Family Med Flashcards

0
Q

Best LDL lowering med

A

Rosuvastatin

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1
Q

Corneal dendrites on fluorescein stain =

Tx=

A

Herpetic conjunctivitis

Antiviral eye drops

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2
Q

Ash leaf spots w retinal hamartoma

A

Tuberous sclerosis

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3
Q

Cafe au lait spots w axillary freckling and optic disc pallor

A

NF1 w optic glioma

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4
Q

2 vaccines to avoid pregnancy for 4 weeks after administration

A

MMR
Varicella (both have live components)
Also stop HPV

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5
Q

Vaccines that are OK during pregnancy

A

Inactivated flu

tdap

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6
Q

Lady on OCP gets direct jaundiced and has dark hepatocytes

A

Dubin-Johnson

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7
Q

Pseudogout/chondrocalcinosis can occur in what 3 pathologies?

A

Hemochromatosis
Hypomagnesia
HyperPTH

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8
Q

Violaceous nodules w yeast on scraping, possible pulmonary sx z=

A

Blastomycosis (midwest to Mississippi)

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9
Q

Fibromyalgia initial tx =

A

Aerobic xercise, sleep hygeine

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10
Q

Immune thrombocytopenia tx threshold and tx

A

Plt < 30, systemic steroids

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11
Q

Initial drug for suspected IE

A

Vanco

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12
Q

Best test to compare 2 means

3 means?

A

2 sample T test

ANOVA

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13
Q

Contrast measles w rubella (german measles)

A

Measles has higher fever 104, coryza, more malaise, rash spreads slower and is darker, in rubella rash spreads from face to trunk

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14
Q

MCC of viral conjuctivits

A

Adenovirus

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15
Q

What natural remedy can cause bleeding if pt is taking ASA?

A

Ginko

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16
Q

TX for BV
TX for chlamydia
TX for HPV
TX for fungal

A

Metronidazole/Clindamycin
Doxycyline
Imiquimod
Chlortrimazole

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17
Q

Best med for acute mania in bipolar

A

Neuroleptic

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18
Q

What calcium channel blocker works for migraine?

A

Verapamil

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19
Q

What drug allergy are sulfonylureas CI?

A

Sulfa

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20
Q

When to stop metformin?

A

MI, CHF, CT scan w contrast (bc decrease renal fxn)

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21
Q

When are DPP4 inhibitors CI?

A

Pancreatitis

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22
Q

What abx to tx cat bite?

A

Amoxicillin/clavulanate

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23
Q

Best drug to lower triglycerides

A

Fibrates, not ezetimibe

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24
Q

Fastest acting insulin =

25
Q

Vax for HIV pts = (4)

CD4 count for live vax =

A
Hep B
Hep A
S Pneumo
Influenza
>200
26
Q

PCP prophyllaxis =

27
Q

CD4 count for toxo=

TX =

28
Q

MAC prophyllaxis

A

Azithromycin

29
Q

Latent TB tx med =

A

INH for 9 mo

30
Q

What CMV test do you do if CD4 <100?

A

Dilated fundoscopic

31
Q

Current HBV tx pill =

A

Lamuvidine

32
Q

What drug do you give if microalbuminuria?

33
Q

Tx for tinea corporis

A

Griseofulvin and ketoconazole shampoo

34
Q

Joint aspirate w low PMNs =

A

Osteoarthritis

35
Q

Peds pt w increased RR and inspiratory crackles w fever tx=

A

Likely CAP strep pneumo, give amoxicillin and f/u

36
Q

Best test for male hypogonadism

A

Total testosterone, then free if abnormal

37
Q

Hormone target for levothryoxine therapy

A

Normal TSH

38
Q

Best test for ACL tear

39
Q

How do you DX multiple myeloma?

A

End organ damage in presence of M protein

40
Q

What is melanosis coli?

A

Leopard appearance on colonoscopy due to laxative abuse

41
Q

What is FEV/FVC ratio in COPD?

42
Q

Drug induced pleurisy is often from which drug:

A

Hydralazine, procainamide or quinidine

43
Q

What drug to avoid in WPW?

What drugs to give?

A

Adenosine or Dig cuz these block AV node and can increase rate. Use Procainamide instead, or Amiodarone

44
Q

TX for nursing home PNA

A

Cephalosporin
Fluoroq
Vanco

45
Q

Which SSRi is CI in pregnancy?

A

Paroxetine

46
Q

Sterile pyuria in sexually active F=

47
Q

What is patellofemoral pain syndrome?

A

Anterior knee pain due to overuse

48
Q

What drug is best for depressed pts w insomnia and weight loss?

A

Mirtazapine

49
Q

What vax to give grandma who has dirty wound?

50
Q

What DBM drug is OK in bad renal fxn?

A

Glipizide (NOT glyburide or metformin)

51
Q

CHADS 2 score. What is it? What drugs to use?

A
Stroke risk (a fib).  Chf, Htn, Age>75, Dbm, Stroke
1 pt = ASA 325
> 1pt = warfarin
52
Q

PCP pna tx

A

Bactrim AND steroids

53
Q

Bartonella tx

A

Azithromycin

54
Q

Contrainidication to mirena

A

Post partum endometritis
Active PID
Cervicitis
(Think mechanical not systemic)

55
Q

Old lady w severe CAP, what do you test urine for?

A

Legionella

Strep

56
Q

Best migraine prophyllaxis for kids under 12

57
Q

Best med for claudication

A

Cilastazol

58
Q

DBM criteria

A

Random gluc > 200
Tolerance test > 200
a1C > 6.5

59
Q

Contrast F / M physio for GFR, body fat, GI transit time

A

F have lower GfR, higher fat stores (lipophilic meds last longer), lower acid secretion and slower GI transit time

60
Q

Med for intrahepatic cholestasis of pregnancy

61
Q

Elevated AFP rules out which male CA?

A

SeminomA (has elevated HCG)