Family med Flashcards

1
Q

Test for Hep C

A

Immunoassay then recombiant immunoblot assay (if this is negative then its false +) and then measure virus load with RNA PCR

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2
Q

What to tx for non severe Salmonella infxn?

A

nothing

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3
Q

Is benzo terotagenic and which SSRI is terotagenic?

A

Yes it is

Paroxetine

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4
Q

Tx for severe osteoporosis?

A

Teriparatide

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5
Q

Best antidepressant for children and adolescence?

A

Fluoxetine

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6
Q

Tx for SX MVP?

A

Beta blocker

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7
Q

MC cause of erythema mutiforme?

A

HSV

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8
Q

Biggest RF for AAA?

A

Smoking

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9
Q

Side effect of PPI

A

Increase C. Diff and CAP

Decrease B12 and Ca absorption

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10
Q

Adjunctive tx for bipolar includes Li+ and ?

A

Low dose T3

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11
Q

Tx for cervical radiculopathy

A

NSAIDs

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12
Q

Tx for cerebral malaria

A

IV quinidine gluconate

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13
Q

What does apraxia means?

A

Unable to perform skilled motor movement

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14
Q

What is intertrigo?

A

Infxn at the skin fold

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15
Q

What is and how do you get paronychia? tx?

A

Infxn at the nail bed
From prolonged immersion in water or little kids suck their fingers
Topical antifungal or steroid

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16
Q

Risk of what is higher in vacuum assisted delivery than forceps?

A

Higher risk of shoulder dystocia

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17
Q

Which diuretics increase and decrease uric acid?

A

Loop and thiazide - increase

ARB - decrease

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18
Q

What mimics asthma (hint. throat tightness)?

A

Vocal cord dysfunction

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19
Q

What is nursemaid’s elbow?

A

subluxation of head of radius

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20
Q

For a child with asthma exacerbation, what else should be given with beta 2 agonist and inhaled steroid?

A

IV Mag

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21
Q

When does SIDS happen?

A

within first 6 months

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22
Q

MC kidney stone and tx

A

Calcium oxalate

Hydrate/low sodium/low protein/take citrate

23
Q

What is trench fever?

A

Bartonella quintana

24
Q

What drug is used for post op urinary retention

A

Alpha 2 block

25
Q

Morning hoarseness and nocturnal wheezing

A

GERD

26
Q

What cardiac side effect does methadone cause

A

Torsade de pointe

27
Q

What is CHA2DS2-VAS score

A

assess stroke risk
CHF/HTN/age (2points)/DM/stroke hx (2points) - Vascular disease hx/age/sex
anything above 1 - tx with anticoagulant

28
Q

First line tx for RA

A

MXT

29
Q

Tx for scaphoid fracture?

A

Thumb spica cast

30
Q

When to have varicella vaccine?

A

age 1 and then 4

31
Q

bilateral nipple pain during and between feeding indicate what infxn?

A

Candida

32
Q

When to tranfuse platelet for most pt?

A

when level under 10,000

33
Q

What to use to induce ovulation in PCOS pt

A

Metformin and clomiphene

34
Q

Anaphylaxis starts with what?

A

Itchiness around the mouth, scalp, palms and soles

35
Q

What to give within 3 days of lyme contact?

A

one dose of doxy

36
Q

Who should receive PPSV23 before 65 and do they need another dose after that?

A

Ppl with underlying disease like pul or DM

Another dose 5 years after or when they turn 65

37
Q

Pt with chronic neck pain with signs of radiating neurological symptoms, do what dx next?

A

X ray first if negative then MRI

38
Q

What are the contraindication for carboprost and methylergonovine for uterine atony pts?

A

Carboprost - asthma

Methylergonovine - HTN

39
Q

What is the age limit for triptans

A

No usage for kids under 12

40
Q

what are the 2 DM meds that cause weight loss?

A

Metformin and GLP-1 agonist like exenatide (-tide)

41
Q

When does baby blue supposed to resolve by?

A

within 10 days of delivery

42
Q

Anti nausea meds for pregnant women?

A

Doxylamine and vitamin B6

43
Q

Young 2 year old boy still cant walk, think?

A

DMD

44
Q

presentation of frozen shoulder

A

limited passive and active movement, night pain, associated with DM

45
Q

NSAIDS are contraindicated in?

A

CHF/anticoagulation/cirrhosis

46
Q

Tx for rosacea with eye involvement

A

Metro/doxy

47
Q

what drugs cause steven johnson syndrome?

A

Abx/allopurinol

48
Q

what does it look like on flow volume loop for a pt with vocal cord dysfunction

A

flatten inspiratory and normal expiratory

49
Q

Sounds like medial ankle sprain but no injury, what is it?

A

Tendionapthy - cast

50
Q

purple papules on wrists, what is it?

A

Lichen planus - topical steroid

51
Q

What does a tender thyroid mean?

A

Subacute thyroiditis (Graves disease thyroid is not tender)

52
Q

What is the best imaging for septic arthritis

A

U/S

53
Q

What is the female athlete triad?

A

Amenorrhea/osteoporosis/eating disorder

54
Q

Hypo or hyperthyroidism is associated with osteoporosis?

A

Hyperthyroidism