BUM BUM BUMMMM

Question 1

In DMT2, only __________ meds have the additional benefit of helping the overweight or obese patient lose a significant amount of weight.

Answer 1

metformin and incretin mimetics such as exenatide

Question 2

_________ is a devastating neurologic deficit that occurs with idiopathic intracranial hypertension

Answer 2

Loss of vision

Question 3

Screening for COPD

Answer 3

USPTF recommends against screening adults for COPD with spirometry

Question 4

Burr Cells are seen in?

Answer 4

spiky edged RBC

ESLD or ESRD

Question 5

Functional asplenia RBCs have?

Answer 5

Howell Jolly Bodies

Question 6

__________ are precursor lesions for cutaneous squamous cell carcinoma

Answer 6

Actinic keratoses

Question 7

Indications for laparoscopic bariatric surgery for morbid obesity are?

Answer 7

BMI >40 kg/m2

BMI of 35–40 kg/m2 with significant obesity-related comorbidities.

Question 8

The diagnosis of Duchenne muscular dystrophy can be made earlier by?

Answer 8

The disease can be diagnosed earlier by testing for elevated creatine kinase in boys who are slow to walk.

Question 9

PCOS tests

Answer 9

Testing for androgen excess

PCOS is a clinical diagnosis- US has a low sensitivity

Question 10

PCOS labs

Answer 10

usually ↑ LH and ↑ androgens

Question 11

Indications for estrogen replacement therapy

Answer 11

vasomotor symptoms in women under 60

Question 12

Pts who cannot have estrogen replacement therapy

Answer 12

Breast CA
Endometrial CA
blood clots 
TIA 
CAD

Question 13

When do you use both vanco and flagyl in cdiff

Answer 13

After multiple treatment failures are very severe disease

Question 14

A1C to ddx T2DM

Answer 14

> 6.5

Question 15

Who should be screened for osteoporosis

Answer 15

women > 65
men > 70
anyone > 50 with risk factors (↓ weight, fx, falls, ↓ Ca/D)

Question 16

postpartum febrile woman unresponsive to abx likely has?

Answer 16

septic thrombophlebitis

rx: anticoag and abx

Question 17

When do paps stop

Answer 17

age 65 if there are no risk factors (smoking) and all pap tests have been good

Question 18

embryonal carcinoma

Answer 18

ovarian tumor
↑ hCG
hemorrhagic and necrotic

Question 19

Rx of endometritis

Answer 19

gentamicin + clindamycin

Question 20

Gentamicin is ?

Answer 20

aminoglycoside

they end in cins

Question 21

Arrest of 2nd stage labor

Answer 21

no fetal decent for:

> 3 hours in primas
2 in multips

Question 22

Normal fetal presentation

Answer 22

OA

Question 23

Oxytocin side effect that can lead to sz

Answer 23

oxytocin looks/acts like ADH–> hyponatremia

Question 24

Atypical glandular cells on pap

Answer 24

either cervical or endometrial origin

Question 25

American Diabetes Association recommend insulin infusion with a target glucose level of ___________ in critically ill patients

Answer 25

140–180 mg/dL

Question 26

The minimum recommended duration of dual antiplatelet therapy is _________ with bare-metal stents

Answer 26

1 month

Question 27

The minimum recommended duration of dual antiplatelet therapy is _________ with drug-eluting stents.

Answer 27

6 months

Question 28

Rx for intrahepatic cholestasis of pregnancy pruritus

Answer 28

ursodiol is most effective

Question 29

Antibiotic treatment for pertussis is effective for eradicating bacterial infection but not for reducing?

Answer 29

the duration or severity of the disease

preferred antimicrobial: azithromycin for 3–5 days or clarithromycin for 7 days

*eradication of infection is important for disease control because it reduces infectivity.

Question 30

While hepatotoxicity with NSAIDs is rare with hepatic cirrhosis, they can increase the risk of?

Answer 30

bleeding- impair platelet function

Question 31

Herpangina

Answer 31

a febrile disease caused by coxsackieviruses and echoviruses. Vesicles and subsequent ulcers develop in the posterior pharyngeal area