Miscellaneous

Question 1

What is the best initial imaging study to assess acute chest pain?

Answer 1

A PA and lateral chest radiograph. While they do not confirm or rule out the presence of myocardial ischemia, other causes of chest pain may be evident, such as pneumothorax, pneumonia, or heart failure. The chest film may also provide clues about other possible diagnoses, such as pulmonary embolism, aortic disease, or neoplasia.

Question 2

In the U.S., what is the most common nutritional deficiency?

Answer 2

Iron

Question 3

What is the average time a healthy person over the age of 60 should be able to do the Get Up and Go test?

Answer 3

10 seconds

Question 4

What is the best management of chronic fatigue syndrome when no underlying cause is identified?

Answer 4

Cognitive behavioral therapy or graded exercise therapy

Question 5

How is narcolepsy managed?

Answer 5

Treatment involves improving both the quantity and quality of sleep during the night, which can be accomplished with sodium oxybate. This improves daytime alertness and cataplexy. Scheduling naps is the second important aspect of managing narcolepsy. The third important step is the use of stimulants such as methylphenidate to improve function during the day.