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Family med > deck 15 > Flashcards

deck 15 Flashcards

1
Q

problem with trazodone

A

sedation + orthostatic hypotension

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2
Q

other problem with bupropion

A

aggravates insomnia

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3
Q

med that can worsen gout

A

HCTZ

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4
Q

med that can improve gout

A

losartan

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5
Q

optimal hemoglobin range for patients with chronic normocytic anemia

A

10-12

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6
Q

vocal cord dysfunction presentation

A

tightness of throat + choking sensation + SOB + coughing

- symptoms worse with inspiration

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7
Q

rhonchi suggests..

A

HF

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8
Q

TTP over shin + trace edema over area of tenderness…

A

stress fracture

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9
Q

initial imaging of suspected stress fracture

A

plain films

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10
Q

contraindication to metformin..

A

creatinine greater than 1.5

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11
Q

med for DM patients with CKD

A

glipizide (glyburide has an active metabolite excreted by kidneys)

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12
Q

therapy for drug-eluting stent

A

clopidrogel + aspirin for 12 months

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13
Q

arrhythmia associated with methadone

A

torsades

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14
Q

cross allergen with latex

A

avocados

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15
Q

other GERD findings

A
  • need to clear throat

- nocturnal wheezing

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16
Q

mgmt of small pneumo

A

repeat CXR in 1-2 days

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17
Q

best test for genital HSV

A

PCR (assuming ulcer)

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18
Q

how to determine anticoagulation for Afib

A

CHADS 2!

19
Q

CHADS 2 stands for…

A 
CHF
Hypertension
Age greater than 75
DM
Previous stroke/TIA
*stroke is worth 2 points
20
Q

interpreting CHADS 2

A

4 or more = high risk (warfarin
2-3 = moderate risk (warfarin)
less than 1 = low risk (aspirin)

21
Q

leading cause of cancer death in the US

A

lung

22
Q

initial therapy of choice for RA

A

DMARDS – methotrexate

23
Q

fluticasone

A

low dose glucocorticoid

24
Q

treatment of choice for pneumocystis pneumonia

A

bactrim + *adjunctive corticosteroids for any patient with Po2 less than 70

25
Q

management of scaphoid fracture

A

thumb spica

26
Q

two doses of varicella vaccine are recommended for…

A

kids

27
Q

bilateral nipple pain with and between feedings in breastfeeding women usually due to…

A

candida

28
Q

bartonella abx

A

azithromycin

29
Q

enlarged tongue (macroglossia) think…

A

primary amyloidosis

30
Q

allergic rhinitis presentation

A

clear rhinorrhea + nasal congestion + watery, itchy eyes

31
Q

allergic rhinitis treatment

A

intranasal corticosteroids are mainstay of treatment

32
Q

contraindications to mirena

A

uterine anomalies, postpartum endometritis, untreated cervicitis, and current pelvic inflammatory disease.

33
Q

management of small-volume, low grade prostate cancer

A

observation

34
Q

SMA artery embolization presentation

A

sudden severe abdominal pain + vomiting + diarrhea + pt with cardiac source of emboli + separate source of embolization (eg pulseless arm
- often normal abdominal exam

35
Q

threshold for platelet transfusion

A

10,000

36
Q

only osteoporosis drugs known to prevent hip fracture

A

zoledronic acid, risedronate, alendronate

37
Q

1st line agents for ovulation induction in PCOS

A

metformin

clomiphene

38
Q

adjunctive treatment for venous ulcers

A

compression + aspirin or ptenoxifylline

39
Q

COPD exacerbation

A

O2 + abx + bronchodilators + systemic corticosteroids (oral or parenteral)

40
Q

initial sign of anaphylaxis

A

Pruritus around mouth and on palms of hands and soles of the feet.

41
Q

other features of anaphylaxis

A

flushing of face and neck + rhinitis and conjunctivitis + angioedema of oral mucosa + urticaria + dyspnea and bronchospasm + hypotension

42
Q

indications for pneumovax under 65

A

chronic cardiac or pulmonary disease, diabetes mellitus, anatomic asplenia, chronic liver disease, or kidney failure; and health-care workers

43
Q

pneumovax for healthy people

A

single dose over age of 65

44
Q

proven benefits of palliative care

A
  • improved QOL + mood
  • less depression
  • reduces aggressive end-of-life care + health care costs

Family med (48 decks)

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