Gen Med

Question 1

If a patient comes with posterior hip pain along with a positive FABER test, what should you suspect?

Answer 1

SI joint dysfunction

Question 2

What is the FABER test? What is the specificity and sensitivity (high/low)?

Answer 2

Flexion
ABduction
External Rotation

Pain with these maneuvers on physical exam in SI joint dysfunction. High specificity but low sensitivity.

Question 3

You have a young patient who is a competitive gymnast. She has anterior pain at the groin and a positive FADIR test. What does she have?

Answer 3

Acetabular labrum tear

Question 4

What is the FADIR test?

Answer 4

Flexion
ADduction
Internal Rotation

Pain on these maneuvers on physical exam, tends to be positive in acetabular labrum tear and OA hip pain.

Question 5

What is better than melatonin for insomnia in the elderly?

Answer 5

CBT

Question 6

How long should surgery be delayed in someone who has a TIA/CVA?

Answer 6

delay urgent surgery by 3 months and elective surgery by 6-9 months as the risk is high for recurrence for up to 9-12 months.

Question 7

What medication could be helpful for someone with FTD (frontotemporal dementia) and compulsive behavior?

Answer 7

SSRI

Question 8

How might you treat someone with vaginal dryness and dyspareunia after menopause?

Answer 8

DON’T GO STRAIGHT TO TOPICAL ESTROGEN. Try vaginal moisturizer first.

Question 9

What medical condition is at high risk of occurring with Acitretin and Doxycycline?

Answer 9

IIH (idiopathic intracranial hypertension)

Question 10

True or false: A person over the age of 50 should receive the live attenuated zoster vaccination even if he has already had Shingles at age 50?

Answer 10

False: Give them the recombinant zoster vaccine as this is indicated over live attenuated

Question 11

What is Drug-induced hypersensitivity syndrome? (DIHS)
–Mild or Severe?
–What is the onset of the reaction?
–Describe the symptoms
–Is mucosal involvement common?

Answer 11

Also known as DRESS in the past.
Severity: severe, life-threatening med reaction
Onset: 2-6 weeks (delayed) after exposure to medicine
Description: fever and flu-like symptoms followed by burning skin pain and rash over the face and upper trunk which spreads distally and ultimately has FACIAL EDEMA and redness, commonly with mucosal involvement.

Question 12

What would you diagnose the following patient with? When was their drug exposure?

After starting a new medication, patient has fever and flu-like symptoms followed by burning skin pain and rash over the face and upper trunk which spreads distally and ultimately has FACIAL EDEMA and redness, commonly with mucosal involvement.

Answer 12

Drug-induced hypersensitivity syndrome (DIHS), previously DRESS. 2-6 weeks before symptom onset usually.

Question 13

A patient had a new medication 1 week ago, then comes in with purple-pink, dusky macules or plaques over the lips, face, fingers, and genitals.

Answer 13

Fixed drug eruption (Fixed as it is limited to certain areas of the body not all over)

Question 14

Patient started a new medication 1-2 weeks ago, then came in with erythematous papules and macules coalescing over the trunk and progressing distally across limbs but sparing the palms and soles. What do they have?

Answer 14

Exanthematous drug eruption

Question 15

How do you treat seborrheic dermatitis?

Answer 15

Zinc pyrithione shampoo or selenium sulfide shampoo

Question 16

What is STOP-BANG acronym?

Answer 16

Used to assess risk of OSA.
S - Snoring
T - Tiredness
O - Observed apneas
P - high bP
BMI > 35
Age > 50
Neck circumference >40 cm
Gender: Male

High risk is 5 points or more.

Question 17

Patient has psoriasis and COPD, started on steroids for an exacerbation, but the comes in a few days later with erythema over >80% of his body. What is this?

Answer 17

Erythroderma