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boards one-liners > Office one-liners > Flashcards

Office one-liners Flashcards

1
Q

What is the inheritance of Von Willebrand disease?

A

Autosomal dominant

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2
Q

What is the acronym that describes the types of abnormal uterine bleeding?

A

PALM - COEIN

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3
Q

What is the failure rate of OCPs with typical use?

A

8%

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4
Q

How does the etonogestrel implant prevent pregnancy?

A

Inhibits ovulation

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5
Q

What is the most effective emergency contraception?

A

Paragard (copper) IUD, followed by ulipristal acetate

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6
Q

What is the most common genital infection in WSW (women who have sex with women)?

A

Bacterial vaginiosis

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7
Q

What is the appropriate test for evaluation of a thyroid nodule on ultrasound?

A

Fine needle aspiration

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8
Q

What are the criteria for metabolic syndrome (3 out of 5)?

A

1) waist circumference > 35 inches
2) Elevated blood pressure >130/85
3) Increased fasting glucose >100
4) HDL < 50
5) Triglycerides >150

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9
Q

How do you make the diagnosis of diabetes mellitus?

A

Fasting glucose >126, HgbA1c >6.5%

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10
Q

What is the most common side effect of Metformin?

A

GI side effects, especially diarrhea

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11
Q

Name the mechanism of the oral hypoglycemic agent Metformin

A

Increases peripheral insulin sensitivity, decreases gluconeogenesis (decreases insulin levels)

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12
Q

What disease does combination HRT increase the risk of?

A

Breast and ovarian cancer, VTE

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13
Q

What diseases does combination HRT protect against?

A

Colon cancer, osteoporosis

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14
Q

Which osteoporosis treatment builds bone mass?

A

Teriparatide (Forteo)

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15
Q

When is peak bone mass reached?

A

Age 19

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16
Q

What is the T-score that defines osteoporosis and low bone mass?

A

Osteoporosis T score < -2.5, Osteopenia T-score -1 to -2.4

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17
Q

When should screening for osteoporosis be initiated in the absence of risk factors?

A

Age 65

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18
Q

What lab best predicts cardiovascular disease in women?

A

HDL (low HDL is most predictive of risk of heart disease)

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19
Q

At what age does ACOG recommend starting mammography in women with an average risk of breast cancer?

A

40 years old

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20
Q

What age do you start cholesterol screening without risk factors?

A

45 years old

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21
Q

When and how often does ACOG say you should screen for diabetes (without risk factors)?

A

Age 50, every 3 years

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22
Q

Who is the HPV vaccine recommended for?

A

Girls and boys ages 9-26 -> now women 9-45 yrs old

23
Q

Who should receive the meningococcal vaccine?

A

Adolescents around age 11-12, definitely prior to college

24
Q

Who should receive the pneumococcal vaccine?

A

Age >65, chronic disease or history of splenectomy

25
Q

What is the best treatment for gonorrhea?

A

Ceftriaxone and azithromycin

26
Q

What is the most common STI?

A

Chlamydia

27
Q

What is the most common mode of transmission of hepatitis B?

A

Sexual contact

28
Q

What is the most common sexual disorder in women?

A

Hypoactive sexual desire disorder

29
Q

What is the best treatment for MRSA outpatient?

A

Trimethoprim-sulfamethoxazole

30
Q

What is the imaging of choice for suspected nephrolithiasis?

A

Helical non-contrast CT scan

31
Q

What is the class of drug of choice for hyperlipidemia?

A

Statins (atorvastatin)

32
Q

What presents with a painless charge and is caused by a spirochete?

A

Syphilis

33
Q

What organism is LGV caused by?

A

Chlamydia trachomatis

34
Q

How does chancroid present?

A

Painful genital ulcers with painful lymphadenopathy

35
Q

What is the cause of Granuloma inguinale?

A

Klebsiella granulomatis

36
Q

What is the most common side effect of progestin only contraceptive pills?

A

Abnormal uterine bleeding

37
Q

When are HSV2 antibodies positive after infection?

A

2-12 weeks

38
Q

What is the risk of venous thromboembolism on OCPs?

A

10/10,000 women

39
Q

What percentage of vulvar Paget’s disease is associated with an underlying adenocarcinoma?

A

25%

40
Q

Patients with lichen sclerosis atrophicus are at increased risk for what type of malignancy?

A

Squamous cell carcinoma

41
Q

Recurrent oral aphthous lesions with genital ulceration, lymphadenopathy, and fever are symptoms of what?

A

Behcet’s disease

42
Q

What is the term for female transitioning to male?

A

Transgender male, transman, FTM

43
Q

What is the term for male transitioning to female?

A

Transgender female, transwoman, MTF

44
Q

What is the laboratory surveillance for a female transitioning to male?

A

Testosterone, lipids

45
Q

What is the laboratory surveillance for a male transitioning to female?

A

CBC, CMP, Estradiol, prolactin is checked yearly by some provides and others do it as needed

46
Q

What is the maintenance surveillance for a transgender male?

A

Age appropriate cervical cytology, mammogram, BMD at age

47
Q

What is the maintenance surveillance for a transgender female?

A

CBC, CMP, total testosterone, lipids are checked yearly by some providers and others do it as needed

48
Q

What is the recommended route for testosterone and estrogen replacement?

A

Transdermal

49
Q

When do transgender men typically resume menses after discontinuing testosterone replacement?

A

6 months

50
Q

What is the effect of feminizing hormones on voice town in a man underling transition to female?

A

None, the voice will remain deep unless he undergoes voice coaching

51
Q

When is an appropriate time to insert an intrauterine device or contraceptive implant?

A

Insertion of an IUD or an implant may occur any time during the menstrual cycle as long as pregnancy may be reasonably excluded

52
Q

Women who report receptive anal intercourse would be offered rectal swab for which STIs?

A

Gonorrhea and chlamydia. 20.5% of C trachomatis rectal infections and 18% of N gonorrhoeae infection would be missed and untreated by genital screening alone

53
Q

What is the most frequent STI among peri-menopausal women?

A

Trichomonas vaginalis. T vaginalis detection rate distribution by age shows a bimodal pattern with first peak at ages 21-22 years and a higher second peak at ages 48-51 years

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