ITE

Question 1

SMART choice inhaler

Answer 1

Budesonide/Formeterol

Question 1

Treatment in Hypothermic patients

Answer 1

Warm NS. Cant metabolize lactate

Question 2

PMR treatment

Answer 2

Steroids and Methotrexate?

Question 3

Soft tissue masses to investigate futher

Answer 3

If more than 5 cm, stuck to other structures, suddenly presented or rapid growth

Question 4

Fluoride supplementation

Answer 4

Varnish is applied when primary tooth erupts then twice yearly
Supplement at 6 months IF water is deficient

Question 5

Which MSK condition can a steroid injection be curative?

Answer 5

Dequirvein Tenosynovitis

Question 5

When do Trangenders start hormonal therapy?

Answer 5

Tanner stage 2 (initial stage of puberty

Question 5

Choice of treatment for post menopausal women?

Answer 5

SSRI/SNRIs, systemic estrogen (add progesterone if they have uterus), GABAPENTIN

Question 5

Cord compression symptoms

Answer 5

Hypereflexia, loss of sensation in 4 extremities, urinary/bowel issues, gait issues

Question 6

How much life can be increased in a patient receiving hospice?

Answer 6

3 months

Question 7

Treatment of stable angina in CAD

Answer 7

Sublingual nitrates>BB>CCBs>Ranexa/nitrates

Question 8

Trigger finger

Answer 8

Locking/catching sensation while extending and flexing finger. May feel a nodule. Steroids work really well.

Question 9

Posterior tibialis tendinopathy

Answer 9

Overuse injury.
Posteromedial pain
If not treated, can lead to flat foot.

Question 10

Further reducing BP to <135/85 reduces mortality of what?

Answer 10

MI

Question 11

Jersey Finger

Answer 11

FDP rupture. Usually involve hyperextension at ring finger. Cannot flex. Needs immediate surgical referral.

Question 12

RBBB and LBBB

Answer 12

V1 and V6 is involved
- LBBB (MI): WilliaM
- RBBB (PE): MarroW

Question 13

Hypertension work up and management in kids

Answer 13

Stage 1 and >6Y + Overweight: If considering medication, need Echo
Stage 2 and >6Y: Would need work up for secondary causes

Question 14

Peroneal Tendinopathy

Answer 14

Pain from lateral heel to midfoot.

Question 15

Uncommon side effect of SSRIs

Answer 15

Boobs and inc risk of GIB

Question 16

Treatment of Metatarsus Adductus

Answer 16

Orthotics. Sx rarely needed.

Question 17

Syphilis PPx

Answer 17

Give one dose of penicillin if contact <90 days

Question 18

Trigger finger first line treatment

Answer 18

Splinting in extension can resolve symptoms

Question 19

False positive for Opioids

Answer 19

Wellbutrin, Trazadone, labatolol

Question 20

FPs for benzos

Answer 20

zoloft

Question 21

FPs for cannabis

Answer 21

PPIs

Question 22

FPs for Opioids

Question 23

Screening for colorectal survivors

Answer 23

Just CEA

Question 24

Cardiac resynchronization in HF

Answer 24

Symptomatic HF EF <35% and LBBB

Question 25

What to do if a patient cant tolerate statins?

Answer 25

Can start ezetimibe and a statin together

Question 26

Cardinal signs of chronic rhinosinusitis

Answer 26

Nasal drainage and obstruction, facial pain/pressure, hyperosmia/Anosmia, objective finding on exam or radio. 2/4 need to be met.

Question 27

H pylori testing

Answer 27

Not for simple GERD but yes for dyspepsia

Question 28

AV Nodal Ablation for A.fib

Answer 28

If patients refractory to medical treatment. Need to be anti-coagulated for at least a month prior.

Question 29

Acute uncomplicated LBP with or with or without radiculopathy need imaging?

Answer 29

NO