MKSAP Flashcards
(118 cards)
1
Q
treatment of typical aflutter
A
catheter ablation
2
Q
Next step following cardiopulmonary arrest in young patient
A
ICD placement
3
Q
indications for ASD closure
A
symptoms, RA enlargement without pHTN
4
Q
medication cause of erythrodemic psoriasis
A
glucocorticoids
5
Q
first line for chronic insomnia
A
CBT-i
6
Q
treatment of intermittent claudication
A
exercise training
7
Q
adjunctive treatment for breast cancer with bony mets
A
zoledronic acid or denusomab
8
Q
low risk for malignancy and 6-8mm nodule, repeat CT in….
A
6-12 months
9
Q
when to give albumin for SBP
A
w/ renal dysfunction and/bili above 4
10
Q
prevention of travelers diarrhea in high risk patient
A
rifaximin
11
Q
treatment of Raynuads in systemic sclerosis
A
CCB
12
Q
treatment of DMII w/ known cardiovascular risk
A
should add SGLT2 or GLP1
13
Q
3 tests for gastroparesis
A
scintigraphy, wireless motility capsule, and breath testing
14
Q
one of the most common cause of aseptic meningitis
A
enteroviruses
15
Q
indications for ICD in HOCM
A
sustained VT or arrest, or major risk (close 1st degree relative, LV hypertrophy >30mm, syncope, aneurysm, or EF <50%)
16
Q
indication for cilostazol
A
claudication symptoms, no benefit on mortality
17
Q
first test after suspected infertility
A
midluteal serum progesterone level
18
Q
indications for treatment in heterozygous hemochronatosis
A
ferritin >300 in men and 200 in women, transferrin > 45%
19
Q
treatment of toxic alcohol injestion
A
ethanol and isopropyl alcohol = supportive care
- methanol/ethylene glycol = fomepizole
20
Q
treatment of severe acute chest
A
exchange transfusion
21
Q
adjunctive treatment of binge eating disorder
A
lisdexafetamine
22
Q
treatment for women with high risk of breast cancer
A
tamoxifen, raloxifene or aromatase inhibitors
23
Q
treatment if high risk for breast cancer with clotting risk
A
aromatase inhibitor - exemestane or anastrozole
24
Q
stages for surgery in cervical cancer
A
only I and II, not III (too advanced)
25
tolerable doubling time in men with active prostate cancer surveillance
3 years
26
Best modality for evaluating for osteo in DM
MRI
27
Repair of aorta should be performed if also doing heart surgery based on aorta of what size
Greater than 4.5cm
28
preferred weight loss surgeries
sleeve gastrectomy (less weight loss, fewer complications) or Roux en Y
29
hyperviscocity is treated with...
plasmapheresis
30
thyroid testing options
ultrasound for high TSH
radioactive iodine uptake for low TSH
31
preferred anticoagulant in high risk APLS
warfarin
32
GI disease associated with ankylosing spodylitis
IBD
33
opioid level for severe risk of overdose
50 MME
34
HINTS exam suggests...
central vestibular stroke if any are positive
35
Initial management for structural heart disease
cMRI
36
treatment of metastatic non-small cell lung cancer
alectinib
37
viral cause of cryoglobulemic glomerulonephritis
hepatitis c
38
viruses and nephritic/nephrotic syndrom
hep B = nephrotic
hep C = nephritic
39
when to treat subclinical hyperthyroidism
with TSH < 0.1 or older age
40
morphea
type of localized scleroderma with sclerotic plaques
41
lewy body vs parkinsons disease
in parkinsons, movement problems precede dementia
42
subacute chorea is indicative of...
acquired cause, think pregnancy in a younger woman
43
disease associated with poorly controlled ankylosing spondylitis
AA amyloidosis
44
follow up for fundic gland polyps
none needed, most common benign polyp
45
first line treatment for cluster headache
subq sumatriptan and supplemental O2
46
Testing recommended in patient with spenlic venous thrombus
JAK2 testing
47
when to stop cervical cancer screening
at 65, assuming screening to date has been normal
48
recommended therapy for autoimmune hepatitis
azathioprine and prednisone for 2-3 years due to high rate of recurrence
49
treatment of severe malaria
artesunate
50
treatment of stress incontinence
first line: PT
second line: topical estrogen
51
pap testing recs in patients with IBD
should be done yearly
52
bone testing recs in smoldering myleoma
low dose CT vs PET and if negative, whole body MRI (more sensitive)
53
cessation in chronic pancreatitis
both alcohol and smoking
54
treatment of tobacco cessation after ACS
combination NRT or varenicline
55
treatment of hot tub folliculitis
does not require antibiotics unless not improving, usually self limited
56
treatment of gestational diabetes in women unable to meet glycemic goals
insulin
57
all people diagnosed with PSC should also recieve
a colonoscopy
58
secondary treatment for inclusion body myositis
PT (patients often have little improvement)
59
next test with growing pulmonary nodule
PET/CT
60
First step after diagnosis of dermatomyositis
age related cancer screenings
61
Response time for treatment of FSGS
12-16 weeks
62
treatment of campylobacter
azithromycin
63
Initial evaluation of constipation in elderly patient
colonoscopy
64
Support for heart block following MI
Temp pacing, permanent is rarely needed
65
Treatment of hypomotlity disorder
lifestyle changes
66
Testing for TB in HIV patients
Re test for TB following recovery od CD4 count
67
Timeline to delay surgery following stroke
At least 6 months, preferably 9
68
Common associated with brucella
HSM, depression, arthrligia
69
BP goal following ischemic stroke w/ cerebral vessel narrowing
220/110, lowing associated with worse outcomes
70
Image testing in stage 0-II breast cancer
None needed
71
Electrolyte issues caused by PPI
Hypomagnesiumia, can also cause hypokalemia
72
Treatment of UE DVT related to PICC line
3 months of treatment with AC
73
Test for patient with high pre-test probability for PAD but normal ABI
exercise ABI
74
Treatment of epididymitis in MSM patient
ceftriaxone + levofloxacin (covers GI pathogens)
75
SLE therapies to avoid in pregnancy
mycophenolate mofetil, belimumab, and methotrexate
76
Fluid collection around breast implant is associated with....
T-cell lymphoma
77
Treatment of FMF
Colchicine
78
Screening for sphalnic vein thrombosis
JAK2 mutation for MPN
79
Blood test monitoring for transgender care w/ testosterone
hematocrit
80
Treatment of superficial DVT
6 weeks when clot is > 5cm, close to deep vein system or if clot risk factors present
81
Progression free survival means...
a longer time without cancer growth
82
Best test for west nile encephalitis
IgM because viral load is usually quickly cleared
83
Treatment of hypertension in intracranial bleed
treat BP to 140 or lower
84
INR level which vitamin K should be given
greater than 10 and asympatomatic
85
Treatment of nephrogenic diabetes insipidus
amiloride
86
treatment of aplastic anemia
< 50 = stem cell transplant
>50 = immunosuppresion
87
treatment of cryptococcal meningitis besides abx
LP to reduce intracranial pressure
88
dermatitis herptiformis is associated with what disease
celiac
89
Low risk melanoma cut off
<0.8cm by depth
90
treament following SAH
nimodipine (improves outcomes)
91
Test used to stage B cell lymphoma
LDH
92
Treatment of MALT
rituximab
93
Ideal COPD for lung reduction surgery
upper-lobe-predominant emphysema, FEV1 and DLCO of 20% of predicted or higher, and low exercise tolerance after completion of pulmonary rehabilitation
94
Treatment size for gallbladder polyps
>1cm
95
Mental health association with montelukast
depression (black box warning)
96
Treatment for refractory essential tremor
surgery
97
Adjuvant treatment for GIST tumors
imatinib
98
Screening for patient with menigitis and disseninated GC disease
CH50 level (complement)
99
When to remove gall bladder for acute chole
During hospitalization
100
Qualification for high dose flu vaccine
Above 65
101
When to return to play after concussion
7 days after having no symptoms
102
Treatment for Lewy body dementia
anticholinesterase inhibitors
103
Anti-phosphlipase 2 receptor is test for
Membranous nephropathy
104
Treatment of autoimmune encephalitis
Immunosuppresion
105
Important lab marker in pleural effusion
pH, less than 7.2 requires drainage
106
Medication causes of microscopic colitis
NSAIDs, proton pump inhibitors, and selective serotonin reuptake inhibitors
107
Keratoacanthoma
Type of rapidly growing squamous cell carcinoma
108
Modality for HCC sureveillene in cirrhosis
ultrasound q6months
109
Association with vitiligo
Other autoimmune diseases, check TSH
110
Blood test to check prior to statin therapy
AST
111
Treatment for infectious related GN
continue antibiotics
112
How to avoid nitrate tolerance
Decrease dosing to once daily, allows for nitrate free period
113
Treatment for epididymitis in older men (low STI risk)
lovefloxacin
114
Diagnostic test for Pagets disease
Radionucleotide bone scan
115
PPIs and CKD
avoid if able, use H2 blockers
116
Treatment of lupus nephritis
prednisone and mycophenolate
117
Asymptomatic gallstones
only observation, prophlyactic surgery not indicated
118
Glucocorticoid sparing agent for GCA
tociluzumab
