NBME 10 Flashcards
what is issue in ataxia telangiectasia?
DNA repair gene
rx of delusional disorder?
AP and psychotehrapy
what drug of abuse can cause nystagmus?
PCP
if patient outside of 4.5 hour window with an acute stroke, what med do you guve?
aspirin
patient has lymphadenitis with granulomas on biopsy, what is bug?
mycobacterium avium
what is rx for mycobacterium aviu lyphadenitis?
remove the lymph node
what age to start screening for lipids?
35-40
pt with HIV has 6mm TB test, what is next step?
CXR, if not active then treat latent disease
what is common treatment regimen for latent TB?
9mos of isoniazid
mirabegron is used to treat whatbladder issue?
overactive bladder
patient with late term fetal demise should have what in late term of next pregnancy?
fetal non stress test every week after 32 week s
what is test to monitor for diabetic nephropathy?
urine microalbumin
when do you use ANOVA?
when comparing 3 or more groups
when do you use chi square test?
two qualitative variables
can brain dead patient be let go without family permission?
you bet
patient has persistently high hcg after d and c, what is going on?
gestational trophoblastic neoplasia
what are sx of gestational trophoblastic neoplasia?
abdominal pain, vaginal bleeding and high hcg
epinephrine and what for anaphylaxis?
normal saline
first line rx of ttp?
plasmapheresis
griseofulvin and terbinafine both have what significant side effect?
hepatotoxicity
does OCP use increase or decrease risk of ovarian cancer?
increase
what are the risk factors for ovarian cancer?
pretty mch the same as breast cancer
what are two forms of leishmaniasis?
visceral and cutaneous
describe cutaneous leishamniasis
small papule turns into big ulcer
describe viscerla leishmaniasis
slow onset fever, malaise, weight loss and organomegaly
what is rx of whipple disease?
ctx and then bactrim for a year
what AB is + in PBC?
antimitochondrial
what is rx of PBC?
ursodeoxycholic acid
what is rx of post partum thyroiditis?
metoprolol if they are symptomatic, nothing if not
what causes gestational diabetes?
human placental lactogen
3 possible meds for cardiogenic shock
dobamine, dobutamine and NE
what is rx of MS between episodes?
interferon beta therapy
what bug causes seborrheic derm? what is rx?
malassezia…ketoconazole
any dental ppx for patients with no spleen?
NO
what is only potential cure for SCID?
stem cell transplant
what are clinical manifestations of chediak higashi syndrome?
frequent infection
peripheral neuropathy
albinism and neurologic dysfunction
what abx known for causing agranulocytosis
bactrim
does TCA cause hypo or hypertension?
will cause hypotension
what is hyphema
accummulation of blood in anterior chamber of ey
what causes hyphema?
blunt trauma to eye
what are sx of hyphema?
blurred vision and pain
low neutrophils and infection in patient with RA is what?
felty syndrome
3 groups that get dental work ppx
previous endocarditis, currently has prosthetic valve, has unrepaired congenital heart lesion
CT angiogaphy is also known as what?
spiral CT scan
what is lamivudine used to treat?
Hep B
what are treatment regimens for Hep C/
ledipasvir-sofosbuvir and glecaprevir-pibrentasvir
what is FeNa in pre renal AKI?
less than 1%
do pregnant patients get Tdap? if so when?
yes…when 27-36 weeks pregnant
what is biggest risk with amniocentesis?
PPROm
aside from gabapentin, what else can help with neuropathic pain? medication wise
nortyptiline…TCAs
what is a type II error?
conclude there is no difference between null and hypothesis when there really is
what tells you whether type II error is likely?
power of the study…which is based in sample size…low sample size low power
what is rx of IBS-d for the diarrhea specifically?
loperamide
first line therapy of pituitary prolactinoma regardless of sex?
bromocriptine
