??? Flashcards

1
Q

A diagnosis of T2DM can be made by…

A

fasting glucose vales >126 on different days.

random glucose > 200 w/ 3P symptoms

A1C >6.5%

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2
Q

if a patient stops taking danazol an androgenic hormone to get pregnant, she should be instructed that ovulation and cyclic bleeding should resume within ……

A

90 days!

danazol suppressess FSH and LH

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3
Q

How to differentiate infectious colitis from ulcerative colitis?

A

Stool Culture!

Infectious typically caused by enteric pathogens

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4
Q

Mitral valve prolapse risk factors?

A

Women age 14-30

most are asymptomatic

can cause arrhythmia/CP

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5
Q

T/F : patients who have cough variant asthma always exhibit a cough.

A

True.

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6
Q

what is the most common form of psychiatric illness?

A

Phobic disorders (includes social anxiety disorder)

More common then mood/substance abuse

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7
Q

excessive production of cortisol in patients with cushings disease my lead to

A

osteoporosis

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8
Q

T/F: salicyclic acid for the use of cutaneous warts should not be used on irritated, erythematous skin

A

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

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9
Q

when shouold patients take ezetimibe (zetia) a cholesterol absorption inhibitor in regards to meals?

A

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

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10
Q

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?

A

Basal cell carcinoma.

BCC typically has a depressed center, elevated firm border and telangiectatic vessels.

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11
Q

term used to describe a patients problem focusing due to the loss of the lens ability to accommodate for near objects?

A

presbyopia

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12
Q

When should you check TSH values after starting levothyroxine?

A

6 weeks

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13
Q

Besides HTN, what risk factor most contributes to the development of an abdominal aortic aneurysm?

A

SMOKING

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14
Q

what is the MOA of venlafaxine (SNRI)

A

inhibit reuptake of serotonin and norepinephrine

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15
Q

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?

A

OA

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16
Q

which medication when combined with pulmonary rehabilitation enhances exercise performace?

A

SAMA ( tiotriopium)

17
Q

Can SSRI be used in pregnancy

A

yes but should be weighed against the risks of untreated depression

18
Q

foods to avoid with gout

A
organ/game meats 
turkey 
red meats 
alcohol 
sugary things
19
Q

young female with positive mcBurneys point. Next most appropriate action?

A

Pregnancy test then CT

20
Q

which body surface absorbs topical steroids the least?

A

palms of hand.

21
Q

how to treat chronic paronychia?

A

topical steroid - medium or high potency

avoid environmental triggers (wear gloves during wet work)

if no improvement then course of topical antifungal

22
Q

Hepatitis panel: what doe each mean

HBsAg
Anti-HBc
Anti-HBs

A

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

23
Q

when is Osgood-Schlatter disease most likely to produce symptoms?

A

During growth spurt exacerbated by exercise

24
Q

CAN Levofloxacin cause hypo or hyperglycemia

A

Hypoglycemia

25
Q

pts who take corticosteroids for crohns should notify the provider if pain develops…..

A

Hips –> long term use of corticosteroids may lead to avascular necrosis of the hip joints

26
Q

Differential diagnosis in pts with spider angiomas does not include

a. Vit b deficiency
b. thrombocytopenia
c. liver disease
d. Pregnancy
e. Thrombocytopenia

A

Thrombocytopenia

27
Q

On exxamination of the tympanic membrane a cloudy, red, bulging ear drum with impaired mobility is detected. what do you suspect

A

acute purulent otitis media

28
Q

symptoms associated with tricuspid valve regurgitation

A

asymptomatic

29
Q

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

A

in the abd wall

30
Q

what should be avoided in a gluten restricted diet

A

wheat
barley
rye
triticale

Ok to eat: corn, rice, soybean