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Step 3 and Residency Flashcards > General Medicine MKASP > Flashcards

General Medicine MKASP Flashcards

1
Q

Treatment resistant -statins, what is the next best step after -statin initation?

A

PCSK9

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2
Q

What pain medication is contraindicated in dialysis 2/2 elevated renal metabolites?

A

Morphine

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3
Q

What pain medication is encouraged for dialysis patients in acute pain? Can be given IV

A

Hydromorphone, u agonist, is metabolized by the liver

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4
Q

What is the drug of choice for CIWA protocol?

A

Chlordiazepoxide

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5
Q

First line treatment for eldery insomnia?

A

CBT therapy

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6
Q

If a Korean Descent patient wants allopurinol, what is the first step in management?

A

HLA-B*58:01

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7
Q

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?

A

Meclizine, is the most potent anti-histamine

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8
Q

First line therapy for elderly patients with a sleep disorder?

A

Behavioral Therapy

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9
Q

50 to 80 years old with at least 20 packs per year of smoking, what should they have annually?

A

Low Dose CT scan annually, regardless of quit date

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10
Q

Gradual vision loss with floater is what?

A

Retinal Detachment

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11
Q

If a patient has an allergic reaction to Bactrim, what is the next medication to give?

A

Triamcinolone

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12
Q

All people, over the age of 50 should receive what vaccine regardless of illness status?

A

Inactivated Herpes Zoster Virus

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13
Q

What oral diabetes agents can best increase weight loss?

A

-glutides

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14
Q

Bacterial Conjunctivitis topical bacteria of choice?

A

Trimethoprim-polymyxin

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15
Q

Rivaroxaban should be stopped how many days before a surgery?

A

3 days before a surgery

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16
Q

Melasma is a hyperpigmentation disorder that occurs mostly on sun exposed areas. What is the treatment of that?

A

Strict sunscreen and sun exposure limitation

17
Q

If a woman over 40 years old has no menstrual cycles over a year, menopause is presumed. Is any further testing needed?

A

No, hormones and other work up is done only if menopause occurs before age 40

18
Q

What is the first HA treatment after doxycycline?

A

Oral Retinoid, should not be given with doxycycline, can cause Idiopathic Intracranial Hypertension

19
Q

In HA, what is the best treatment after doxycycline and Oral Retinoids?

A

Adalimumab

20
Q

What is a superficial skin infection, thin/atrophic finely wrinkled pink-brown plaques in the intertriginous areas?

What is the treatment of choice?

A

Erythasma

Wood’s Lamp

21
Q

If a patient has had CABG, runs several miles a day and wants Viagra, can they have it?

A

yes

22
Q

Androgenic Alopecia is what?

Alopecia Areata is what?

A

Normal Male pattern baldness

Non scaring hair loss, “exclamation points”

23
Q

What is another name for exanthematous rash?

A

Morbilliform rash

24
Q

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

A

none

25
Q

When there is unexplained vaginal discharge, before medication is administered, what is the next best step?

A

Saline and potassium hydroxide wet mounts

26
Q

The USPTF recommends calculating what in all males between age 40-75 years, regardless of exercise tolerance?

A

ASCVD score

27
Q

How is inflamed seborrheic keratosis treated?

A

Cryotherapy

28
Q

What is the first line medication for obesity to encourage weight loss?

A

Liraglutide

29
Q

What is the best Migraine with aura birth control treatment? (not copper IUD)

A

Levonorgesterol-releasing uterine device

30
Q

MELD score above what number can be detremintal to patients?

A

8-10

31
Q

Cannot lose weight, BMI over 40, bad knees, what is the next best step?

A

do bariatric surgery

32
Q

Trichomonas treatment, first line, not pregnant?

A

Oral MTZ

33
Q

No thromboemoblic risk, what is the list line menopause treatment?

A

Transdermal Estrogen

34
Q

An 81-year-old COPD patient needs pre-operative hip surgery clearance, what test is next? Ambient on room air

A

Frailty Assessment

35
Q

Unexplained vaginal bleeding after 45 years old or vaginal bleeding less than 45 years old with risk factors equals what?

A

Endometrial Biopsy

36
Q

A patient taking warfarin before a surgery, how long should the stop before surgery? How long after surgery should they restart it?

A

5 days before

12 hours after surgery can restart

37
Q 
Fever
Tonsillar Exudates
Tender Cervical Lymphadenopathy
No cough
These are what?
A

Centor Criteria

38
Q

Centor Criteria greater than 3 is code for what?

A

Give abx (penicillin or cephalexin)

39
Q

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?

A

Erythrodermic Psoriasis

Step 3 and Residency Flashcards (19 decks)

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