113-116

Question 1

Testing for child with consistent BP >130 systolic

Answer 1

Evaluation for secondary HTN

Question 2

Best long term tx for SVT

Answer 2

Ablation

Question 3

First line tx for DM peripheral neuropathy

Answer 3

TCAs

Question 4

5 things to screen for in DM 1 children

Answer 4

1. hypothyroidism
2. nephropathy
3. hypertension
4. celiac disease
5. retinopathy

Question 5

Imaging of septic arthritis after x-ray

Answer 5

US

Question 6

Who should have prophylactic cholecystectomies for asymptomatic gallstones

Answer 6

Patients w/ hemoglobinopathies (i.e. SS)

Question 7

Tx for chronic fatigue syndrome

Answer 7

CBT

Question 8

DOC as prophylaxis for pt’s undergoing orthopedic surgery

Answer 8

Cefazolin

Question 9

Most likely dx in pt over 40 who hurt knee while bearing weight, unable to complete activity

Answer 9

Medial meniscal tear (w/ thesalay test +)

Question 10

Orthostatic hypotension def

Answer 10

documented drop in blood pressure of at least 20 mm Hg systolic or 10 mm Hg diastolic that occurs within 3 minutes

Question 11

Contraceptives containing drospirenone used with caution in patients taking what? what?

Answer 11

Spironolactone, due to hyperkalemia

Question 12

Erysipelas cause by?

Answer 12

GAS

Question 13

High risk recurrence for basal cell

Answer 13

“Mask regions” of face

or >20mm anywhere

Question 14

Oral griseofulvin vs oral terbinafin

Answer 14

Terbinafin is better but only in tablets so kids can’t take

Question 15

Most common cause of intertrigo

Answer 15

Candida (skin folds rubbing against each other in a moist environment)

Question 16

Drugs to help acute anal tears

Answer 16

Drugs that dilate the internal sphincter

Question 17

What is commonly not seen in EtOH withdrawal but is seen in DT

Answer 17

Fever

Question 18

Heart failure combo when other drugs not working

Answer 18

Hydralazine plus isosorbide dinitrate

Question 19

Lung issues seen in heroin overdose

Answer 19

Non-cardiogenic pulmonary edema