ITE

Question 1

Diabetes med associated with weight loss

Answer 1

GLP-1 agonist - Byetta

Question 2

6 yo w/ head lice, s/p tx with permethrin shampoo; still with head lice, recommendations?

Answer 2

Let her go to school; repeat permethrin shampoo in 6 days.

Question 3

Screening, w/ highest false positives

Answer 3

PSA

Question 4

JNC 8 Hypertension Guidelines

Answer 4

treat to 150/90 mm Hg in patients over age 60 and 140/90 for everybody else

Question 5

What tx is effective both for acute and chronic tx of supra ventricular tachycardia

Answer 5

verapamil

Question 6

What test to order for microcytosis and high RDW

Answer 6

Hgb electrophoresis

Question 7

What pain medication should be avoided in patients with hepatic dysfunction

Answer 7

Methadone.

Question 8

2nd generation antihistamine that causes sedation

Answer 8

Zyrtec; certirizine

Question 9

DLCO is low, FVC is low. FEV1/FVC is quite normal, what lung disease is this?

Answer 9

IPF

Question 10

What medication will help a patient w/ renal disease, osteopenia stop drinking alcohol?

Answer 10

Naltrexone

Question 11

What anti-depressant should be avoided in elderly?

Answer 11

Paxil

Question 12

Screening for autism occurs at what ages?

Answer 12

18mon and 24 mon

Question 13

Gout medication ok to give w/ CKD

Answer 13

prednisone

Question 14

Should you debride an eschar over the heel?

Answer 14

No

Question 15

If TSH and T4 is low in the setting of sickness

Answer 15

Euthyroid Sick Syndrome

Question 16

Surveillance after dx of Barrett Esophagus

Answer 16

q3yr endoscopy

Question 17

what is more characteristic of crohn’s than UC

Answer 17

perianal manifestations

Question 18

Initiate osteoporosis therapy if 10 year osteoporosis score is > what percent

Answer 18

10%

Question 19

tx for bronchiolitis

Answer 19

nebulize hypertonic saline

Question 20

expect physiological change in elderly

Answer 20

wider pulse pressure

Question 21

Herbal supplement for DJD

Answer 21

S-Adenosyl-L-methione

Question 22

Abx for traveler’s diarrhea

Answer 22

Azithromycin

Question 23

Where should an interpreter sit

Answer 23

next to patient or behind pt

Question 24

What age should iron supplementation start for a term infant w/ IDA?

Answer 24

4 months

Question 25

What med can cause low B12 level?

Answer 25

metformin

Question 26

fasting glucose level for a gestational diabetes pt

Answer 26

< 95

Question 27

Herbal remedy that reduces cramping in IBS

Answer 27

peppermint oil

Question 28

drug eluting stent, afterwards, what anti platelet therapy to use?

Answer 28

aspirin and clopidogrel x 6mon - 12 mon

Question 29

best way to reduce K in hyperkalemia

Answer 29

glucose and insulin

Question 30

length of anticoagulation after PE w/ provoking factor

Answer 30

3 mon

Question 31

best lab test to see if pt has HF vs. PNA

Answer 31

procalcitonin; BNP

Question 32

long term PPI use leads to what infection

Answer 32

c. diff