05-08

Question 1

Anti-pseudomonal cephalosporins

Answer 1

cefepime or ceftazidime

Question 2

HCAP drug regimen

Answer 2

Anti-pseudomonal cephalosporin + quinalone + anti-MRSA

Question 3

Only SSRI that is teratogenic

Answer 3

Paroxetine

Question 4

Painful abdomen in infants that gets better in between episodes

Answer 4

Intusseception

Question 5

Intestinal malrotation presents as

Answer 5

usually presents within the first 4 weeks of life and is characterized by bilious vomiting

Question 6

What is Teriparatide for

Answer 6

Severe osteoporosis

Question 7

Dysuria with culture neg and no relief with Ab likely?

Answer 7

Chlamydia

Question 8

Most common cause of falls in elderly

Answer 8

gait and balance disturbances

get up and go test for gait and balance

Question 9

When should antivirals for flu be initiated

Answer 9

high suspicion with increased risk or within 48 of high suspicion for otherwise healthy

Question 10

Asprin ages in men and women

Answer 10

45-79 in men
55-79 in women
insufficient evidence over 80

Question 11

What asthma drug should not be used as a mono-agent

Answer 11

Long acting B2-agonists

Question 12

Rash and lots of eosinophils in a newborn

Answer 12

Erythema toxicum neonatorum

Question 13

Folic acid and low dose aspirin in diabetics?

Answer 13

Hell yeah

Just no NSAIDs

Question 14

Primary tx for symptomatic MVP

Answer 14

B-blockers

Question 15

Tx for altitude sickness in those with a sulfa allergy

Answer 15

dexamethasone

Question 16

Most common drugs to cause acute interstitial nephritis

Answer 16

Antibiotics, especially penicillins, cephalosporins, and sulfonamides

Question 17

Horse chestnut seed extract can treat

Answer 17

Varicose veins

Question 18

Breastfeeding absolutely contra in

Answer 18

Herpes simplex lesions on breast

Question 19

MCC of erythema multiform

Answer 19

HSV

Question 20

When do you drain/splint pyogenic tenosynovitis

Answer 20

drain after 48 hours

Question 21

What seafood poisoning requires more than just supportive treatment

Answer 21

Scombroid poisoning - treat the same way you would treat anaphylaxis

Question 22

POTS tx

Answer 22

encouraging adequate fluid and salt intake, followed by the initiation of regular aerobic exercise combined with lower-extremity strength training, and then the use of β-blockers.

Question 23

Subclinical hypothyroidism defined as

Answer 23

Slightly elevated TSH and normal levels of T4

inc cardiovascular risk but tx with thyroid hormone won’t help that

Question 24

What kind of tinia in children always requires systemic anti fungal therapy

Answer 24

Tinia capitis

Question 25

PPI AE

Answer 25

Decreased b12 absorption
Increased rate of fractures
Increased rate of c-diff

Question 26

What age to worry about bleeding in females

Answer 26

Over 35

Question 27

Symptoms of acute HF

Answer 27

rales, jugular venous distention, hepatojugular reflux, hypotension, and angina

Question 28

Drug combo to reduce risk of stroke in HTN

Answer 28

ACEi/diuretic

Question 29

2 best topical tx for psoriasis

Answer 29

1. High dose steroids (less AE)

2. Vit D analoge (a little better)

Question 30

Additional agent to add if single agent isn’t helping depression

Answer 30

Lithium

Question 31

Test for proteinuria with unknown etiology

Answer 31

spot morning urine protein/creatinine ratio

Question 32

Acute cervical radiculopathy with normal x-ray tx

Answer 32

NSAIDs

MRI if there are red flags like fever or myelopathy