33-36 Flashcards

1
Q

What should you suspect in a patient with fever and persistence of flank pain despite appropriate antibiotic tx

A

Perinephric abscess

fever >4 days after initiation of Ab therapy

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2
Q

Does cataract surgery need any preoperative testing?

A

Nah, no low risk procedures in patients with no known disease do

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3
Q

Vertigo after scuba diving could be

A

perilymphatic fistula

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4
Q

Dx test for septic arthritis

A

US

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5
Q

Female athlete triad

A

amenorrhea, osteoporosis, and disordered eating

(eating disorder can now be more energy out than in

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6
Q

Withdrawal bleeding after a progesterone challenge in a patient with amenorrhea indicates

A

Anovulation

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7
Q

Most common cause of recurrent otitis media in children

A

Penicillin resistant S. pneumo

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8
Q

Only dietary changed really needed to prevent diverticulitis

A

Increased fiber

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9
Q

What should be given for persistent v-fib in addition to defibrillation and CPR

A

Vasopressors

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10
Q

Gold standard for diagnosis of renal colic

A

CT

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11
Q

Doubling time for malignant nodules

A

1 month to 1 year

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12
Q

What do you do with hypothyroid patients when they get pregnant

A

Increase their thyroid medication to prevent maternal hypothyroidism
increase around 4-6 weeks gestation

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13
Q

When should complete rotator cuff tears be fixed? Why

A

Within 6 weeks to prevent muscle atrophy

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14
Q

Drug indicated for all patients with heart failure

A

ACEi

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15
Q

Pioglitazone should not be used in what kind of patients

A

Those with hepatic disease

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16
Q

Tx for lichen sclerosis

A

steroids

17
Q

Physical activity in the elderly is best for

A

Preventing falls

18
Q

Prevent anti-coagulant in DVT

A

LMW heparin

unfractionated heparin requires more monitoring

19
Q

Best drug after MI? For high risk? For high risk w/ arrhythmia?

A

B-blocker
ARBs
Amioderone

20
Q

Most common presenting feature of hodgkins lymphoma?

A

Painless lymphadenopathy

21
Q

Test for abnormal bleeding after pregnancy, structural and hematologic abnormalities are all ruled out

A

Progesterone

22
Q

What is pseudoaddication

A

Behaviors that may occur when the pain is untreated in chronic narcotic use

23
Q

Most case of osteosarcomas over 50 seen with what disease

A

Pagets

24
Q

Preffered paget’s tx

A

Bisphosphonates

25
Q

OTC cold medicines should not be used in children under

A

2 years old

26
Q

High protein food that will reduce chances of having another gout attack

A

milk

27
Q

In transdermal patches, what changes very little with age

A

Transdermal absorption of the drug