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Family med > deck 19 > Flashcards

deck 19 Flashcards

1
Q

USPSTF lung cancer screening recommendation

A

Annual screening for lung cancer with low-dose computed tomography (LDCT) in adults 55–80 years of age who have a 30-pack-year smoking history and
currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has
not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability
or willingness to have lung surgery (B recommendation).

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2
Q

standard treatment for symptomatic MM patients

A

autologous stem cell transplantation

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3
Q

standard treatment for asymptomatic MM patients

A

none

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4
Q

corticosteroid injection for back pain evidence?

A

none without radicular signs or symptoms

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5
Q

other standard of management for chronic back pain

A

multidisciplinary rehab program (physician + psychologist, social worker, or vocational)

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6
Q

side effects of inhaled corticoseroids

A
  • candidate infection of oropharynx
  • hoarseness
  • increased risk of developing pneumonia
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7
Q

inhaled corticosteroids use for COPD

A
  • don’t reduce mortality or affect long-term progression of COPD
  • do reduce number exacerbations and rate of decline in QOL
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8
Q

group you don’t need to vaccinate for hep A

A
  • immigrants from developing countries like India (prevalence is so high that virtually everyone is infected and immune and infection confers lifelong immunity)
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9
Q

minimum daily intake of vitamin d for infants and children

A

400 IU

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10
Q

initial management of c diff associated diarrhea

A

stop antibiotic. don’t start metronidazole until stool is positive for toxins

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11
Q

how to reduce pressure ulcers

A

1) elevate head to less than 30 degree to reduce shearing forces
2) can use topical antibiotics for up to 2 weeks

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12
Q

best screening test for mobility/fall risk

A

“get up and go test”

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13
Q

abx for epidydimitis in under 35

A

CTX + doxycycline

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14
Q

alk phos elevated in conditions affecting what?

A

bones, liver, small intestine, placenta

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15
Q

other biochemical who’s elevation localizes alk phos elevation to the liver

A

5-nucleotidase (commonly done)

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16
Q

most common causes of nephrotic kidney disease

A

1) primary kidney disease – membranous nephropathy and focal segmental glomerulosclerosis
2) DM

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17
Q

finding almost universally present with peritonsillar abscess

A

trismus (difficulty opening mouth)

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18
Q

management of occult fracture of scaphoid bone

A

thumb spica splint

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19
Q

most common SE of varenicline

A

nausea

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20
Q

circumflex occlusion causes changes in leads

A

I, AVL, V5, and V6

21
Q

LAD occlusion causes changes in

A

V1, V6

22
Q

RCA occlusion causes changes in

A

II, III, AVF

23
Q

muscle strength grading

A

The inability to contract a muscle is scored as 0. Contraction
without movement constitutes grade 1 strength. Movement with the effect of gravity neutralized is grade
2 strength, while movement against gravity only is grade 3 strength. Movement against gravity plus some
additional resistance indicates grade 4 strength. Normal, or grade 5, strength is demonstrated by movement
against substantial resistance.

24
Q

features of successful weight loss

A

low-fat diet rich in complex
carbohydrates, eat breakfast daily, weigh themselves at least once a week, and are physically active for
60–90 minutes a day.

25
Q

proctalgia fugax

A
  • These consist of episodic, sudden, sharp pains in the anorectal area lasting several seconds to minutes. The diagnosis is based on a history that fits the classic picture in a patient with a normal examination.
26
Q

hair loss following pregnancy called

A

telogen effluvium

27
Q

other osteoporosis RF’s

A

Asian ethnicity, low body weight

28
Q

handbone fracture that typically occurs with hyperextension of the wrist

A

triquetral fractures

29
Q

med used for most SVT

A

adenosine

30
Q

genital warts treatment

A

chemical treatments are more effective on soft, moist, nonkeratinized genital lesions, while physical ablative treatments are more effective for keratinized lesions

31
Q

HPV serotypes associated with genital warts

A

6 AND 12

32
Q

effect of aspirin on bleeding times and why

A

single aspirin can effect bleeding time for 5 days because aspirin is the only med that inhibits platelet for entire life of platelet by acetylene cyclooxygenase

33
Q

management of child 12 years or younger with nasal polyps

A

CF until proven otherwise

34
Q

post-thrombotic syndrome (PTS)

A
  • complication of acute DVT
  • chronic pain + swelling + skin changes
  • 1 in 3 patients with DVT
  • significantly reduced with compression stockings
35
Q

steroids for croup?

A

single dose of dexamethasone

36
Q

acute phase proteins secreted by liver

A

albumin, transferrin

37
Q

med for PMS during luteal-phase

A

spironolactone

38
Q

retinal vein occlusion presentation

A
  • sudden painless loss of vision or distortion of vision

- tortuous and dilated retinal veins

39
Q

how to reduce risk of exercise-induced hypoglycemia with insulin

A

non exercised injection site for insulin administration.

40
Q

diverticulitis presenting as a LLQ mass?

A

Can happen because can present as an abscess.

41
Q

other findings in diverticulitis

A

fever, fatigue, weight loss, diarrhea

42
Q

drugs causing drug-induced vasculitis

A

sulfonamides, allopurinol, thiazides, phenytoin, penicillins

43
Q

skin biopsy in drug-induced vasculitis

A

eosinophilia

44
Q

management of mild small-vessel vascultiis

A

supportive

45
Q

asthma attack management

A

1) albuterol

2) if continued –> oral corticosteroids

46
Q

problem with benadryl in older people

A
  • high association with falls
47
Q

meds frequently associated with falls in older adults

A

benzodiazepines, antidepressants, antipsychotics, antiepileptics, anticholinergics, sedative hypnotics, muscle relaxants, and cardiovascular medications

48
Q

how to reduce risk of contrast-induced nephropathy

A

1) hydrate with isotonic sodium bicarb infusion or isotonic saline
2) low-osmolar or iso-osmolar contrast media

49
Q

how to approach PE testing

A

1) determine pretest probability –> if low then get a d-dimer

Family med (48 decks)

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