Comquest Q Bank 4 Flashcards

1
Q

What is the most common cause of congenital hearing loss?

What is treatment?

A

CMV

Ganciclovir

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2
Q

What is the relationship of dopamine and prolactin and what is the MOA of bromocriptine?

A

Dopamine blocks prolactin

Dopamine agonist

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3
Q

What is the best initial step in the work up of a vulvar lesion?

A

Punch or shave biopsy

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4
Q

What are the two conditions cause by alpha 1 antitrypsin deficiency? How old are these patients usually

A

Cirrhosis and COPD

Less than 40

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5
Q

What to always remember about patients taking warfarin and side effects?

A

Skin necrosis

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6
Q

MOA of ezetimibe to lower cholesterol?

A

Inhibits absorption of cholesterol by binding Neumann pick c1 like 1 protein

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7
Q

In pts with pulmonary embolism, what is the most common EKG finding?

A

Sinus tach

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8
Q

What is the only pharmacological agent proven to increase survival rates in ALS?

A

Riluzole

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9
Q

women with PCOS have a higher risk for which cancer?

A

Endometrial

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10
Q

What is the pathogen most commonly in cat and dog bites?

Antibiotic of choice for cat and dog bites?

A

Pasteurella

Amoxicillin clavulanate

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11
Q

What is the recommendation for chlamydia screening?

A

All sexually active women until age 24

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12
Q

Cervical cancer screening recommendation?

A

Pap every 3 years 21-65

At 30 you can make it very 5 years with dual pap HPV testing

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13
Q

When to not give pepto to pregnant women?

A

During third trimester

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14
Q

What is the most common cause of an elevated alpha fetoprotein level in pregnant mom?
Second most common?

A

Inaccurate gestational age

Neural tube defects

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15
Q

What 3 SSRIs can be given to pregnant women for depression?

A

Sertraline, fluoxetine, and citalopram

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16
Q

What is the mechanism of testicular torsion?

A

Congenital malformation of the processus vaginalis

17
Q

What is the MAO of kidney stones in pts. With Crohn’s disease?

A

Decreased absorption of fatty acids and bile salts

18
Q

What is the x ray finding for avascular necrosis of the femoral head?

A

Subchondral crescent sign

19
Q

What is the protocol when a woman has a baby and the baby gets Groups B infection?

A

Give mom future penicillin prophalyaxis with each pregnancy

20
Q

What is the most potent risk factor for stroke?

21
Q

Neimann Pick or Tay Sachs has organomegaly?

A

Niemann Pick

22
Q

What testicular cancer has early metastasis/most aggressive and what is the marker for it?

A

Choriocarcinoma

Beta HCG

23
Q

What is the most effective first step in the management of insomnia?

24
Q

Triad of internal tibial torsion?

A

Intoeing, forward facing patella, no foot deformity

25
Hemoglobin A1C levels are inaccurate in what setting?
Chronic kidney disease
26
What test diagnoses diabetic retinopathy?
Fluorescein angiography
27
Beta agonists do what to potassium?
Cause it to go inside cells, so causes hypokalemia
28
What flu vaccine is given to pregnancy women?
Inactivated