Other

Question 1

MCC PID

Answer 1

Chlamydia ( C. trachomatis) or Gonorrhea (N. gonorrhea)

Question 2

Outpt Tx for PID

Answer 2

Cef 250mg IM once
+
Doxy 100 mg BID x14days

Question 3

Bleeding occurring with a closed cervical os during the first 1/2 of pregnancy

Answer 3

Threatened abortion

Question 4

Bleeding with leaking of amniotic fluid with the presence of cervical dilatation in first 1/2 of pregnancy

Answer 4

Inevitable abortion

Question 5

<30 years old and want to image breast mass

Answer 5

US

Question 6

Fibrocystic Breast “Disease” is dt what hormones

Answer 6

Estrogen predominance

Progesterone deficient

Question 7

MCC mastitis

Answer 7

Staph aureus

Question 8

TX of mastitis

Answer 8

Augmentin, Keflex, Dicloxacillin

MRSA- Clindamycin or Cipro
Bactrim but not if breast feeding

Question 9

rubbery moveable nontender breast mass

Answer 9

Needle bx

Fibroadenoma

Question 10

phyllodes tumor often mets to

Answer 10

LUNG (not LN)

Question 11

1st step in work up of nipple discharge

Answer 11

diagnostic mammogram

Question 12

when is mammography DEF recommended

Answer 12

50-65 q1yr

65-75 q2yr

Question 13

Scaly red crusting itching nipple that doesn’t respond to hydrocoritsol cream

Answer 13

Pagets Disease

Question 14

LH:FSH ratio >3

Answer 14

PCOS

Question 15

“string of pearls: on US

Answer 15

PCOS

Question 16

Indication for imaging of migraines

Answer 16

first or worst
new onset >50 yo
sudden onset/thunderclap
abnl neuro exam
rapid onset c strenuous activity
HA awakens from sleep
meningeal signs

Question 17

Tx of Cluster HA

Answer 17

triptans
oxygen
+/- corticosteroids to break cycle
prophylaxis: Verapamil 80mg

Question 18

What kind of tremor is seen in Parkinsons

Answer 18

rest tremor “pill rolling”

Question 19

Primary two treatments in Parkinsons

Answer 19

Levodopa/carbidopa (Sinemet)

Amantadine (Symmetrel)