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ABFM First Aid > 2018 ITE > Flashcards

2018 ITE Flashcards

1
Q

Treatment for patient with idiopathic sensorineural hearing loss?

A

referral to otolaryngologist & start prednisone 1mg/kg/day x10-14 days.

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2
Q

Pt w/iron deficiency anemia just started on PO iron replacement. What should you check and when to assess patients response to PO iron?

A

Recticulocyte count in 1-2 weeks. Take 4 days to notices change and peaks at 7-10 days
*iron stores take 6 months to replete

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3
Q

Does a person whos allergic to shellfish need pretreatment before getting imaging with contrast?

A

nope =)

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4
Q

Which 2 shoulder muscles deal with ABduction of the shoulder?

A

supraspinatus & deltoid

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5
Q

Which 2 shoulder muscles deal with external rotation of the shoulder?

A

Infraspinatus and Teres minor

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6
Q

Which shoulder muscles deal with internal rotation of the shoulder?

A

subscapularis

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7
Q

Individuals with sickle cell disease age 2-16 yoa require a yearly ——.

A

Transcranial doppler ultrasound to r/o stroke due to increased risk.

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8
Q

Which occupations would u associate with Silicosis?

A

stone cutting, sand blasting, miners, quarrying

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9
Q

which occupations would you associate with berylliosis?

A

IT, electronic fabricator

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10
Q

Which antidepressant is prefered in old ppl?

A

escitalopram

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11
Q

Who needs to be screened for COPD?

A

screened with spirometry in all individuals with smoking history and SYMPTOMS

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12
Q

What is the only thing that decreases mortality in pulmonary hypertension related to COPD?

A

Supplemental O2! *start when PaO2 <60 mmHg

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13
Q

Why does Spironolactone decrease severity of sleep apnea?

A
  1. improves BP which can help sleep apnea in general
  2. most ppl w/sleep apnea have resistant HTN w/hyperaldosteronism - Spironolactone is anti-aldo & the diuretic effects also help decrease pharyngeal edema
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14
Q

What is Little League Shoulder?

A

stress fracture of the proximal humerous physis. occurs in kids with overhead throwing injuries, pain occurs gradually over the sports season. TX = rest from throwing for about 3 months w/gradual return to play as tolerated.

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15
Q

Internal Tibial Torsion in kids should resolve by age —-. After what age do they need surgery?

A

5, surgery by 8.

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16
Q

Gadolinium contrast is C/I w/GFR

A

<30

17
Q

Which inhaled rx has been shown to reduce COPD exacerbations and exacerbation-related hospitalizations?

A

Tiotropium/Spiriva - long acting anti-M

18
Q

What is the female athlete triad?

A

Amenorrhea, eating disorder & osteoporosis = make sure u get a dexa on these kids

19
Q

Tx for Melasma?

A

Topical hydroquinone, tretinoin & steroids = can be used alone or together

20
Q

Treatment of Henoch-Schonlein Purpura?

A

supportive only! no need for steroids.

21
Q

Who gets ROUTINE steroids? Croup or bronchioloitis/RSV?

A

Croup!

22
Q

Which is better for fertility in women with PCOS? Letrozole vs clomiphene

A

Letrozole > Clomiphene

23
Q

What is the Leser-Trelat Sign?

A

abrupt onset of multiple Seborrheic keratosis inducating underlying malignancy – usually adenocarcinoma of the stomach.

24
Q

Surviving sepsis campaign recommends IVF @—- over —- for severe sepsis.

A

30 ml/kg over 3 hours

25
Q

What test would you use to confirm cushion syndrome?

A

Urinary free cortisol

26
Q

When should you recommend a patient for bariatric surgery?

A

BMI 40+ w/o comorbidities or BMI 35+ with co-morbidities

27
Q

When do you refer an intermittently cross eye’d baby to ophthalmology?

A

4-6 months of age

28
Q

A Cobb angle of —- requires referral to specialist.

A

20+

29
Q

Which drug would be best for an old fart who has trouble falling asleep and staying asleep? Escopiclone vs Zaleplon?

A

Escopiclone bc it peaks w/in 1hr and has a 6hr half life. Zaleplon has a 1hr 1/2 life.

30
Q

Tx for osteopenia is recommended when 10 year risk of fracture reaches…

A

20%

31
Q

How much vitamin D is recommended for breastfeeding infants? when to start?

A

400IU daily, start within first 2 months of life.

32
Q

T/F Valproic Acid has a risk of isolated hyperammonemia?

A

True!

33
Q

Pt on triple anticoagulation s/p MI & hx afib can be taken off — after..

A

ASA, 1-3 months

34
Q

Which test is more accurate to detect ACL tear? Anterior draw test or Lachmans?

A

Lachmen! = 68% sensitive, 96% specific

ABFM First Aid (22 decks)

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