Primary Care/Hopkins

Question 1

HIV- when should viral load be undetecable

Answer 1

3 months

Question 2

Immunity following zoster infection

Answer 2

lasts for around 3 years

Question 3

AOM w/ ruptured TM

Answer 3

topical + oral antibiotics for adult patients

Question 4

AOM complications

Answer 4

mastoiditis
meningitis
labrynthitis
abscesses (brain, epidural, subdural)

Question 5

How to start insulin for T2DM

Answer 5

10 units glargine at night or .2-.3units/kg

Question 6

How to adjust basal insulin for T2DM

Answer 6

q3d, 2 units for 130-180, 4 units for 180+

Question 7

Exenatide

Answer 7

GLP1 receptor agonist

Question 8

GLP1 agonists

Answer 8

Mimic incretins
Injections
Increased risk of pancreatitis, MTC

Question 9

SGLT2 inhibitors

Answer 9

• UTI, yeast infections

- Avoid in CKD, risk of fractures, DKA

Question 10

Canaglifozin

Answer 10

SGLT2 inhibitors

Question 11

Microcytic Anemia - differential

Answer 11

F: Fe
L: Lead poisoning
A: ACD
T: thal
S: sideroblastic

Question 12

Ferritin and IDA

Answer 12

Ferritin is LOW

high with inflammation

Question 13

Rotterdham Criteria

Answer 13

PCOS
2/3 of
1) anovulatory cycles
2) signs/labs consistent with hyperandrogenism
3) polycystic ovaries

Question 14

Eye changes in DM

Answer 14

T2DM- macular edema

T1DM- proliferative

Question 15

Lung Disease in Crohn’s

Answer 15

necrobiotic nodules

Question 16

Most common eye disease in HIV

Answer 16

CMV retinitis, CD4 less than 100

Question 17

Most common cause of viral conjunctivitis

Answer 17

adenovirus

Question 18

Most common causes of bacterial conjunctivitis

Answer 18

H flu

S pneumo

Question 19

Adenoma Size requiring more frequent colonoscopy

Answer 19

greater than 10mm (q3y)

Question 20

Drug most commonly associated with drug induced liver injury

Answer 20

Augmentin!

typically cholestatic

Question 21

Acute Gout Treatment

Answer 21

Steroids or NSAIDS&raquo_space; colchicine

Question 22

Allopurinol AE

Answer 22

severe cutaneous rxn

Question 23

Secondary Causes of HTN: A

Answer 23

Apnea (OSA)

Alcohol

Question 24

Secondary Causes of HTN: B

Answer 24

Bad Kidneys: RAS, CRF, PCKD

Question 25

Secondary Causes of HTN: C

Answer 25

Coractation of Aorta

Question 26

Secondary Causes of HTN: D

Answer 26

Drugs, Diet

Question 27

Secondary Causes of HTN: E

Answer 27

Endocrine: hyperaldosterone, hyperthyroidism, acromegaly, cushings disease, pheochromcytoma

Question 28

HLD screening

Answer 28

males 35, females 45 | earlier if risk factors (DM, family history of CVD, smoking, HTN)

Question 29

Family history of CVD- ages

Answer 29

males: 50 females: 60

Question 30

Lipid Screening for children

Answer 30

ages 9-11 and 17-21

Question 31

Indications for Statins

Answer 31

1) LDL > 190 2) Clinical CVD 3) ASCVD >7.5% 4) DM age 40-75

Question 32

TZD

Answer 32

insulin sensitization Avoid in CHF/risk of fluid retention Pioglitazone

Question 33

Insulin secreatogogues

Answer 33

sulfonylureas and glitinides