GIM Qs

Question 1

Study that yields:
odds ratio
NNT
Relative risk

Answer 1

Case ontrol
RCTs
Cohort

Question 2

Sacroiliitis - no pain with?

Answer 2

Passive ROM of the hips

Question 3

Piriformis syndrome? Sx?

Answer 3

compression of the sciatic nerve by the piriformis muscle

symptoms similar to sciatic nerve compression in the lumbosacral spine, with pain, tingling, and numbness that radiate into the leg,

Question 4

Patients presenting in the depressive phase of bipolar disorder have two treatment options?

Answer 4

quetiapine monotherapy or combination olanzapine-fluoxetine

Question 5

Conservative postoperative measures that may reduce the risk of pulmonary complications from suspected obstructive sleep apnea?

Answer 5

nonsupine positioning,

careful use of sedatives, and continuous pulse oximetry.

Question 6

When do patients on prednisone NOT need stress dose steroids for surgery?

Answer 6

if taking <10 mg

Question 7

Sx unique to depression and not seen in normal grief?

Answer 7

Guilt/Self-blame

Question 8

Heel pad syndrome? Caused by? PE findings?

Answer 8

ocalized inflammation of the soft tissues overlying the heel and is often caused by walking barefoot on hard surfaces

pain in the middle of the heel that is reproducible on examination, and atrophy of the heel fat pad

Question 9

Lateral collateral ligament tears are associated with?

Patients with medial collateral ligament tears typically present with?

Answer 9

effusion + lateral joint line tenderness and increased laxity with varus-directed forces

effusion + medial knee pain and increased laxity with valgus stress testing

Question 10

meniscal tears - history?

Answer 10

able to bear weight immediately after the injury and are often able to continue participating in the activity

+/- effusion

Question 11

If you must give abx for sinusitis, give?

Answer 11

amoxicillin-clavulanate or doxycycline

Question 12

Panic disorder - first line treatment?

Answer 12

SSRI

Question 13

In women taking systemic estrogen therapy for management of menopausal symptoms, concurrent progestin is not indicated if?

Answer 13

without a uterus

Question 14

Teratogenic cardiac meds?

Answer 14

Statins, ACE inhibitors, and angiotensin receptor blockers

Question 15

necessary in patients with unstageable pressure ulcers with eschar?

Answer 15

Debridgement

Question 16

Opiate to avoid in kidney failure?

Answer 16

Morphine

Question 17

How to assess the effectiveness of new statin treatment?

Answer 17

repeat fasting lipid panel is appropriate 1 to 3 months after initiation

Question 18

Treatment of cerumen impaction is indicated only if?

Answer 18

symptomatic

Question 19

thromboembolism prophylaxis in patients who have undergone cancer? Give for?

Answer 19

LMWH; 1 month

Question 20

Treat moderate dry age-related macular degeneration with?

Answer 20

high-dose antioxidants

Question 21

High ankle sprains - PE finding?

Answer 21

pain is typically elicited by medial-lateral compression of the leg at the mid-calf level (squeeze test) or by having the patient cross his legs with the mid-calf of the painful leg resting on the other knee (crossed-leg test).

Question 22

Tarsal tunnel syndrome is caused by?

Answer 22

compression of the posterior tibial nerve;

Question 23

Otosclerosis - sounds affected? tinnitus? Best test?

Answer 23

low pitch loss; no tinnitus; Weber and Rinne?

Question 24

Sensorineural hearing loss results from?

Risk factors?

Answer 24

decreased sound perception due to disorders of the cochlea or acoustic nerve;

age (presbycusis), exposure to loud noise, and ototoxic medications.

Question 25

Patients with POAG present with? Findings on examination? Occular pressure?

Answer 25

bilateral peripheral visual loss that occurs gradually and painlessly;

increased cup:disc ratio, vertical extension of the central cup, and disc hemorrhages

> 22

Question 26

primary treatment for open angle glaucoma?

Answer 26

β-Blockers have traditionally been used as first-line therapy