

incontinence in which a cognitive or physical impairment keeps one from getting to the bathroom in time is

Answer 41

functional incontinence

Question 42

trichomoniasis is what kind of pathogen?

Answer 42

Protozoal

Question 43

which of the following regimens is appropriate for diagnosis of enterobiasis?

Answer 43

* Pinworms | albendazole: 1 dose now and 1 dose in 2 weeks

Question 44

macrocytic, megaloblastic anemia due to vitamin B12 deficiency

Answer 44

Pernicious Anemia - vitamin deficiency anemias = macrocytic - pernicious anemia secondary to loss of intrinsic factor which is secreted by parietal cells

Question 45

Which of the following solid cancers has the best prognosis? a. testicular b. breast c. thyroid ca d. lymphoma

Answer 45

Testicular CA Lymphoma - not a solid CA

Question 46

a pt with newly diagnosed genital herpes would appropriately receive a prescription for

Answer 46

Acyclovir

Question 47

65 yr male has an LDL of 200, what class of medications is preferred for tx?

Answer 47

HMG CoA reductase inhibitors (Statins) Used to tx triglycerides - weight loss - lowering A1c - Niacin - Fibric acids - Bile acid sequestrants

Question 48

pediatric respiratory condition hallmarked by hoarseness

Answer 48

Croup

Question 49

First line therapy for pan sensitive UTI in a women

Answer 49

nitrofurantoin - unless very late in pregnancy (3rd trimester) PCN and 1st gen cefalosporins dont have great gram neg coverage which is most common in UTI Fosfomycin - only 1 time dose, but very broad coverage

Question 50

25 yr female with lower abd pain. What would suggest PID as cause?

Answer 50

Temp >101 Elevated ESR Hyphae suggest fungal/yeast infection

Question 51

crushing's disease is caused by excess secretion of what?

Answer 51

glucocorticoids

Question 52

Which drug is used to treat vertigo?

Answer 52

Meclizine

Question 53

due to the mechanism of action meglitinides used in the tx of DM 2 should be administered when

Answer 53

at meal time - decrease absorption

Question 54

what organism in a UA would make you think it is contaminated?

Answer 54

Lactobacillus - not a normal urine pathogen. often comes from external genitalia

Question 55

the valve most commonly involved in chronic rheumatic heart disease is the

Answer 55

Mitral

Question 56

which medication is an alpha 1 adrenergic antagonists (alpha blocker)

Answer 56

Terazosin

Question 57

First line tx for CHRONIC gout

Answer 57

Allopurinol

Question 58

syphilis may present as...

Answer 58

A rash

Question 59

Which of the following tools should you first administer for a 84 yr old not motivated to participate in care? a. CAD-7 b. MME c. Geriatric Depression screening tool d. CAGE questionnaire

Answer 59

Geriatric depression screening tool mms- mini mental exam (cognitive impairment)

Question 60

which STI is: Treponema pallidum infection, that penetrates intact skin or mucous membranes during sexual intercourse

Answer 60

Syphilis

Question 61

yellowish raised growth on the conjunctiva that extends into the cornea is an

Answer 61

Ptergygium - extends into cornea

Question 62

which of the following is a risk factor for testicular CA a. epididmyitis b. hx of chlamydia c. HIV d. Cryptochroidism

Answer 62

D. cryptochroidism

Question 63

thalassemia minor can be categorized by

Answer 63

microcytic, hypochromic rbcs (hemolytic anemia )

Question 64

Pts with a full or partial extra copy of chromosome 21 is diagnosed with

Answer 64

Downs Syndrome

Question 65

Combine Oral contraceptives indicated for... (besides birth control )

Answer 65

Premenstrual syndrome NOT Breast ca prevention - estrogen will exacerbate risk

Question 66

hypochromic, microcytic anemia is...

Answer 66

Iron deficiency anemia

Question 67

Continuous urinary drippling or leakakage... what kind of incontinence?

Answer 67

Overflow

Question 68

which of the following formed in the liver as a byproduct of protien metabolized and elminated by the kidney

Answer 68

Urea

Question 69

what organism in the UA would make you think its contaminated

Answer 69

lactobacillus

Question 70

Which of the following is a co-morbid condition with graves disease

Answer 70

SLE

Question 71

cushing disease is caused by excess secretion of which?

Answer 71

glucocorticoids

Question 72

most common cause of hyperthyroidism

Answer 72

Graves disease (Autoimmune)

Question 73

pt with a full or partial extra copy of chromosome are diagnosed with

Answer 73

downs syndrome

Question 74

hypochromic microcytic anemia?

Answer 74

iron deficiency

Question 75

Trichomoniasis is what kind of pathogen

Answer 75

protozoal

Question 76

what is one of the most curable cancers?

Answer 76

testicular

Question 77

first line treatment for chronic gout?

Answer 77

allopurinol

Question 78

treponema pallidum infection is a spirochete that penetrates intact skin or mucous membranes during sexual intercourse. Known as what?

Answer 78

syphillis

Question 79

macrocytic, megaloblastic anemia due to Vit 12 deficiency

Answer 79

pernicious anemia

Question 80

what is an anticholinergic medication used to treat overflow incontinence?

Answer 80

oxybutin

Question 81

Due to the MOA, meglitinides used in the tx of DM2 should be administerd?

Answer 81

at meal time

Question 82

sulfonylurea agents such as glimepiride do what

Answer 82

stimulate the release of insulin from pancreatic beta cell

Question 83

pt with UTI. what findings on a dip stick typically indicate its positive?

Answer 83

positive leukocytes and nitrities

Question 84

syphillis may present as

Answer 84

rash

Question 85

How should patients with syphilis be screened?

Answer 85

Serum assessement (Rapid Plasma Reagin)

Question 86

which mitral disorder results from redundancy of the mitral valves leaflets?

Answer 86

Mitral valve prolapse