Comquest Q Bank 4 Flashcards
What is the most common cause of congenital hearing loss?
What is treatment?
CMV
Ganciclovir
What is the relationship of dopamine and prolactin and what is the MOA of bromocriptine?
Dopamine blocks prolactin
Dopamine agonist
What is the best initial step in the work up of a vulvar lesion?
Punch or shave biopsy
What are the two conditions cause by alpha 1 antitrypsin deficiency? How old are these patients usually
Cirrhosis and COPD
Less than 40
What to always remember about patients taking warfarin and side effects?
Skin necrosis
MOA of ezetimibe to lower cholesterol?
Inhibits absorption of cholesterol by binding Neumann pick c1 like 1 protein
In pts with pulmonary embolism, what is the most common EKG finding?
Sinus tach
What is the only pharmacological agent proven to increase survival rates in ALS?
Riluzole
women with PCOS have a higher risk for which cancer?
Endometrial
What is the pathogen most commonly in cat and dog bites?
Antibiotic of choice for cat and dog bites?
Pasteurella
Amoxicillin clavulanate
What is the recommendation for chlamydia screening?
All sexually active women until age 24
Cervical cancer screening recommendation?
Pap every 3 years 21-65
At 30 you can make it very 5 years with dual pap HPV testing
When to not give pepto to pregnant women?
During third trimester
What is the most common cause of an elevated alpha fetoprotein level in pregnant mom?
Second most common?
Inaccurate gestational age
Neural tube defects
What 3 SSRIs can be given to pregnant women for depression?
Sertraline, fluoxetine, and citalopram
What is the mechanism of testicular torsion?
Congenital malformation of the processus vaginalis
What is the MAO of kidney stones in pts. With Crohn’s disease?
Decreased absorption of fatty acids and bile salts
What is the x ray finding for avascular necrosis of the femoral head?
Subchondral crescent sign
What is the protocol when a woman has a baby and the baby gets Groups B infection?
Give mom future penicillin prophalyaxis with each pregnancy
What is the most potent risk factor for stroke?
HTN
Neimann Pick or Tay Sachs has organomegaly?
Niemann Pick
What testicular cancer has early metastasis/most aggressive and what is the marker for it?
Choriocarcinoma
Beta HCG
What is the most effective first step in the management of insomnia?
CBT
Triad of internal tibial torsion?
Intoeing, forward facing patella, no foot deformity