AAFP Mixed 2 Flashcards
SSRI that cannot used in pregnancy?
Paroxetine
Inpatient HCAP pneumonia tx?
Outpatient?
Ceftazidime, levofloxacin, vancomycin
Ceftriaxone + azithromycin/levofloxacin
Common findings in E. coli or staph saprophytacus UTIs? If these symptoms are not seen, and there is no culture growth, suspect what UTI etiology?
#Abrupt onset #Suprapubic pain #hematuria
STIs
Gait abnormality from visual impairment versus cerebellar dysfunction?
Abducted arms and legs, wide stance, en-bloc turns
Wide-based and staggering
Freezing movements
Treatment for adolescents with anorexia nervosa?
Family based treatment >individual focused therapy
When should healthy patients get aspirin therapy as primary prevention of stroke?
Men over 45; women over 55
One-year-old with mild microcytic hypochromic anemia – management?
Trial of oral iron
Patients with CKD should avoid what drugs?
NSAIDs
Best drug for symptomatic mitral valve prolapse?
Beta blockers
Drug for prevention of altitude sickness? Contraindication? Alternative?
Acetazolamide; sulfa allergy
Dexamethasone
Most commonly implicated drugs in interstitial nephritis? Treatment?
#Penicillins #Cephalosporins #Sulfonamides
steroids
Horse chestnut seed extract shown to have some effect on?
Varicose veins
Milk thistle used for?
Hepatic cirrhosis
St. John’s wort used for?
Depression
Breast-feeding contraindicated with what diseases?
#HSV lesions on the breasts #Active maternal TB
Most common cause of erythema multiforme?
HSV (more than 50% of cases)
Patient presents with pain right next finger for past few days. Finger is swollen and flexed. Pain increases with extension of the finger, with tenderness to palpation from the tip of the finger into the palm – diagnosis? Treatment?
Pyogenic tenosynovitis;
#If early (within 48 hours) – antibiotics and splinting #If later, surgical drainage and antibiotics
Scombroid poisoning?
Sit allergic condition resulting from improperly stored fish (tuna, macro, Wahoo, Honeytown parentheses
High levels of histamine and saurine cause flushing, oral paresthesias, pruritus, bradycardia, nausea vomiting, diarrhea
Treatment as anaphylaxis
Greatest risk factor for abdominal aortic aneurysm? Disease that is protective?
Cigarette smoking > hypertension
Diabetes is protective
Dermatophyte infection that always requires systemic antifungal therapy?
Tinea capitis (systemic therapy needed to penetrate hair shafts)
Omeprazole associated with what complications?
# decreased B12 absorption #Community acquired pneumonia #C. diff colitis
Medication for Atrial flutter?
Verapamil; digoxin
Most effective treatments for psoriasis? Which has fewer adverse effects?
Vitamin D and high potency corticosteroids
corticosteroids
Child presents with proteinuria. First step?
Morning even protein/creatinine to rule out benign postural proteinuria
Patient presents with acute cervical radiculopathy with normal radiographs. Management? When to get cervical MRI? When to refer?
NSAIDs for pain relief
Progressive neurologic defects, fever, myelopathy
6 to 8 weeks without improvement
