100 Top Secrets (4)

Question 1

When to screen for colorectal CA

Answer 1

> 50y/o; colonoscopy q 10y

Question 2

When to screen for colon, prostate CA

Answer 2

> 40y/o; DRE annually

Question 3

When to screen for cervical CA

Answer 3

at 21y/o regardless of sexual activity; test annually then q 2-3years for women >30y/o who have had 3 negative cytology tests

Question 4

When to screen endometrial CA

Answer 4

menopause by endometrial biopsy

Question 5

When to do Mammography

Answer 5

> 40y/o annually

Question 6

S/E of antipsychotics

Answer 6

acute dystonia, tardive dyskinesia, parkinsonism, neuroleptic malignant syndrome, hyperprolactinemia

Question 7

Tx of acute dystonia from antipsychotic usage

Answer 7

antihistamines or anticholinergics

Question 8

Drugs that are fatal in withdrawal

Answer 8

Alcohol, Barbituates, and Benzodiazepines

Question 9

Drugs that are fatal in OD

Answer 9

alcohol, cocaine, opiates, barbituates, benzodiazepines, PCP and inhalants

Question 10

PCOS

Answer 10

associated with heavy women, hirsutism and amenorrheic. Most common dysfunctional uterine bleeding
increased endometrial cancer risk from unopposed estrogen

Question 11

Fetal/neonatal macrosomia

Answer 11

caused by maternal diabetes

Question 12

Tx of maternal diabetes

Answer 12

insulin and change in diet

Question 13

Causes of low maternal serum alpha-fetoprotein

Answer 13

Down, inaccurate dates (most common), fetal demise

Question 14

Causes of high maternal serum alpha-fetoprotein

Answer 14

neural tube defects, ventral wall defects (omphalocele, gastroschisis), inaccurate dates (most common), mult gestation

Question 15

When to obtain alpha-fetoprotein levels

Answer 15

16-20weeks gestation

Question 16

HTN + proteinuria in pregnancy

Answer 16

preeclampsia

Question 17

(+) pregnancy test + vaginal bleeding + abdominal pain

Answer 17

Ectopic Pregnancy

Question 18

Early decelerations during maternofetal monitoring

Answer 18

normal and caused by head compression

Question 19

Variable decelerations during maternofetal monitoring

Answer 19

common, usually caused by cord compression (turn mother on her side, give O2 & fluids, stop oxytocin)

Question 20

Late decelerations during maternofetal monitoring

Answer 20

uteroplacental insufficiency - turn mother on her side, O2 & fluids, stop oxytocin and measure fetal O2 saturation or scalph pH. Prepare prompt delivery

Question 21

What to do in 3rd trimester bleeding

Answer 21

perform an ultrasound before pelvic examination (it could be placenta previa)

Question 22

Most common cause of post partum bleeding

Answer 22

Uterine Atony from overdistention, prolonged labor, oxytocin usage

Question 23

most common preventable cause of infertility in US

Answer 23

Pelvic inflammatory disease

Question 24

RUQ pain

Answer 24

GB/biliary (cholecystitis, cholangitis) or liver (abscess)

Question 25

LUQ pain

Answer 25

spleen (rupture with blunt trauma)

Question 26

RLQ pain

Answer 26

appendcitis, PID

Question 27

LLQ pain

Answer 27

Sigmoid colon (diverticulitis), PID

Question 28

Epigastric area

Answer 28

Stomach (peptic ulcer) or pancreatitis