MKSAP IM II Flashcards
___ is characterized by loss of shoulder movement accompanied by pain; examination discloses significant loss of both active and passive range of motion. Poorly localized, progressive pain described as a deep aching with an insidious onset.
Adhesive capsulitis
Pain localized to the acromioclavicular joint. Physical examination findings include tenderness to palpation of the joint, pain with shoulder abduction beyond 120 degrees, and pain with passive shoulder adduction (a positive cross-arm test).
Acromioclavicular joint degeneration
Pain localized to the anterior shoulder that may radiate toward the deltoid and into the arm. Pain classically worsens with overhead activity. On examination, tenderness may be elicited by palpating the bicipital groove. Pain also can be reproduced by placing the patient’s ipsilateral arm at his or her side while flexing the elbow to 90 degrees and supinating against resistance (Yergason test).
Bicipital tendinitis
The most effective pharmacologic options for premature ejaculation is the combination of a _____, ____, and ___.
selective serotonin reuptake inhibitor plus a phosphodiesterase-5 inhibitor (like sildenafil) and topical anesthetics (like lidocaine gel)
White, atrophic patches on the genital and perianal skin. It is associated with dyspareunia, pain, and pruritus. Prepubertal girls and postmenopausal women appear to be at highest risk.
vulvar lichen sclerosus
Treated with potent topical glucocorticoid, such as clobetasol
Kava tea is associated with what SFX?
Liver damage
In people with hx of CAD, now stable and asymptomatic, who are going to get moderate-to-high risk surgery, what pre-op testing do you get?
EKG
Estrogen-containing hormonal contraceptives are contraindicated in women older than ____ who smoke more than _____ cigarettes a day because of an increased risk for venous thromboembolism.
25 years, 15
_____ has been shown to increase satiety and aid in achieving more than 5% weight loss after 52 weeks of therapy, and it may help the patient feel less hungry.
Liraglutide
The hallmarks of ____ are acute vision loss, eye pain with movement, color perception change, and afferent pupillary defect; results of a funduscopic examination may be normal.
optic neuritis
If the confidence interval for the odds ratio does not include the value 1, it supports that _______ of the findings.
Statistical significance
The validity of cross-sectional studies is particularly susceptible to ____ and ____.
recall bias and confounding
Recall bias is a systematic error that is introduced into a study by differences in the accuracy of the recollections of study participants; participants who have unpleasant experiences may recall past events differently than those who do not have similar experiences. Because cross-sectional studies are observational and not experimental, there is also no opportunity to randomly distribute factors that might influence the relationship being studied.
When is cervical cancer screening discontinued?
Age 65 only if pt has had adequate, negative, prior screening
Following diagnosis and treatment of a woman with Trichomonas vaginalis infection, the ____ should be treated and both individuals should be screened for other sexually transmitted infections; retesting of women for T. vaginalis infection within _____ of treatment is also recommended.
sexual partner; 3 months
At least one symptom of neurologic dysfunction (abnormal sensation or motor function) that is unexplained by a medical condition and not consistent with examination findings. Conversion disorder represents not fabrication of symptoms but rather unexplained symptoms that do not have a pathophysiologic basis. These symptoms, which are functionally limiting, occur during times of substantial physical, emotional, or psychological stress.
Conversion disorder
