Family Med Flashcards
Best LDL lowering med
Rosuvastatin
Corneal dendrites on fluorescein stain =
Tx=
Herpetic conjunctivitis
Antiviral eye drops
Ash leaf spots w retinal hamartoma
Tuberous sclerosis
Cafe au lait spots w axillary freckling and optic disc pallor
NF1 w optic glioma
2 vaccines to avoid pregnancy for 4 weeks after administration
MMR
Varicella (both have live components)
Also stop HPV
Vaccines that are OK during pregnancy
Inactivated flu
tdap
Lady on OCP gets direct jaundiced and has dark hepatocytes
Dubin-Johnson
Pseudogout/chondrocalcinosis can occur in what 3 pathologies?
Hemochromatosis
Hypomagnesia
HyperPTH
Violaceous nodules w yeast on scraping, possible pulmonary sx z=
Blastomycosis (midwest to Mississippi)
Fibromyalgia initial tx =
Aerobic xercise, sleep hygeine
Immune thrombocytopenia tx threshold and tx
Plt < 30, systemic steroids
Initial drug for suspected IE
Vanco
Best test to compare 2 means
3 means?
2 sample T test
ANOVA
Contrast measles w rubella (german measles)
Measles has higher fever 104, coryza, more malaise, rash spreads slower and is darker, in rubella rash spreads from face to trunk
MCC of viral conjuctivits
Adenovirus
What natural remedy can cause bleeding if pt is taking ASA?
Ginko
TX for BV
TX for chlamydia
TX for HPV
TX for fungal
Metronidazole/Clindamycin
Doxycyline
Imiquimod
Chlortrimazole
Best med for acute mania in bipolar
Neuroleptic
What calcium channel blocker works for migraine?
Verapamil
What drug allergy are sulfonylureas CI?
Sulfa
When to stop metformin?
MI, CHF, CT scan w contrast (bc decrease renal fxn)
When are DPP4 inhibitors CI?
Pancreatitis
What abx to tx cat bite?
Amoxicillin/clavulanate
Best drug to lower triglycerides
Fibrates, not ezetimibe
Fastest acting insulin =
Aspart
Vax for HIV pts = (4)
CD4 count for live vax =
Hep B Hep A S Pneumo Influenza >200
PCP prophyllaxis =
Bactrim
CD4 count for toxo=
TX =
<100
MAC prophyllaxis
Azithromycin
Latent TB tx med =
INH for 9 mo
What CMV test do you do if CD4 <100?
Dilated fundoscopic
Current HBV tx pill =
Lamuvidine
What drug do you give if microalbuminuria?
ACEi
Tx for tinea corporis
Griseofulvin and ketoconazole shampoo
Joint aspirate w low PMNs =
Osteoarthritis
Peds pt w increased RR and inspiratory crackles w fever tx=
Likely CAP strep pneumo, give amoxicillin and f/u
Best test for male hypogonadism
Total testosterone, then free if abnormal
Hormone target for levothryoxine therapy
Normal TSH
Best test for ACL tear
Lachman
How do you DX multiple myeloma?
End organ damage in presence of M protein
What is melanosis coli?
Leopard appearance on colonoscopy due to laxative abuse
What is FEV/FVC ratio in COPD?
<70%
Drug induced pleurisy is often from which drug:
Hydralazine, procainamide or quinidine
What drug to avoid in WPW?
What drugs to give?
Adenosine or Dig cuz these block AV node and can increase rate. Use Procainamide instead, or Amiodarone
TX for nursing home PNA
Cephalosporin
Fluoroq
Vanco
Which SSRi is CI in pregnancy?
Paroxetine
Sterile pyuria in sexually active F=
G/C
What is patellofemoral pain syndrome?
Anterior knee pain due to overuse
What drug is best for depressed pts w insomnia and weight loss?
Mirtazapine
What vax to give grandma who has dirty wound?
TdaP
What DBM drug is OK in bad renal fxn?
Glipizide (NOT glyburide or metformin)
CHADS 2 score. What is it? What drugs to use?
Stroke risk (a fib). Chf, Htn, Age>75, Dbm, Stroke 1 pt = ASA 325 > 1pt = warfarin
PCP pna tx
Bactrim AND steroids
Bartonella tx
Azithromycin
Contrainidication to mirena
Post partum endometritis
Active PID
Cervicitis
(Think mechanical not systemic)
Old lady w severe CAP, what do you test urine for?
Legionella
Strep
Best migraine prophyllaxis for kids under 12
B blocker
Best med for claudication
Cilastazol
DBM criteria
Random gluc > 200
Tolerance test > 200
a1C > 6.5
Contrast F / M physio for GFR, body fat, GI transit time
F have lower GfR, higher fat stores (lipophilic meds last longer), lower acid secretion and slower GI transit time
Med for intrahepatic cholestasis of pregnancy
Ursodiol
Elevated AFP rules out which male CA?
SeminomA (has elevated HCG)