2019 ITE Flashcards
What 3 blood markers are the best predictors of the severity of acute pancreatitis?
BUN, Hct & Cr bc they show the degree of intravascular volume depletion. CRP will be elevated no matter what and amylase and lipase have no prognostic value.
What would you check to monitor T2DM in patient with hemoglobinopathy(like SSD).
serum fructosamine level - correlates well with A1C which can be falsely low in pt with hemoglobinopathies.
2/3 of these characteristics are needed to dx Fetal Alcohol Syndrome
- smooth philtrum
- shortened palpebral fissures
- thin vermilion border of the upper lip
T/F Topiramate can cause increased formation of uric acid stones
false! Calcium phospate stones! 2/2 metabolic acidosis causing hypercalciuria
Before what age do you need only 2 doses of HPV vaccine?
15
Metatarsus adductus should resolve by age…
1
When should you repeat TB testing on patient who is traveling to endemic area?
8-10 weeks after they return. no need for ppx or any of that shit
When would you refer a patient with Dupuytren’s contracture for surgery?
30+ degrees of the metacarpophalangeal joint or any degree with the proximal interphalangeal joint
Pityriasis Rosea in prego is associated with…
spontaneous abortion especially if within the first 15 weeks.
*otherwise benign
Patients with asymptomatic sarcodosis in addition to regular screening will need yearly screening —- to look for extrapulmonary manifestations of the disease
eye exam
T/F ADA states non-nutritive sweeteners are acceptable to use for ppl with DM
T
CDC recommends perscribing naloxone to patients once MME reach —- per day. What MME should you never go over?
50, dnt go over 90 -.-
Target fasting glucose in prego
<95
Cut off for stage 1 HTN
130/80 = start non-pharm tx aka lose weight fatty
Patients on 2.5mg + of steroids for >3 months should be started on —- for bone protection
Alendronate/Fosamax
Define alcohol use in early remission
no alcohol use in 3 months+ but less than 12 months
Best rx for somatic symptom disorder? (be specific)
Sertraline/Zoloft
Treatment for EoE?
Budesonide oral suspension 1mg BID
CXR findings suspicious for malignancy
> 6mm, non-calcified lesion, lesion doubling in size BETWEEN 1month - 1 year, irregular or spiculated boarders, non-solid ground glass apearance
Most common infection in IV drug users?
cellulitis
Someone who’s recently diagnosed with celiac disease what would you do you want to check lab wise six months later and why?
IGA tissue Transglutaminase antibody. Check the six months after diagnosis to see if patient is actually avoiding gluten and monitor disease levels. If this remains elevated would likely repeat biopsy to monitor for chronic inflammation
Criteria for diagnosis of IBS
Three months with two of the following: pain related to defecation, change in stool form, change in stool frequency
Patient with urinary retention after surgery. What should you do and for how long do you treat?
Start Flomax and place a Foley for three days
Name two common anti-hypertensive medications that should be stopped prior to checking plasma adosterone/renin activity. How long prior to check in to do stop this medication?
Spironolactone – increases renin and aldosterone
ACE/ARB - increases renin
What medication should be stopped 4–6 weeks prior to checking levels
Patient with an area of target erythema on my egg after a tick bite. What do you treat them with him for how long?
Doxycycline 100 mg twice daily for 10 days (7-21d)
