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Question 1

late life depression is a risk factor for developing

Answer 1

Alzheimers and vascular dementia

Question 2

treatment for lactational mastitis

Answer 2

oral dicloxacillin or cephalexin

Question 3

when should you concsider prophalyctic abx or ear tubes to prevent AOMs?

Answer 3

3 AOMs in 6 mo, or 4 in a 12 mo or neurodevelopmental disorders

Question 4

what should you think when there’s thelarche but no axillary or pubic hair?

Answer 4

androgen insensitivity syndrome

Question 5

IV or oral rehydration preferred for severe malnutrition?

Answer 5

oral (IV can result in heart failure)

Question 6

increased uptake in thyroid nodule suggests…

Answer 6

toxic thyroid nodule- hyperthyroidism (cancer is low intake)

Question 7

best test for esophageal perf

Answer 7

esophogram

Question 8

arthropathy + hepatomegaly, think…

Answer 8

hematochromatosis

Question 9

rhomboid shaped crystals, positively birefringence

Answer 9

CPPD crystals (also seen in hematochromatosis)

Question 10

negative birefringence

Answer 10

gout

Question 11

hereditary hemochromatosis can lead to what serious disease

Answer 11

hepatocellular carcinoma

Question 12

iron and vitamin d deficiencies despite good diet, think…

Answer 12

malabsorption disorder

Question 13

best non-pharm way to reduce BP

Answer 13

lose weight

Question 14

tourettes is comorbid with what

Answer 14

OCD, ADHD

Question 15

colle’s fracture

Answer 15

distal radius fracture- FOOSH (fall on outstretched hand)

Question 16

what do you do if pinching nose bleed aint enough?

Answer 16

topical vasoconstrictor

Question 17

respiratory insufficiency, petechial rash, AMS after an accident

Answer 17

fat embolism

Question 18

what prevents fat embolism

Answer 18

early immobilization and operative correction of fracture

Question 19

prenatal tests 24-28 weeks

Answer 19

Hgb
antibody screen if Rh neg
test for gestational DM

Question 20

contraindications to epidural

Answer 20

platelets<70 or rapidly dropping

Question 21

BV more common in heterosexual or homo women

Answer 21

lesbians!

Question 22

treating acute gout in renal failure and transplant patient

Answer 22

steroids