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Family med > deck 21 > Flashcards

deck 21 Flashcards

1
Q

HIV presentation

A
  • weight loss, oral thrush, lymphadenopathy, and ulcerative esophagitis
  • esophageal disease with advanced infection
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2
Q

nunbullous impetigo treatment

A

topical mupirocin

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3
Q

treatment of conjunctivitis

A
  • viruses cause 80% (usually adenovirus) so usually requires no treatment.
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4
Q

how to tell conjunctivitis is bacterial

A
  • mattering and adherence of the eyelids
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5
Q

location of fibromyalgia trigger points

A

medial scapula borders + posterior neck + upper outer quadrants of gluteal muscles + medial fat pads of the knees

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6
Q

alopecia areata etiology

A

localized autoimmune reaction to hair follicles

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7
Q

alopecia areata course

A

Spontaneous recovery usually occurs within 6–12 months, although areas of regrowth may be pigmented differently. Recovery is less likely if the condition persists for longer than a year, worsens, or begins before puberty.

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8
Q

alopecia areata treatment

A

triamcinolone

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9
Q

preferred abx for young adult with CAP who is not sick enough to be hospitalized

A

azithromycin (mycoplasma coverage)

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10
Q

nicotine replacement + varenicline?

A
  • leads to increase Nausea, HA, dizziness, fatigue
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11
Q

group for which you don’t need to treat HSIL with ablation or excision

A
  • adolescents (HPV infection common and transient in most young women so can be observed)
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12
Q

risk of adenocarcinoma from Barrett’s esophagus

A

less than 1%

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13
Q

only HA type that is always unilateral

A

cluster

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14
Q

lateral epicondylitis management

A
  • self-limiting, usually resolves within 12-18 months.

- no benefit from NSAIDS or steroids, it’s degeneration of the tendon, not inflammation

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15
Q

pleurisy treatment

A

NSAID

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16
Q

pleuritic chest pain workup

A

CXR + EKG (could be pericarditis)

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17
Q

use of BNP in acute heart failure

A

Differentiates cardiac and pulmonary disease

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18
Q

hemoptysis can also be due to…

A

effusions

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19
Q

catch with allopurinol

A

Used for prophylaxis, Can worsen acute attacks since fluctuating levels of uric acid can actually worsen inflammation

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20
Q

management of DVT during pregnancy

A
  • risk of PE continues in the postpartum period

- continue treatment for 6 weeks after delivery with warfarin or LMWH

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21
Q

only approved DM drugs for kids

A

metformin and insulin

22
Q

more effect on reducing HTN – dash diet or smoking?

A

dash diet

23
Q

most effective intervention for HTN if obese

A

weight loss

24
Q

double effect concept

A
  • relieving suffering when death is unintended but foreseeable consequence
25
Q

orthostatic proteinuria

A
  • benign condition occurring in young people in which protein excretion is increased in the upright position but normal when patient is supine.
  • diagnosed with split urine collections
26
Q

test most people need for syncope workup

A

EKG

27
Q

high risk angina features

A
  • Angina at rest with dynamic ST-segment changes ³1 mm
  • Angina with hypotension
  • Angina with a new or worsening mitral regurgitation murmur
  • Angina with an S3 or new or worsening crackles
  • Prolonged (>20 min) anginal pain at rest
  • Pulmonary edema most likely related to ischemia
28
Q

USPSTF recommendation for aspirin in women

A
  • more effective in preventing stroke than MI

- recommended for women 55-79 when benefit of stroke risk reduction outweighs GI hemorrhage

29
Q

aspirin and stroke prevention evidence for men?

A
  • low dose decreases risk of first MI, but not stroke
30
Q

management of men with mild BPH

A

watchful waiting

31
Q

spinal cord injury as VTE RF?

A

induces immobility

32
Q

ottawa ankle rules criteria

A

Inability to take four steps, either immediately after the injury or when being evaluated; localized tenderness of the navicular bone or the base of the fifth metatarsal; or localized tenderness at the posterior edge or tip of either malleolus.

33
Q

management of urosepsis with renal failure

A

1) aggressive IV fluid resuscitation

2) abx

34
Q

best single angle for empiric treatment of nursing home CAP

A

levofloxacin (levaquin)

35
Q

requirements for proxy to decide on life-sustaining therapy

A

A patient’s condition does not need to be terminal or irreversible to allow the removal of life-sustaining therapy.
So if on ventilator, proxy can tell you to stop it.

36
Q

supplement that can have negative interaction with aspirin

A

ginkgo biloba (associated with serious intracereberal bleeding)

37
Q

NSAIDS and MI

A
  • all oral NSAIDS increase the risk of MI

- EXCEPT for naproxen

38
Q

causes of secondary osteoporosis in men

A

Excessive alcohol use, hypogonadism, vitamin D deficiency, and decreased body mass index

39
Q

management of RBB + left anterior hemiblock

A

Heart monitoring study

40
Q

positive result on second but not first of 2 step TST suggests…

A

long-standing latent TB infection

41
Q

most common cause of skin and soft-tissue infections among patients presenting to metropolitan

A

MRSA

42
Q

nutritional intervention shown to accelerate pressure ulcer healing

A

adequate protein intake

- increased caloric intake will promote healing

43
Q

for release of patient info, authorization must be in WRITING except for

A

(1) coordination of care between providers and those involved in the patient’s case (i.e., caretakers, nurses, consulting physicians); (2) arranging payment for medical services rendered; and (3) health-care operations such as evaluating a provider or system’s competency or quality.

44
Q

problem with corticosteroids for obstructive lung disease

A

increased risk for pneumonia

45
Q

med most commonly known to cause hyperthyroidism

A

amiodarone

46
Q

DHEA efficacy as performance enhancer?

A

doesn’t enhance performance or muscle strength

47
Q

lab to order for milky discharge from breast

A

prolactin

48
Q

patellofemoral stress syndrome (runner’s one)

A

patella deviates laterally with knee extension

49
Q

patellofemoral stress syndrome (runner’s one) treatment

A

PT

50
Q

postpartum visit testing

A

screen fro depression

51
Q

preferred initial test for patient with painless postmenopausal bleeding

A

1) transvaginal ultrasonography

2) if unavailable, endometrial biopsy

Family med (48 decks)

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