MKSAP IM V

Question 1

Definition of orthostatic hypotension

Answer 1

reduction of 20mmHg in SBP or 10 mmHg drop in DBP

Question 2

Male patients with urgency urinary incontinence who have not achieved satisfactory relief of symptoms with behavioral therapy may benefit from the use of ____.

Answer 2

anticholinergic agents or mirabegron

Finasteride (5alpha-reductase inhibitor) will not help. This is for BPH and in a patient who has a post void residual that suggest that the outlet obstruction has been addressed (with tamsulosin), there will be no benefit.

Question 3

In adult patients, first-line therapy for symptomatic left-sided varicocele that is not associated with testicular atrophy or infertility is ___.

Answer 3

analgesic agents and scrotal support.

Question 4

Typical features include eye pain, pain with gentle palpation of the globe, and photophobia.

Answer 4

Scleritis (associated with RA)

Question 5

What medicine do you avoid after bariatric surgery?

Answer 5

NSAIDS. Due to risk of bleeding.

Question 6

Before initiating hormonal contraception, a _____ result must be documented if 7 days have passed since the onset of the last menstrual period.

Answer 6

negative pregnancy test

Question 7

First-line treatment of acute low back pain is ______, including acupuncture, massage, spinal manipulation, and superficial heat; most patients will improve over time, regardless of the treatment chosen.

Answer 7

nonpharmacologic therapy, not even APAP (not shown to improve). NSAIDs can help too

Question 8

____, in low doses, is the only antidepressant FDA approved for the treatment of insomnia.

Answer 8

Doxepin

Question 9

paresthesias and pain that typically worsen with activities that involve continued use of the arm or hand, especially those that include elevation of the arm; first-line therapy includes improving posture and strengthening the shoulder girdle muscles.

Answer 9

Neurogenic thoracic outlet syndrome

Question 10

All patients with sudden sensorineural hearing loss should undergo audiometric evaluation, and most patients will require ____.

Answer 10

MRI

Question 11

Right-sided hearing loss and the finding of lateralization to the left ear on Weber testing support the diagnosis of ______ hearing loss.

Answer 11

Sensorineural

Question 12

_____ are superior to standard gauze dressings in the treatment of pressure injuries; protein supplements and the use of electrical stimulation to accelerate wound healing are also recommended treatment strategies.

Answer 12

Hydrocolloid or foam dressings

Question 13

In older men and persons who practice insertive anal intercourse, infectious epididymitis should be treated with ____ and ____.

Answer 13

ceftriaxone and a fluoroquinolone, such as levofloxacin (to cover pseudomonas)

Question 14

What do you give to cover for chlamydia if they are intolerant to doxy?

Answer 14

Azithromycin

Question 15

The American Psychiatric Association recommends long-term maintenance therapy for patients with ____ or more episodes of major depressive disorder, persistent depressive disorder, or residual depressive symptoms; the antidepressant dosage that was effective in acute treatment should be continued for long-term maintenance.

Answer 15

three

Question 16

“red flag” findings that would warrant imaging, whether in the form of plain radiography or MRI for cervical radiculopathy (3)

Answer 16

1. constitutional symptoms
2. concern for malignancy
3. progressive neurologic symptoms
4. myelopathic findings such as difficulty writing, gait disturbance, hypertonia, hyperreflexia, or problems with fine manipulation.