2017 ITE Flashcards
LABA are not recommended for asthma in individuals age — or under.
12
Criteria to start patient with BPH on Finasteride
PSA > 1.5ng/dL and/or symptoms of enlarged prostate
Patients with life expectancy of less than — do not need any cancer screening.
<10 yrs
*think of ur dementia pts
What is Sever’s Dz/Calcaneal Apophysitis? Sx? Tx?
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
Which method of rx for motion sickness is most effective? transdermal or po?
transdermal works better
How long after organ transplant should you avoid pregnancy?
12 month. Female fertility increases after transplant. IUD = best option for contraceptive as it wont interfere with immunosupressive rx.
Rx for dental ppx w/prosthetic heart valve in pt whos PCN allergic?
Clindamycin or Azithromycin
Fracture involving greater than —% of the joint space/intra-articular space require surgery.
> 25%
carbamazepine is associated with what electrolyte abnormality?
hyponatremia 2/2 SIADH
22 yo F w/PCOS cc: hirsutism & irregular mensus. Which PO rx would be best for her?
oral COMBINED hormonal contraceptive rx
Cubital Tunnel Syndrome
sx?
2nd most common peripheral neuropathy. Due to ulnar nerve compression = numbness, thingling in ulnar digits & weakness
Diameter of which chamber of the heart best predicts patient will remain in NSR after cardioversion for A-fib?
Left Atrium
Which anticoagulant would you use for cancer related DVTs?
Lovenox = 2B recommendation
Inpatient blood glucose goal range?
140-180
Which thyroid drug reduces the risk of development of opthalmopathy in graves disease?
methimazole
Bariatric surgery results in decreased risk of dying from —–.
obesity related illness
C/I to GLP-1’s
Thyroid cancer
Coin rubbing is a healing practice in….
east asian countries = cambodia, korea, china, vietnam
What age and for who shoudl you recommend iron supplimentation in children?
Breastfed kids or kids born <37 weeks. Start at 1month and continue to 12months
What effect of elevated Cr or Low albumin have on BNP?
falsely elevate it
Who needs only 2 doses of HPV?
11-14 yoa 6 months apart. If <5 months apart then will need 3 doses. >14 yoa needs 3 doses.
rx for female pattern hair loss?
female pattern = parietal hair loss w/preservation of frontal hair line = can use minoxidil 2% BID
Rx for altitude sickness ppx? when shoudl you start it? what if u have a sulfa allergy?
acetazolamide or dexamthasone(if sulfa) – start 1 day prior to ascent and continue until back to normal
which type of colon cancer polyp is at highest risk of becomming malignant?
villous adenoma
What dietary recommendations are made for ppl wit liver cirrhosis?
Limit dietary Na to 2g/d & increase dietary protein = improves mental status
A1C goal in individuals >65 yoa w/T2DM?
7-8%
Steroid dosage for PMR
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.
Rx to ppx against meningitis? (4 abx that u can use)
Cipro x1d, Azith 500 mg x1d, Rocephin 250 mg x1d, Rifampin 600 mg BID x2d
Grotton Sign?
Macules of extensor surfaces of joints associated with dermatomyositis
inhaled steroids are indicated for COPD with FEV1 < —.
50%
All individuals >— need further eval for ANY AUB.
> 45 – this includes if periods are just getting heavier lately.
When should you refer a pt with ovarian cyst to GYN?
- cysts are symptomatic(usually only when they are bigger than 10 cm)
- > 6 cm in size 2/2 risk of torsion
- cyst persist >12 weeks (this is why you should always repeat US)
FADIR test is positive with…
Femoroacetabular impingement
FABER test is positive with…
OA
T/F elevated triglycerides can cause a false elevated Na.
FALSE they cause PseudoHYPOnatremia.
Which forms of birth control can be used in a women that smokes?
progesteron only OCP, Depo shot, nexplanon, IUD
Bronchitis on average last about…
18 days. usually viral
Adults age —– should be screened for T2DM if BMI over —-.
40-70 if BMI >25 with fasting glucose
Patellofemoral pain syndrome is worse when…..
going downstairs or running down hill
Metformin is C/I with Cr > …
1.5
SGLT2 are C/I with GFR
50
