Other

Question 1

Doses of NSAIDS and Triptans for Rebound HA?

Answer 1

> 18/mo of triptans

>114 doses NSAIDs

Question 2

1st line Migraine PPX?

Answer 2

Metop
Propanolol
Anti-epileptic

Question 3

2nd Line Migraine ppx?

Answer 3

TCA
Atenolol
Nadolol

Question 4

Imaging HA indications?

Answer 4

New abrupt 
Neuro deficits
Awaken from sleep
Trauma and persisent
CA or HIV hx
Worse w/ Valsalva

Question 5

EGD indications with GERD symptoms:

Answer 5

Dysphagia
Odynophagia
Onset age >50
Hematemesis/chezia
Fe def. Anemia
Wt loss
Failed H Pylori therapy 2x

Question 6

Tests to initially dx H Pylori?

Answer 6

IgG
Urea Breath (Expensive, Only if off PPI)
Fecal Antigen Test
EGD

Question 7

When to Confirm H Pylori Cure?

Answer 7

Symptoms persisting after therapy

Question 8

Triple Therapy?

Answer 8

PPI + Amox + Clarythro

OR

PPI + Met + Tet + Bismuth

Question 9

Colic rules of 3s

Answer 9

> 3 hrs/day
3x/wk
3 wks in a row

Question 10

Diastolic Dysfunction definition:

Answer 10

Stiffness/decrease in compliance which decreased emptying and filling

Usually 2ndary to HTN

NORMAL EF

Question 11

Systolic + Diastolic dysfunction:

Answer 11

Decreased EF

Question 12

TX for systolic HF?

Answer 12

ACE/ARB
Bb **** NOT IF ACUTE FAILURE***
Spironolactone
Digoxin
Furosemide (acute)

Question 13

TX fo diastolic HF?

Answer 13

Bb or CCB

DIURESE SLOWLY or it will worsen

Question 14

Large S wave in lead V3 means?

Answer 14

LVH

Question 15

Orthostatic Hypotension def?

Answer 15

> 20 SBP loss

>10 DBP loss

Question 16

Nystagmus that stops with fixation indicates?

Answer 16

Peripheral lesion

Question 17

Short term vertigo tx?

Answer 17

Meclizine

Promethazone

Question 18

Tx criteria to begin Bisphosphonates?

Answer 18

1. Osteoporosis
2. Osteopenia + 1 of:
   - Previous fall
   - Risk for fall
   - FRAX 10 yr fall >20
   - FRAX 10 yr hip fxr >3

Question 19

DeQuervian Tenosynovitis sign?

Answer 19

Pain with radial/ulnar deviation (Finkelstein)

1st extensor compartment inflammation

Question 20

Start 2 drug DM tx if?

Answer 20

A1c 9-11
FPG >201
RPG >301

Question 21

Start w/ insulin if:

Answer 21

A1C >11
FPG >300
RPG >350

Question 22

DM drug with wt loss?

Answer 22

Victoza (glutide)

Question 23

DM drug with URI symptoms?

Answer 23

Januvia (–gliptin)

Question 24

DM drug with Urinary se?

Answer 24

Invokana (gliflozin)

Question 25

DM drug with pancreatitis risk?

Answer 25

Victoza (glutide)

Question 26

DM drug with edema and wt gain?

Answer 26

--glitazone

Question 27

Problem with raloxefene for osteoporosis?

Answer 27

Doesn't affect hips