MKSAP STOCK6 Flashcards
What is the maneuver to treat benign paroxysmal positional vertigo?
Epley Maneuver (Canalith Repositioning Maneuver)
What are the indications for pharmacologic treatment of obesity
BMI over 30 or BMI over 27 with associated comorbidities
What is the routine preoperative diagnostic testing in healthy patients undergoing low risk surgery?
No preop diagnostic testing required
What are four symptoms that can be used to distinguish depression from anticipatory grief in the setting of terminal illness?
Guilt, Hopelessness, Helplessness, and Worthlessness
What is the recommended mgmt of systemic exertion intolerance disease (formerly chronic fatigue syndrome)
Cognitive Behavioral Therapy
What is adjuvant therapy for tuberculous meningitis?
Glucocorticoids
What are 3 physical findings of Acromioclavicular joint degeneration?
Pain located on the superior aspect of the shoulder, tenderness to palpation of the acromioclavicular joint, and pain with shoulder adduction and abduction beyond 120 degrees
What is the first line therapy for stress urinary incontinence?
Pelvic Floor muscle training (Kegels)
What are two indications for postop RBC xfusion in a patient with cardiovascular disease?
Sx attributable to anemia and Hgb level below 7-8
What eating disorder is characterized by frequent episodes of binge eating followed by self-induced vomiting?
Bulimia Nervosa
What is the management of hyperlipidemia in a patient with atherosclerotic cardiovascular dz who cannot tolerate a high intensity statin?
Moderate Intensity Statin (consider PCSK9 inhibitor)
What is the preoperative pulmonary evaluation for patients with no history of cardiopulmonary disease or symptoms?
None indicated
What is the cardiac screening in asymptomatic persons at low risk for CV disease?
None indicated
What are three conservative measures for severe OSA in the postop period?
Nonsupine positioning, limited use of sedatives and opioids, and continuous pulse ox
What is the cervical cancer screening modality and interval in women aged 21-30?
Cytology (Pap) q3 years
What is the mgmt of a palpable breast mass in a postmenopausal woman with a normal mammogram?
Biopsy
What is the expected time to improvement in patients with appropriately treated ventilator-associated pneumonia?
72 hours
What are four factors that correspond to the presence of decision making capacity?
Understanding relevant information, appreciation of the situation and possible consequences, ability to manipulate information rationally, and ability to make a reasoned choice
Antibiotic therapy for suspected Rocky Mountain Spotted Fever?
Doxycycline
What are the elements of the SPIKES protocol for breaking bad news?
Setting, Perception, Invitation, Knowledge, Empathy, and Strategize
What is the sensory screening indicated for older patients with cognitive dysfunction?
Screening for hearing loss
What is the best approach to glycemic control in the patient with DM in the immediate perioperative period?
Administration of long acting insulin
What is the standard statistical outcome measure for cohort studies?
Relative Risk
What are 5 risk factors for an adverse driving event in an older patient?
Cognitive dysfunction, Caregiver report of unsafe skills, History of citations or accidents, impaired mobility, and visual impairment
What type of screening bias is associated with overrepresentation of indolent disease in the screen-detected cohort?
Length Time Bias
What are two initial nonhormonal treatments for primary dysmenorrhea?
NSAIDs and COX-2 inhibitors
What are four physical interventions for subacute and chronic nonspecific low back pain?
Exercise, massage, spinal manipulation, and yoga?
What is the antibiotic therapy for otitis media with effusion?
None indicated
Symptomatic care for refractory dyspnea at the end of life
Systemic opioids
What are 2 criteria to identifty patients aged 55-80 who are most likely to benefit from lung cancer screening with annual low-dose CT
Smoking Hx >30 years and current smoking or quitting within the last 15 years
What condition is characterized by unilateral eye pain, photophobia, and ciliary flush?
Uveitis
What diagnosis is associated with pain and tenderness near the medial plantar heel surface that occurs with the first few steps taken after prolonged inactivity?
Plantar Fasciitis
What oral supplement decreases fall risk in older adults?
Vitamin D
What is the optimal time to obtain a testosterone level in the evaluation of hypogonadism?
Morning
What are three lifesytle modifications to treat erectile dysfunction in obese patients
Weight loss, exercise, and smoking cessation
What is the first step in the mgmt of prepatellar bursitis?
Bursal Fluid Aspiration
What is a cause of focal neurologic signs, headache, fever, and seizure in a patient with AIDS?
CNS toxoplasmosis
What is the perioperative medication mgmt in patients receiving chronic low-dose glucocorticoids (less than 10 mg)
Administer the usual dose of glucocorticoid the morning of surgery
Contraception method that is contraindicated in women with migraine with aura?
Estrogen Containing contraceptive
What is the quality improvement model that focuses on eliminating non-value added activities or waste within a system?
The Lean Model
What are two FDA approved pharmacologic treatments for the depressive phase of bipolar I?
Quetiapine monotherapy, combo of olanzepine-fluoxetine
What are two visual screening tests to perform before initiating ethambutol therapy for TB?
Color discrimination and visual acuity
What is the antibiotic management for S. aureus with a vancomycin MIC of >2 ug/ml
Daptomycin
Syndrome characterized by acute low back pain, saddle anesthesia, and urinary retention
Cauda equina syndrome
What physical exam maneuver alleviates the pain of epididymitis?
Testicular Elevation
What is the type of mattress that reduces the risk for pressure ulcers?
Advanced static mattress or overlay
What is the recommended mgmt of medically unexplained symptoms?
Cognitive Behavioral Therapy
What is the minimum life expectancy required to benefit from a screening mammography?
10 years
What is the primary treatment of lateral epicondylosis
Avoidance of activities that cause pain
What condition is associated with hip pain reproduced by FABER (Flexion, Abduction, External Rotation) but no pain with passive ROM?
Sacroiliitis
What is the management of a patient who has undergone direct to consumer genetic testing and is identified as having an increased risk for genetic disease?
Obtain a three-generation family history
What are 3 components in the management of disequilibrium?
Physical therapy, visual and auditory screening and corrections, and mobility aids as needed
What is the initial mgmt for palpable breast mass in a woman younger than 35?
US
What is the indication for osteoporosis screening in women based on future Fracture Risk Assessment (FRAX) score calculation?
10 year risk of osteoporotic fracture >9.3%
What are two effective topical treatments for postherpetic neuralgia?
Topical lidocaine and topical capsaicin
What is the indication for high intensity statin therapy in a patient aged 40-75 years with DM who is otherwise healthy?
LDL-C of 70-189 and estimated ASCVD of >7.5%
