17-20

Question 1

Prophylactic platelet transplant at what levels

Answer 1

10k

Question 2

Drugs proven to prevent hip fracture

Answer 2

zoledronic acid
Risedronate
Alendronate

Question 3

First line agents for inducing ovulation in PCOS

Answer 3

metformin and clomiphene

Also pioglitazone

Question 4

What is Pentoxifylline used for

Answer 4

Venous ulcers

Question 5

A pulmonary-capillary wedge pressure of 8 suggests

Answer 5

Hypovolemia

Question 6

Acute COPD exacerbation tx

Answer 6

oxygen and bronchodilators

systemic steroids and Ab

Question 7

How do anaphylactic reactions begin

Answer 7

Pruritus around the mouth and on the palms of the hands and soles of the feet

Question 8

Single dose prophylaxis after an Ixodes tick bite

Answer 8

single 200-mg dose of doxycycline

Question 9

Pneumonia vaccine schedule

Answer 9

Once at 65 if healthy

Once after 50 and one at 65 (or 5 years after initial dose if after 60)

Question 10

Next test if a single pulmonary nodule is seen on CXR

Answer 10

Chest CT

Question 11

What is secondary prevention

Answer 11

Targets individuals who have a disease but are asymptomatic

Question 12

Murmer of VSD

Answer 12

Pansystolic best heard at lower left sternal border

Question 13

Most common cause of liver abnormalities in developed world

Answer 13

Non-alcoholic fatty liver disease

association with metabolic syndrome and DM

Question 14

Patients with CAP should have their urine tested for what?

Answer 14

Legionella and pneumococcus

Question 15

Best tx for lower back pain with no neuro signs (without sciatica)

Answer 15

Exercise as tolerated

Question 16

Check what if a patient has unresponsive hypotension after surgery

Answer 16

Cortisol level
(Delta cortisol = cosyntropin challenge)

Question 17

What is not a factor when assessing exercise induced asthma control

Answer 17

Pre-medication with a B agonist

Question 18

What do you use to prevent further seizures in eclampsia

Answer 18

Mag-sulfate

Question 19

What is see in patients with a hx of sexual abuse

Answer 19

Lifelong GI disturbances

Question 20

Tobacco raises the risk of colon cancer by?

Answer 20

50%

Question 21

Earliest and most specific sign of autism

Answer 21

Delayed attainment of social skill milestones

Question 22

When can heparin be stopped after a new onset PE?

Answer 22

After 5 days, if the INR has been ≥2.0 for 24 hours

24 hours needed to make sure factors II and X have stabilized

Question 23

CV changes associated with aging

Answer 23

decreased cardiac output, maximum heart rate, and stroke volume
also increased BP

Question 24

What reduces incidence of atopic dermatitis in children

Answer 24

Exclusive breastfeeding until the infant is 4 months of age

Question 25

Tx of recurrent migraines in children under 12

Answer 25

B-blockers

Question 26

palpable purpuric rash, without thrombocytopenia

Answer 26

HSP

Question 27

Worst NSAID for CNS effects

Answer 27

Indomethacin