Family Med

Question 0

Best LDL lowering med

Answer 0

Rosuvastatin

Question 1

Corneal dendrites on fluorescein stain =

Tx=

Answer 1

Herpetic conjunctivitis

Antiviral eye drops

Question 2

Ash leaf spots w retinal hamartoma

Answer 2

Tuberous sclerosis

Question 3

Cafe au lait spots w axillary freckling and optic disc pallor

Answer 3

NF1 w optic glioma

Question 4

2 vaccines to avoid pregnancy for 4 weeks after administration

Answer 4

MMR
Varicella (both have live components)
Also stop HPV

Question 5

Vaccines that are OK during pregnancy

Answer 5

Inactivated flu

tdap

Question 6

Lady on OCP gets direct jaundiced and has dark hepatocytes

Answer 6

Dubin-Johnson

Question 7

Pseudogout/chondrocalcinosis can occur in what 3 pathologies?

Answer 7

Hemochromatosis
Hypomagnesia
HyperPTH

Question 8

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

Answer 8

Blastomycosis (midwest to Mississippi)

Question 9

Fibromyalgia initial tx =

Answer 9

Aerobic xercise, sleep hygeine

Question 10

Immune thrombocytopenia tx threshold and tx

Answer 10

Plt < 30, systemic steroids

Question 11

Initial drug for suspected IE

Answer 11

Vanco

Question 12

Best test to compare 2 means

3 means?

Answer 12

2 sample T test

ANOVA

Question 13

Contrast measles w rubella (german measles)

Answer 13

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

Question 14

MCC of viral conjuctivits

Answer 14

Adenovirus

Question 15

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

Answer 15

Ginko

Question 16

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

Answer 16

Metronidazole/Clindamycin
Doxycyline
Imiquimod
Chlortrimazole

Question 17

Best med for acute mania in bipolar

Answer 17

Neuroleptic

Question 18

What calcium channel blocker works for migraine?

Answer 18

Verapamil

Question 19

What drug allergy are sulfonylureas CI?

Answer 19

Sulfa

Question 20

When to stop metformin?

Answer 20

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

Question 21

When are DPP4 inhibitors CI?

Answer 21

Pancreatitis

Question 22

What abx to tx cat bite?

Answer 22

Amoxicillin/clavulanate

Question 23

Best drug to lower triglycerides

Answer 23

Fibrates, not ezetimibe

Question 24

Fastest acting insulin =

Answer 24

Aspart

Question 25

Vax for HIV pts = (4) | CD4 count for live vax =

Answer 25

``` Hep B Hep A S Pneumo Influenza >200 ```

Question 26

PCP prophyllaxis =

Answer 26

Bactrim

Question 27

CD4 count for toxo= | TX =

Answer 27

<100

Question 28

MAC prophyllaxis

Answer 28

Azithromycin

Question 29

Latent TB tx med =

Answer 29

INH for 9 mo

Question 30

What CMV test do you do if CD4 <100?

Answer 30

Dilated fundoscopic

Question 31

Current HBV tx pill =

Answer 31

Lamuvidine

Question 32

What drug do you give if microalbuminuria?

Answer 32

ACEi

Question 33

Tx for tinea corporis

Answer 33

Griseofulvin and ketoconazole shampoo

Question 34

Joint aspirate w low PMNs =

Answer 34

Osteoarthritis

Question 35

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

Answer 35

Likely CAP strep pneumo, give amoxicillin and f/u

Question 36

Best test for male hypogonadism

Answer 36

Total testosterone, then free if abnormal

Question 37

Hormone target for levothryoxine therapy

Answer 37

Normal TSH

Question 38

Best test for ACL tear

Answer 38

Lachman

Question 39

How do you DX multiple myeloma?

Answer 39

End organ damage in presence of M protein

Question 40

What is melanosis coli?

Answer 40

Leopard appearance on colonoscopy due to laxative abuse

Question 41

What is FEV/FVC ratio in COPD?

Answer 41

<70%

Question 42

Drug induced pleurisy is often from which drug:

Answer 42

Hydralazine, procainamide or quinidine

Question 43

What drug to avoid in WPW? | What drugs to give?

Answer 43

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

Question 44

TX for nursing home PNA

Answer 44

Cephalosporin Fluoroq Vanco

Question 45

Which SSRi is CI in pregnancy?

Answer 45

Paroxetine

Question 46

Sterile pyuria in sexually active F=

Answer 46

G/C

Question 47

What is patellofemoral pain syndrome?

Answer 47

Anterior knee pain due to overuse

Question 48

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

Answer 48

Mirtazapine

Question 49

What vax to give grandma who has dirty wound?

Answer 49

TdaP

Question 50

What DBM drug is OK in bad renal fxn?

Answer 50

Glipizide (NOT glyburide or metformin)

Question 51

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

Answer 51

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

Question 52

PCP pna tx

Answer 52

Bactrim AND steroids

Question 53

Bartonella tx

Answer 53

Azithromycin

Question 54

Contrainidication to mirena

Answer 54

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

Question 55

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

Answer 55

Legionella | Strep

Question 56

Best migraine prophyllaxis for kids under 12

Answer 56

B blocker

Question 57

Best med for claudication

Answer 57

Cilastazol

Question 58

DBM criteria

Answer 58

Random gluc > 200 Tolerance test > 200 a1C > 6.5

Question 59

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

Answer 59

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

Question 60

Med for intrahepatic cholestasis of pregnancy

Answer 60

Ursodiol

Question 61

Elevated AFP rules out which male CA?

Answer 61

SeminomA (has elevated HCG)