Kaplan

Question 1

First steps for ST segment elevation vs ST segment depression

Answer 1

ST segment elevation: 1st step is aspirin then angioplasty/thrombolytics

ST segment depression: 1st step is aspirin then LMWH to prevent further clotting

Question 2

FAP is caused by mutation in APC gene on chromosome 5. Pts need proctocolectomy if diagnoseD. There are different types such as gardner and turcot. What other symp are assoc with those.

Answer 2

Gardner: osteomas, epidermal inclusion cysts, congenital hypertrophy of the retinal pigment epithelium

Turcot: CNS tumors

Question 3

To treat allergic rhinitis, you can give intranasal glucocorticoids, oral anti-histamine and nasal phenylephrine. If no improvement after one week of treatment, what’s next?

Answer 3

10 day oral course of glucocorticoids

Question 4

Mefloquine is the preferred medication for malaria chemoppx in chloroquine-resistant areas. What are some contraindications? What’s an alternative?

Answer 4

contraindications: cardiac conduction abnormalities, neuropsych disorders, seizure disorder

use doxycycline instead