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ABIM > MKSAP STOCK6 > Flashcards

MKSAP STOCK6 Flashcards

1
Q

What is the maneuver to treat benign paroxysmal positional vertigo?

A

Epley Maneuver (Canalith Repositioning Maneuver)

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2
Q

What are the indications for pharmacologic treatment of obesity

A

BMI over 30 or BMI over 27 with associated comorbidities

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3
Q

What is the routine preoperative diagnostic testing in healthy patients undergoing low risk surgery?

A

No preop diagnostic testing required

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4
Q

What are four symptoms that can be used to distinguish depression from anticipatory grief in the setting of terminal illness?

A

Guilt, Hopelessness, Helplessness, and Worthlessness

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5
Q

What is the recommended mgmt of systemic exertion intolerance disease (formerly chronic fatigue syndrome)

A

Cognitive Behavioral Therapy

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6
Q

What is adjuvant therapy for tuberculous meningitis?

A

Glucocorticoids

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7
Q

What are 3 physical findings of Acromioclavicular joint degeneration?

A

Pain located on the superior aspect of the shoulder, tenderness to palpation of the acromioclavicular joint, and pain with shoulder adduction and abduction beyond 120 degrees

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8
Q

What is the first line therapy for stress urinary incontinence?

A

Pelvic Floor muscle training (Kegels)

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9
Q

What are two indications for postop RBC xfusion in a patient with cardiovascular disease?

A

Sx attributable to anemia and Hgb level below 7-8

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10
Q

What eating disorder is characterized by frequent episodes of binge eating followed by self-induced vomiting?

A

Bulimia Nervosa

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11
Q

What is the management of hyperlipidemia in a patient with atherosclerotic cardiovascular dz who cannot tolerate a high intensity statin?

A

Moderate Intensity Statin (consider PCSK9 inhibitor)

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12
Q

What is the preoperative pulmonary evaluation for patients with no history of cardiopulmonary disease or symptoms?

A

None indicated

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13
Q

What is the cardiac screening in asymptomatic persons at low risk for CV disease?

A

None indicated

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14
Q

What are three conservative measures for severe OSA in the postop period?

A

Nonsupine positioning, limited use of sedatives and opioids, and continuous pulse ox

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15
Q

What is the cervical cancer screening modality and interval in women aged 21-30?

A

Cytology (Pap) q3 years

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16
Q

What is the mgmt of a palpable breast mass in a postmenopausal woman with a normal mammogram?

A

Biopsy

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17
Q

What is the expected time to improvement in patients with appropriately treated ventilator-associated pneumonia?

A

72 hours

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18
Q

What are four factors that correspond to the presence of decision making capacity?

A

Understanding relevant information, appreciation of the situation and possible consequences, ability to manipulate information rationally, and ability to make a reasoned choice

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19
Q

Antibiotic therapy for suspected Rocky Mountain Spotted Fever?

A

Doxycycline

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20
Q

What are the elements of the SPIKES protocol for breaking bad news?

A

Setting, Perception, Invitation, Knowledge, Empathy, and Strategize

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21
Q

What is the sensory screening indicated for older patients with cognitive dysfunction?

A

Screening for hearing loss

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22
Q

What is the best approach to glycemic control in the patient with DM in the immediate perioperative period?

A

Administration of long acting insulin

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23
Q

What is the standard statistical outcome measure for cohort studies?

A

Relative Risk

24
Q

What are 5 risk factors for an adverse driving event in an older patient?

A

Cognitive dysfunction, Caregiver report of unsafe skills, History of citations or accidents, impaired mobility, and visual impairment

25
Q

What type of screening bias is associated with overrepresentation of indolent disease in the screen-detected cohort?

A

Length Time Bias

26
Q

What are two initial nonhormonal treatments for primary dysmenorrhea?

A

NSAIDs and COX-2 inhibitors

27
Q

What are four physical interventions for subacute and chronic nonspecific low back pain?

A

Exercise, massage, spinal manipulation, and yoga?

28
Q

What is the antibiotic therapy for otitis media with effusion?

A

None indicated

29
Q

Symptomatic care for refractory dyspnea at the end of life

A

Systemic opioids

30
Q

What are 2 criteria to identifty patients aged 55-80 who are most likely to benefit from lung cancer screening with annual low-dose CT

A

Smoking Hx >30 years and current smoking or quitting within the last 15 years

31
Q

What condition is characterized by unilateral eye pain, photophobia, and ciliary flush?

A

Uveitis

32
Q

What diagnosis is associated with pain and tenderness near the medial plantar heel surface that occurs with the first few steps taken after prolonged inactivity?

A

Plantar Fasciitis

33
Q

What oral supplement decreases fall risk in older adults?

A

Vitamin D

34
Q

What is the optimal time to obtain a testosterone level in the evaluation of hypogonadism?

A

Morning

35
Q

What are three lifesytle modifications to treat erectile dysfunction in obese patients

A

Weight loss, exercise, and smoking cessation

36
Q

What is the first step in the mgmt of prepatellar bursitis?

A

Bursal Fluid Aspiration

37
Q

What is a cause of focal neurologic signs, headache, fever, and seizure in a patient with AIDS?

A

CNS toxoplasmosis

38
Q

What is the perioperative medication mgmt in patients receiving chronic low-dose glucocorticoids (less than 10 mg)

A

Administer the usual dose of glucocorticoid the morning of surgery

39
Q

Contraception method that is contraindicated in women with migraine with aura?

A

Estrogen Containing contraceptive

40
Q

What is the quality improvement model that focuses on eliminating non-value added activities or waste within a system?

A

The Lean Model

41
Q

What are two FDA approved pharmacologic treatments for the depressive phase of bipolar I?

A

Quetiapine monotherapy, combo of olanzepine-fluoxetine

42
Q

What are two visual screening tests to perform before initiating ethambutol therapy for TB?

A

Color discrimination and visual acuity

43
Q

What is the antibiotic management for S. aureus with a vancomycin MIC of >2 ug/ml

A

Daptomycin

44
Q

Syndrome characterized by acute low back pain, saddle anesthesia, and urinary retention

A

Cauda equina syndrome

45
Q

What physical exam maneuver alleviates the pain of epididymitis?

A

Testicular Elevation

46
Q

What is the type of mattress that reduces the risk for pressure ulcers?

A

Advanced static mattress or overlay

47
Q

What is the recommended mgmt of medically unexplained symptoms?

A

Cognitive Behavioral Therapy

48
Q

What is the minimum life expectancy required to benefit from a screening mammography?

A

10 years

49
Q

What is the primary treatment of lateral epicondylosis

A

Avoidance of activities that cause pain

50
Q

What condition is associated with hip pain reproduced by FABER (Flexion, Abduction, External Rotation) but no pain with passive ROM?

A

Sacroiliitis

51
Q

What is the management of a patient who has undergone direct to consumer genetic testing and is identified as having an increased risk for genetic disease?

A

Obtain a three-generation family history

52
Q

What are 3 components in the management of disequilibrium?

A

Physical therapy, visual and auditory screening and corrections, and mobility aids as needed

53
Q

What is the initial mgmt for palpable breast mass in a woman younger than 35?

A

US

54
Q

What is the indication for osteoporosis screening in women based on future Fracture Risk Assessment (FRAX) score calculation?

A

10 year risk of osteoporotic fracture >9.3%

55
Q

What are two effective topical treatments for postherpetic neuralgia?

A

Topical lidocaine and topical capsaicin

56
Q

What is the indication for high intensity statin therapy in a patient aged 40-75 years with DM who is otherwise healthy?

A

LDL-C of 70-189 and estimated ASCVD of >7.5%

ABIM (9 decks)

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