Family med Flashcards
Test for Hep C
Immunoassay then recombiant immunoblot assay (if this is negative then its false +) and then measure virus load with RNA PCR
What to tx for non severe Salmonella infxn?
nothing
Is benzo terotagenic and which SSRI is terotagenic?
Yes it is
Paroxetine
Tx for severe osteoporosis?
Teriparatide
Best antidepressant for children and adolescence?
Fluoxetine
Tx for SX MVP?
Beta blocker
MC cause of erythema mutiforme?
HSV
Biggest RF for AAA?
Smoking
Side effect of PPI
Increase C. Diff and CAP
Decrease B12 and Ca absorption
Adjunctive tx for bipolar includes Li+ and ?
Low dose T3
Tx for cervical radiculopathy
NSAIDs
Tx for cerebral malaria
IV quinidine gluconate
What does apraxia means?
Unable to perform skilled motor movement
What is intertrigo?
Infxn at the skin fold
What is and how do you get paronychia? tx?
Infxn at the nail bed
From prolonged immersion in water or little kids suck their fingers
Topical antifungal or steroid
Risk of what is higher in vacuum assisted delivery than forceps?
Higher risk of shoulder dystocia
Which diuretics increase and decrease uric acid?
Loop and thiazide - increase
ARB - decrease
What mimics asthma (hint. throat tightness)?
Vocal cord dysfunction
What is nursemaid’s elbow?
subluxation of head of radius
For a child with asthma exacerbation, what else should be given with beta 2 agonist and inhaled steroid?
IV Mag
When does SIDS happen?
within first 6 months
MC kidney stone and tx
Calcium oxalate
Hydrate/low sodium/low protein/take citrate
What is trench fever?
Bartonella quintana
What drug is used for post op urinary retention
Alpha 2 block
Morning hoarseness and nocturnal wheezing
GERD
What cardiac side effect does methadone cause
Torsade de pointe
What is CHA2DS2-VAS score
assess stroke risk
CHF/HTN/age (2points)/DM/stroke hx (2points) - Vascular disease hx/age/sex
anything above 1 - tx with anticoagulant
First line tx for RA
MXT
Tx for scaphoid fracture?
Thumb spica cast
When to have varicella vaccine?
age 1 and then 4
bilateral nipple pain during and between feeding indicate what infxn?
Candida
When to tranfuse platelet for most pt?
when level under 10,000
What to use to induce ovulation in PCOS pt
Metformin and clomiphene
Anaphylaxis starts with what?
Itchiness around the mouth, scalp, palms and soles
What to give within 3 days of lyme contact?
one dose of doxy
Who should receive PPSV23 before 65 and do they need another dose after that?
Ppl with underlying disease like pul or DM
Another dose 5 years after or when they turn 65
Pt with chronic neck pain with signs of radiating neurological symptoms, do what dx next?
X ray first if negative then MRI
What are the contraindication for carboprost and methylergonovine for uterine atony pts?
Carboprost - asthma
Methylergonovine - HTN
What is the age limit for triptans
No usage for kids under 12
what are the 2 DM meds that cause weight loss?
Metformin and GLP-1 agonist like exenatide (-tide)
When does baby blue supposed to resolve by?
within 10 days of delivery
Anti nausea meds for pregnant women?
Doxylamine and vitamin B6
Young 2 year old boy still cant walk, think?
DMD
presentation of frozen shoulder
limited passive and active movement, night pain, associated with DM
NSAIDS are contraindicated in?
CHF/anticoagulation/cirrhosis
Tx for rosacea with eye involvement
Metro/doxy
what drugs cause steven johnson syndrome?
Abx/allopurinol
what does it look like on flow volume loop for a pt with vocal cord dysfunction
flatten inspiratory and normal expiratory
Sounds like medial ankle sprain but no injury, what is it?
Tendionapthy - cast
purple papules on wrists, what is it?
Lichen planus - topical steroid
What does a tender thyroid mean?
Subacute thyroiditis (Graves disease thyroid is not tender)
What is the best imaging for septic arthritis
U/S
What is the female athlete triad?
Amenorrhea/osteoporosis/eating disorder
Hypo or hyperthyroidism is associated with osteoporosis?
Hyperthyroidism
