13-16

Question 1

Next best drug in DM pt’s on insulin with normal renal function

Answer 1

Metformin

Question 2

Vit D supplementation for breast fed babies

Answer 2

400 IU a day

Question 3

Least likely thing you think would be good to decrease CV mortality

Answer 3

weight reduction

Question 4

1st line PTSD tx

Answer 4

SSRIs

Question 5

What increases success of voiding trials after surgery

Answer 5

A1 blockers simultaneously (Tamsulosin)

Question 6

Shape of crystals in pseudogout

Answer 6

short blunt rods, rhomboids, and cuboids

Question 7

Beefyness and redness around anus in young children

Answer 7

Group A strep

Question 8

Tx for pneumothorax

Answer 8

Monitoring and follow up CXR in 24-48 hours

Question 9

Food allergies that are often seen with latex allergies

Answer 9

avocados, bananas, chestnuts, and kiwi

Question 10

Methadone cardiotoxicity

Answer 10

QT prolongation and torsades

Question 11

Pseudomonas in hot tubs can cause

Answer 11

otitis externa, dermatitis, and folliculitis

Question 12

What does CHADS stand for

Answer 12

Congestive heart failure, Hypertension, Age >75, Diabetes mellitus, and previous Stroke or transient ischemic attack.

Question 13

Leading cause of cancer related deaths in US

Answer 13

lung

Question 14

Best choice for initial therapy of RA

Answer 14

Methotrexate (and other DMARDs)

Question 15

Ca effect in hyperkalemia

Answer 15

For arrythmia, doesn’t lower Potassium

Question 16

What do you give in PCP pneumonia for patients on TMP/SMX

Answer 16

Also give corticosteroids

Question 17

Scaphoid fracture tx by location

Answer 17

Proximal 1/3 -> Call ortho

Other parts can be handled using a thumb spica cast

Question 18

initial tx for penile d/c

Answer 18

Erythomycin + ceftriaxone or cefixime

suspect Mycoplasma or Ureaplasma and Trichomonas if it doesn’t go away and add metronidazole

Question 19

2 doses of varicella vaccine recommended for

Answer 19

all immunocompetent children (no live vaccines for immunodef)

Question 20

thiazolidinediones BBW

Answer 20

Heart failure (i.e. Pioglitazone)
(also not good for type 1 DM and Hepatic failure)

Question 21

Treatment of otitis media in patients under 2

Answer 21

10 days of Amoxicillin
(5-7 days in children older)
No azithromycin due to inc resistance

Question 22

Bilateral nipple pain and soreness after feeding

Answer 22

Candida

Question 23

Cat scratch disease treatment

Answer 23

Azithromycin

Question 24

How old until children can use fluoride toothpaste

Answer 24

2 months

Question 25

Large tongue seen with

Answer 25

Down’s, amyloidosis, acromegaly

Question 26

Tx for mild to moderate allergic rhinitits

Answer 26

Inhaled corticosteroids