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ABFM First Aid > 2017 ITE > Flashcards

2017 ITE Flashcards

1
Q

LABA are not recommended for asthma in individuals age — or under.

A

12

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2
Q

Criteria to start patient with BPH on Finasteride

A

PSA > 1.5ng/dL and/or symptoms of enlarged prostate

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3
Q

Patients with life expectancy of less than — do not need any cancer screening.

A

<10 yrs

*think of ur dementia pts

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4
Q

What is Sever’s Dz/Calcaneal Apophysitis? Sx? Tx?

A

one of the most common causes of heel pain in growing children and adolescents. It is an inflammation of the growth plate in the calcaneus (heel).
SX: pain at calcaneus - kinda looks like achilles tendonitis but also has lateral heel pain.
TX: stretching, rest, NSAIDs

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5
Q

Which method of rx for motion sickness is most effective? transdermal or po?

A

transdermal works better

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6
Q

How long after organ transplant should you avoid pregnancy?

A

12 month. Female fertility increases after transplant. IUD = best option for contraceptive as it wont interfere with immunosupressive rx.

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7
Q

Rx for dental ppx w/prosthetic heart valve in pt whos PCN allergic?

A

Clindamycin or Azithromycin

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8
Q

Fracture involving greater than —% of the joint space/intra-articular space require surgery.

A

> 25%

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9
Q

carbamazepine is associated with what electrolyte abnormality?

A

hyponatremia 2/2 SIADH

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10
Q

22 yo F w/PCOS cc: hirsutism & irregular mensus. Which PO rx would be best for her?

A

oral COMBINED hormonal contraceptive rx

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11
Q

Cubital Tunnel Syndrome

sx?

A

2nd most common peripheral neuropathy. Due to ulnar nerve compression = numbness, thingling in ulnar digits & weakness

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12
Q

Diameter of which chamber of the heart best predicts patient will remain in NSR after cardioversion for A-fib?

A

Left Atrium

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13
Q

Which anticoagulant would you use for cancer related DVTs?

A

Lovenox = 2B recommendation

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14
Q

Inpatient blood glucose goal range?

A

140-180

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15
Q

Which thyroid drug reduces the risk of development of opthalmopathy in graves disease?

A

methimazole

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16
Q

Bariatric surgery results in decreased risk of dying from —–.

A

obesity related illness

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17
Q

C/I to GLP-1’s

A

Thyroid cancer

18
Q

Coin rubbing is a healing practice in….

A

east asian countries = cambodia, korea, china, vietnam

19
Q

What age and for who shoudl you recommend iron supplimentation in children?

A

Breastfed kids or kids born <37 weeks. Start at 1month and continue to 12months

20
Q

What effect of elevated Cr or Low albumin have on BNP?

A

falsely elevate it

21
Q

Who needs only 2 doses of HPV?

A

11-14 yoa 6 months apart. If <5 months apart then will need 3 doses. >14 yoa needs 3 doses.

22
Q

rx for female pattern hair loss?

A

female pattern = parietal hair loss w/preservation of frontal hair line = can use minoxidil 2% BID

23
Q

Rx for altitude sickness ppx? when shoudl you start it? what if u have a sulfa allergy?

A

acetazolamide or dexamthasone(if sulfa) – start 1 day prior to ascent and continue until back to normal

24
Q

which type of colon cancer polyp is at highest risk of becomming malignant?

A

villous adenoma

25
Q

What dietary recommendations are made for ppl wit liver cirrhosis?

A

Limit dietary Na to 2g/d & increase dietary protein = improves mental status

26
Q

A1C goal in individuals >65 yoa w/T2DM?

A

7-8%

27
Q

Steroid dosage for PMR

A

Prednisone 10-20 mg daily – will see improvement in 2-3 days. pt need long taper over 2-4 months. Often patients will need steroids continued for 1-2 years.

28
Q

Rx to ppx against meningitis? (4 abx that u can use)

A

Cipro x1d, Azith 500 mg x1d, Rocephin 250 mg x1d, Rifampin 600 mg BID x2d

29
Q

Grotton Sign?

A

Macules of extensor surfaces of joints associated with dermatomyositis

30
Q

inhaled steroids are indicated for COPD with FEV1 < —.

A

50%

31
Q

All individuals >— need further eval for ANY AUB.

A

> 45 – this includes if periods are just getting heavier lately.

32
Q

When should you refer a pt with ovarian cyst to GYN?

A
  1. cysts are symptomatic(usually only when they are bigger than 10 cm)
  2. > 6 cm in size 2/2 risk of torsion
  3. cyst persist >12 weeks (this is why you should always repeat US)
33
Q

FADIR test is positive with…

A

Femoroacetabular impingement

34
Q

FABER test is positive with…

A

OA

35
Q

T/F elevated triglycerides can cause a false elevated Na.

A

FALSE they cause PseudoHYPOnatremia.

36
Q

Which forms of birth control can be used in a women that smokes?

A

progesteron only OCP, Depo shot, nexplanon, IUD

37
Q

Bronchitis on average last about…

A

18 days. usually viral

38
Q

Adults age —– should be screened for T2DM if BMI over —-.

A

40-70 if BMI >25 with fasting glucose

39
Q

Patellofemoral pain syndrome is worse when…..

A

going downstairs or running down hill

40
Q

Metformin is C/I with Cr > …

A

1.5

41
Q

SGLT2 are C/I with GFR

A

50

ABFM First Aid (22 decks)

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