General Medicine MKASP Flashcards
Treatment resistant -statins, what is the next best step after -statin initation?
PCSK9
What pain medication is contraindicated in dialysis 2/2 elevated renal metabolites?
Morphine
What pain medication is encouraged for dialysis patients in acute pain? Can be given IV
Hydromorphone, u agonist, is metabolized by the liver
What is the drug of choice for CIWA protocol?
Chlordiazepoxide
First line treatment for eldery insomnia?
CBT therapy
If a Korean Descent patient wants allopurinol, what is the first step in management?
HLA-B*58:01
An elderly patient that has fall problems, a-fib with RVR, vitals are ok, they take Beta Blocker, apixaban, and Meclizine. What med should be stopped?
Meclizine, is the most potent anti-histamine
First line therapy for elderly patients with a sleep disorder?
Behavioral Therapy
50 to 80 years old with at least 20 packs per year of smoking, what should they have annually?
Low Dose CT scan annually, regardless of quit date
Gradual vision loss with floater is what?
Retinal Detachment
If a patient has an allergic reaction to Bactrim, what is the next medication to give?
Triamcinolone
All people, over the age of 50 should receive what vaccine regardless of illness status?
Inactivated Herpes Zoster Virus
What oral diabetes agents can best increase weight loss?
-glutides
Bacterial Conjunctivitis topical bacteria of choice?
Trimethoprim-polymyxin
Rivaroxaban should be stopped how many days before a surgery?
3 days before a surgery
Melasma is a hyperpigmentation disorder that occurs mostly on sun exposed areas. What is the treatment of that?
Strict sunscreen and sun exposure limitation
If a woman over 40 years old has no menstrual cycles over a year, menopause is presumed. Is any further testing needed?
No, hormones and other work up is done only if menopause occurs before age 40
What is the first HA treatment after doxycycline?
Oral Retinoid, should not be given with doxycycline, can cause Idiopathic Intracranial Hypertension
In HA, what is the best treatment after doxycycline and Oral Retinoids?
Adalimumab
What is a superficial skin infection, thin/atrophic finely wrinkled pink-brown plaques in the intertriginous areas?
What is the treatment of choice?
Erythasma
Wood’s Lamp
If a patient has had CABG, runs several miles a day and wants Viagra, can they have it?
yes
Androgenic Alopecia is what?
Alopecia Areata is what?
Normal Male pattern baldness
Non scaring hair loss, “exclamation points”
What is another name for exanthematous rash?
Morbilliform rash
In a chronic COPD patient, are an ABG, Chest X-ray, and Spirometry needed for pre-op clearance? Assuming the patient is stable and has no issues
none
When there is unexplained vaginal discharge, before medication is administered, what is the next best step?
Saline and potassium hydroxide wet mounts
The USPTF recommends calculating what in all males between age 40-75 years, regardless of exercise tolerance?
ASCVD score
How is inflamed seborrheic keratosis treated?
Cryotherapy
What is the first line medication for obesity to encourage weight loss?
Liraglutide
What is the best Migraine with aura birth control treatment? (not copper IUD)
Levonorgesterol-releasing uterine device
MELD score above what number can be detremintal to patients?
8-10
Cannot lose weight, BMI over 40, bad knees, what is the next best step?
do bariatric surgery
Trichomonas treatment, first line, not pregnant?
Oral MTZ
No thromboemoblic risk, what is the list line menopause treatment?
Transdermal Estrogen
An 81-year-old COPD patient needs pre-operative hip surgery clearance, what test is next? Ambient on room air
Frailty Assessment
Unexplained vaginal bleeding after 45 years old or vaginal bleeding less than 45 years old with risk factors equals what?
Endometrial Biopsy
A patient taking warfarin before a surgery, how long should the stop before surgery? How long after surgery should they restart it?
5 days before
12 hours after surgery can restart
Fever Tonsillar Exudates Tender Cervical Lymphadenopathy No cough These are what?
Centor Criteria
Centor Criteria greater than 3 is code for what?
Give abx (penicillin or cephalexin)
What is a severe, potentially fatal skin condition that is characterized by widespread erythema, scaling, exfoliation (later), and superficial pustules?
May be worse with oral glucocorticoid withdrawal, what is this?
Erythrodermic Psoriasis
