??? Flashcards
A diagnosis of T2DM can be made by…
fasting glucose vales >126 on different days.
random glucose > 200 w/ 3P symptoms
A1C >6.5%
if a patient stops taking danazol an androgenic hormone to get pregnant, she should be instructed that ovulation and cyclic bleeding should resume within ……
90 days!
danazol suppressess FSH and LH
How to differentiate infectious colitis from ulcerative colitis?
Stool Culture!
Infectious typically caused by enteric pathogens
Mitral valve prolapse risk factors?
Women age 14-30
most are asymptomatic
can cause arrhythmia/CP
T/F : patients who have cough variant asthma always exhibit a cough.
True.
what is the most common form of psychiatric illness?
Phobic disorders (includes social anxiety disorder)
More common then mood/substance abuse
excessive production of cortisol in patients with cushings disease my lead to
osteoporosis
T/F: salicyclic acid for the use of cutaneous warts should not be used on irritated, erythematous skin
true.
Do not use on any area that is infected, reddened, mole, birthmarks, warts with hair growing from them, genital warts or warts on the face.
application is BID x 12 weeks
when shouold patients take ezetimibe (zetia) a cholesterol absorption inhibitor in regards to meals?
No impact on food. Should be taken at the same time as a statin or fenofibrate
take 2 hours before or 4 hours after bile acid sequestrants
forty year old man presents with a slow growing lesion on the face. Exam reveals a lesion with a depressed center, firm elevated border, and visible telangiectatic vessels… what do you suspect?
Basal cell carcinoma.
BCC typically has a depressed center, elevated firm border and telangiectatic vessels.
term used to describe a patients problem focusing due to the loss of the lens ability to accommodate for near objects?
presbyopia
When should you check TSH values after starting levothyroxine?
6 weeks
Besides HTN, what risk factor most contributes to the development of an abdominal aortic aneurysm?
SMOKING
what is the MOA of venlafaxine (SNRI)
inhibit reuptake of serotonin and norepinephrine
pt complains of pain in right knee, occasional stiffness in the morning, and minimal tenderness to touch. Moderate swelling with a tender bony ridge is felt. what does this indicate?
OA
which medication when combined with pulmonary rehabilitation enhances exercise performace?
SAMA ( tiotriopium)
Can SSRI be used in pregnancy
yes but should be weighed against the risks of untreated depression
foods to avoid with gout
organ/game meats turkey red meats alcohol sugary things
young female with positive mcBurneys point. Next most appropriate action?
Pregnancy test then CT
which body surface absorbs topical steroids the least?
palms of hand.
how to treat chronic paronychia?
topical steroid - medium or high potency
avoid environmental triggers (wear gloves during wet work)
if no improvement then course of topical antifungal
Hepatitis panel: what doe each mean
HBsAg
Anti-HBc
Anti-HBs
HBsAg (Negative hepatitis B surface antigen) - does not currently have hep B
Anti-HBc: Hep B core antibody: positive if patient ever had hep
Anti-HBs: Hep B surface antibody : positive indicates vaccination
when is Osgood-Schlatter disease most likely to produce symptoms?
During growth spurt exacerbated by exercise
CAN Levofloxacin cause hypo or hyperglycemia
Hypoglycemia
pts who take corticosteroids for crohns should notify the provider if pain develops…..
Hips –> long term use of corticosteroids may lead to avascular necrosis of the hip joints
Differential diagnosis in pts with spider angiomas does not include
a. Vit b deficiency
b. thrombocytopenia
c. liver disease
d. Pregnancy
e. Thrombocytopenia
Thrombocytopenia
On exxamination of the tympanic membrane a cloudy, red, bulging ear drum with impaired mobility is detected. what do you suspect
acute purulent otitis media
symptoms associated with tricuspid valve regurgitation
asymptomatic
when assessing a patient who presents with abdominal pain, if the pain persists when the pt raises his head and shoulders, the origin of pain is most likely
in the abd wall
what should be avoided in a gluten restricted diet
wheat
barley
rye
triticale
Ok to eat: corn, rice, soybean
