Wrong Question Flashcards
1
Q
what over the counter medication can cause hepatotoxcitiy
A
NIACIN tablet
2
Q
Red yeast rice what blood should be moinotored
A
LIVER ENZYMS
3
Q
ovarian cancer screening
A
No recommendation is recommended
4
Q
Tx wandering in a patient with ALZIEMERS
A
anticohlinergics
DO not give benzos unless agitated incoming etc
5
Q
Zollinger Ellison syngrome
A
peptic ulcers increase GASTRIN SECRETION and a tumour in the pancreas (gastronome) also get HYPERCALCEMIA
6
Q
Dx Zollinger Ellison syngrome
A
measure gastrin levels
7
Q
most frequent cause of ventricular rupture
A
Necrosis due to artery obstruction
8
Q
Increase PTT, normal INR , bleeding from nose and bruising both male and female members of the family
A
von Hillebrand disease
9
Q
hypoglycemic agent that acts on both alpha and beta blockers used with Metformin
A
SITAGLIPTIN
10
Q
prophylaxis for meningococcus for close contacts and pregnant women
A
Close contact - 4 doses of rifampin every 12 hours
Pregnant women - IM ceftriaxone
11
Q
inability to birng teeth together properly, visual disturbances and clear nasal discharge due to what fracture
A
MAXILLARY FRActure
12
Q
Perioperative ventricular arrhythmia GREATEST risk factor
A
congestive heart failure
13
Q
feeling of dread and apprehensive expectations
A
ANXIety
14
Q
Treatment of acute gout
A
Indometocin (DO NOT TAKE IF ON WAFARIN)
OR
Colchicine
15
Q
herpes gential infection transmission
A
Suppressive therapy can REDUCE transmission to sexual partner (acyclivir, famciclovir)
16
Q
tennis elbow dx
A
lateral epicondylitits best DX PHYSICAL EXAM AND HISTORY
17
Q
no lactation after birth
A
SHEEHAN SYNDROME
- all pituitary hormones decreased
Aldosterone = uneffective
18
Q
Megestrol what is it?
A
it is a progesterone analogue
USED In breast cancer and ALSO can be used as an appetite stimulant
MOA: results in adrenal SUPPRESION
19
Q
COMMON risk factor for retinal detachment
A
Posterior detachment of the virtuous
20
Q
what eye condition will NOT require ophthalmology appointment
A
BACTERIAL CONGUnctiVITIS
21
Q
type of nonthrombocytopenia purpura
A
hSp
22
Q
MOST common cause of fistula in an
A
Rectal absecess
23
Q
treadmill arterial flow study showing a 20 mmHG decrease in ankle systolic blood pressure immediately following exercise
A
PVD
24
Q
decrease in ABI
A
PVD
25
LOUD SOUNDS without ear protection clinical
Sensory hearing loss and tinnitus
26
How many hours or days will antibiotics help prevent thematic fever after having Group a strep throat
9 DAYS
27
what symptom is not produced with antipsychotic drugs
tremor at rest
28
pauci articular juvenille arteritis is ass. w/
UVEITIS
29
Tx SVT
Verapamil
30
What headache is ALWAYS UNILATERAL
cluster headache
31
MOA respiradone
Dopamine receptor antagonist
32
hypertrophic cardiomyopathy
cause of sudden death
33
Flumazenil used for
Benzodiazepine
| Overdose is acute and there is NO chronic dependance in alcoholic
34
treatment RSV
OXYGEN
35
what do you give to prevent contrast induced nephropathy
isotonic bicarbonate infusion
36
SOB and cough HTN digital clubbig , fine bisilar inspiratory crackles
Idiopathic pulm fibrosis
37
#1 treatment of PVD
STRICT EXERCISE PROGRAM
38
What is NOT a Dx of viral labyrinths
Otorrhea
39
Guttate psoriasis
You get after Group A beta streptococcal infection
40
dark urine and foot edema THINK
GN - therefore red blood cell cast
41
Starvation anionion gap
INCREASE ANION GAP
42
Diarhearra anion gap
metabolic acidosis
43
asthma - uses SABA once per week - what treatment should she get now
NO CHANGE IN MEDS - only mild asthma
44
multiple tender shotty nodules that are immovable in the breast
Fibrocystic disease of the breast
45
highly movable non tender masses in breast
FIRBOADENOMA
46
1 cm ulceration on exocervix - What treatment do u do
punch biopsy
47
feeding tube in Alzhiemers - benefit
NONe has been shown
48
what test do you do for the initial test for ALzhiemers
TSH
| - b/c hyper or hypo thyroids can mimic alshimers in elderly patients
49
duration of anticoagulant treatment in each case :
First DVT w/ transient risk factor
First episode DVT with ongoing risk factor such as cancer pr antiphosphlipid antibiody or more than one risk factor
recurrent DVT
first episode with no identifiable risk factors or inherited risk factor (FVL)
First Dvt w/ transient risk factor - 3 month
First episode DVT with ongoing risk factor such as cancer pr antiphosphlipid antibiody or more than one risk factor - LIFELONE
recurrent DVT - idenfinite
first episode with no identifiable risk factors or inherited risk factor (FVL) - 6-12 month
50
leading cause of eyrsipela
GROUP A SSTREP PYROGEN
51
initial dose of Ldopa in Parkinsons
100mg tablet THREE times a day = 300mg per day
52
best test to determine if patient has denentia or not
Mini mental state exam
53
2.5-15 hypoechoic cyst
NORMAL _ recheck 8 months
54
flashing lights in one eye - 74 year old healthy man what does he have?
Retintal detachment
55
when do you get mirgraine syndrome
8th decade - where you get virtuous floaters and ARE referred to as SPOTS (not lights - cause that would be retinal detachment )
56
meripenime
decreases 5HT release
57
suspect an MI
get EKG and troponin levels
58
Dx of renal agenesis
Renal doppler US
59
Smoking withdrawal symptoms
Insomnia
| impaired conecntration
60
testies pain improves when elevated
epididymis
61
extensor tendon injury
patient can not actively extended the joint but passive extension is possible
62
treatment of extensor tendon injury
Splinting for 6 weeks
| If not treated correctly or delayed then a boutonniere deformity can result
63
After treatment of H.pylori how many months does it take for the results of urea breath test to be negative
6-12 months to turn negative
64
Phaeochromocytome usually occurs in ...
THIN PATIENTS
65
xerosis
Pathological dryness of the skin
In elederly
worse in winter time , low humidity and low temperature
66
PAIN IN BIG TOE BUT NOT GOUT THINK
Sesamoid bone fracture
67
verterbal compression fracture
1. measured conservatively - DECREASE IN ACTIVITY until pain is gone
2. IF PAIN does not go in 2 weeks... then you want to do vertebroblast
68
Side effect of timolol for glaucoma
BRONCHOSPASM
69
respiratory use
Some medical conditions are adversely affected by respiratory use
70
ISOLATED SYSTOLIC HTN TX
hydrochlorothiazide
71
cotyledons - how to Dx
inspect maternal placenta
72
How to Dx succenturiate placenta
inspect the fetal placenta aide (this means an entire lobe
73
buckle fractures have a high incidence of on union
FALSE
74
OCP with continuous bleeding
ADD NSAID
75
hypertenssion secondary to pseudoephedrine and MAO inhibitor how go treat
STOP PSEUDOEPHEDRINE
76
patient that remains hypotensive after fluids are administered
YOU wANT TO TREAT WITH NOREPINEPHRINE infusion then correct whatever clinically is causing it (ex. PE)
77
saddle shaped extension into both pulmonary arteries with widen mediastinum TX
think its a PE
| want to do an embolectomy
78
bright light therapy is good for what sleep disorder
shift night insomnia
79
tourettes
is a tic disorder that begins in childhood
80
what has the greatest risk of endometrial carcinoma
THINK PCOS
81
what vitamin is produced endogneously
VIT D and K
82
what cardiac cause can chronic alcohol abuse lead to
DILATED CARDIOPMYOPATHY
83
what drug can cause a false decrease PSA level
finasteride
84
recurrent pneumonia in 3 year old ... think
CYSTIC FIBROSIS
85
Fournier gangrene Tx
THIS IS an example of necrotizing facts of the perineal peianal or genital area best treatment with IV CIPROFLOXACIN
86
loss of vaiablitiy on CTG .. what next
DO A biophySIcAL PROFILE
87
IBS tx
Loperamide
88
past Hx of schizophrenia ... what makes u re-evaluate the patient
ELATED MOOD
89
Long term complication of heamochromatosis leads to cirrhosis which leads to
PORTAL HTN Schistosomiasis and hepatic vascular abnormalitis
90
Mode of adheradace of Huntigtons
| What % will male children will be affected if dad has
ADOSOMAL DOMINANT
50% chance they will have sons and then a 50% chance they will get the disease
0.5X 0.5 = 25%
91
How to distinguish depressive symptoms from metastatic disease
WITHDRAWAL FROM FAMILY
92
grandmother has TB and dies... what test do you do in family
PPD testing in rest of family
93
Flattening of inspiratory loop of the flow volume loop but NORMAL expiratory phase
THINK vocal cord disfunction
94
treatment hypercalcemia
normal saline iV
95
postpartum urinary retension
discharge with caterer in place and close follow up
96
what is not ass. w/ psychogenic amnesia ...
Moderate to devere anterograde amnesia
97
opisthotonus in newborn - is when the body is held in an abnormally extended position how do you tx
this is due to pathological jaundice - UCB - and therefore you want to initial exchange transfusion
98
Does Conjugated (direct) bilirubin cause BIND - bilirubin induced neurologic dysfunction - >340 mol/l known as vigitiphobia because of its concerning association with neurologic disorder
NO
BIND is tx with exchange transfusion (caused by UCB )
99
what antibiotic causes esophagitis in elderly
TETRACYCLINE
100
what animal do you not need to protect against if concerned about rabies
any small rodents (rats, mice or squirls)
101
Chronic adominal pain is ass. w/
type A personality with chronic ado pain - stress related
102
lower limb deem, bilateral basilar lung crackles, SOB and diaphoresis Hx of diabetes and 2 MI what do you treat him with
He is having pulmonary oedema - due to the increase capillary hydrostatic pressure secondary to the elevated pulmonary venous pressure
tx with nitroglycerin - preload reduction, after load reduction and ionotropic support
103
Never give what during an acute exacerbation of negative ionotropism
BETA BLOCKERS
104
toddlers diarrhea is NOT ass. w/
failure to thrive
105
Marphans - what screening
ECHO - every 6 months
| placed on a b-blocker
106
history of shingles 3 weeks ago... and the patient has recurrent pain how do you t
think it is postherpetic neuralgia and therefore tx with nortriptyline
107
sleep problem that occurs in second half of sleep
NIGHTMARES
108
When are tears produced ...
tears are not produced till 3 months of age and therefore a blocked nasolacimal duct usually becomes apparent after 1 month of age
109
what gender is at higher risk of developing tardive dyskinesia
FEAMLE GENDER (males can get it to though just at lower risk)
110
empirical treatment of osteomylitits
IV VANCOMYCIN (not naficillin)
111
solitary node in lung - next step
take biopsy
112
acute bronchitis how long does cough last for
2 weeks and up to 20 days
113
#1 test for urolithiasis
unenhanced helical CT scan of the abdomen and pelvis
114
acceptable chemoprophylaxis indicated for n.mennigitids
Ciprofloxacin (not okay if
115
in elderly what is the number one cause of incontinence
DETRUSOR INSTABILITY
116
77 year old man with urinary incontinence - no change with cough sneeze, has a smooth large prostate without irregularity what is the cause of incontinince
detrusor instability
117
most serve sign of pancreatitis is
HYPOCALCEMIA - because means saponification is caused by release of fatty acids
118
treatment of condylomata acuminated
CRYOTHERAPHY
119
PPD test without clinical X-ray finding tx with
menas latent TB
| treat with 9 months of isoniazid
120
PSA test
best used for seeing disease progression and recurrence after post-operatively
121
Short stature case that may need further evaluation
prepubescent testicular soze
122
peak level of BHCG
Week 8-10
123
cray of neonate RSV
Air broncograms
124
absolute contraindication to HRT
Acute / severe liver disease
125
elevate levels of what is ass. w/ increase risk of atherosclerosis
homocysteine
126
what drug can cause hyperthyroidism
Amiodarone
127
tx of ankle sprain
semi rigid stirup brace
128
MIBI scan what is it
Thallium and technetium Tc 99 sestamibi scan that - GOOD FOR PATIENTS WITH LIMITATIONG IN EXERCISE with normal ECG and chest pain
129
why treat strep pharyngitis
want to decrease risk of getting scalet fever
130
bite by someone who suspected to have HIV
you should draw blood and test HIV
131
nicotine leads to an increase in
GLUCOSE
| HDL
132
nicotine tends to lover
serum cholesterol LDL serum TG
133
What Sx has a highest risk of MI post sx
FEMOROPOPLITEAL Bypass
134
if patient has high calcium... what lab value would diagnose a cause other than hyperparathyroidism
Low 24 hour urine calcium
| this would be a finding in familial hypocalciutic hypercalcemia
135
What test does not need to be done for turners
MRI of brain
136
IV oral chelation
only wheh >70
137
ORAL CHELATION
45-69
138
WHEN DOES VIRAL SHEEDING occur in norwalk
viral sheeding occurs long after acute illness
139
suspected pneumonia in neonate 1st test
Oxygen saturation by pulse oximetry
140
crying fussy child
flurescein strip should be performed to exclude corneal abration
141
anxiety towards strangers happens at what age
6 months
142
proteinuria and puffy eyes kids
NEPHROTIC SYNDROME
| they will also have high cholesterol
143
MCC of neonatal death if mom had diabetes before pregnancy
Congenital abnormalitis
144
tx celiac skin problem
Daspone
145
What should injury is most serious and life threatening
SC joint
146
#1 cause of pneumonia in 6 month old
RSV
147
when is tocolysis contraindicatied
when the cervix is dilated 3cm
148
after delivery when does a mother get her menstrual cycle if she is not breast feeding
3 months
149
tc hirtuisim in PCOS
spirolactone
150
left lower ado pain, pelvic US best diagnosis what
Adnexal torsion
151
if last period was April 17 when is the patient due
negate rule = 9 months + 7 days =- JANUARY 24
152
treatment of pyelonephritis in pregnancy
IV Ceftriaxone
153
AGUS - most likely what
CIN
154
unilateral varoceile on the right
requires more investigation
155
high INR slightly high aPTT with normal bleeding time
vit K disorder
| INR always slightly higher
156
perforation of the apendendix ten days later fever, pain
pelvic absess
157
tenderness of radial head without swelling - FOSH
radial fracture - put in posterior split and rex-ray 1-2 weeks
158
patient with a previous postoperative venous thromboembolism is at risk of another after another Sx therefore what do u do
Start subcutaneous enoxaparin (Lovenox) 1-2 hour prior to surgery and once a day after surgery
159
4mm stone but the patient is vomitting what do you do
Admit and hospital medical management
160
fluroscenin staining is negative with tearing and blurry vision
Think intraocular foreign body
| not corneal abrasion - would have a positive fluroscein test
161
treatment of choice for massive heamatesis
Ensocopic ligation
162
nissen fundoplication is the treatment of choice for
GERD
163
extensor tendon injury when do you recommend sx
| know as mallet finger
if they lack passive extension of DIP joint
164
flexor tendon injury - unable to flex at distal IPJ - what do you do
(know as jersey finger)
splint the finger
| slightlu flexed position and urgerly refer hi to a hand surgery
165
treatment of ankle sprain
early range of motion exercise to maintain flexibility
166
best screening test for hemochromatosis
serum transferrin saturation
167
varicella vaccine recommendation
in anyone >60 to prevent PAIN and RECURRENCE of Shingles
168
what is the purpose of randimization in trails
to minimize bias between 2 groups
169
16 year old girl ... does not live with her parents and has no contact with them who does consent
the girl does
170
hyperplastic polyp when to screen
10 years - they are concidered to have a normal colposcopy finding and therefore normal .
171
3 or more adenomatous polyps > 1cm how many years
3 years
172
1-2 adenomatous polyps
5 years
173
if sessile adenoma removed piecemeal should be re-examined when
6-12 month
174
face to face time with patients
concelling and coordinating care
175
age 50 -- went to doctor for routine screening what test should he get first
stool for occult blood - every year
colposcopy 10 years
sigmoidotomy 5 years
176
screening at age 40
diabetest
177
screening at age 30
cholesterol
178
diverticulitis is recommended to increase fiber what other recommendations
NONE
179
relapses
usually recurrent and part of the change process
180
who should be screened for hepC
individuals with recurrent abnormal ALT
181
somatiziation disorder does not need to include
hx of depression or anxiety
182
what tx should be avoided in panic symptoms
buporpion
183
hx of narcolepsy what do you ass. w/ it
hallucination
184
what is the least likely hx of having in conversion disorder
childhood of stammering disorder
185
if patient is on benzo and she stops them
educate her on the importance of taking medication as percibed
186
buying impulsively plus history of depression
bipolar 11
187
acute delrium is treatmed with
IV haloperiodol in increasing doses every 30 mintues
188
recent hanging themself then get a history of long and short term memory loss think..
cerebral anoxia
189
bipolar diosry has psychosis despite treatment for depression or mania what is the dx
schizoaffective disorder
190
depression in elderly what do you have to do first
rule our secondary cause of depression
191
treatment of delirium
haloperiodol - may lessen agitation or pschyotic symptoms
