PANCE 2

Question 1

What is the first line pharmacological treatment for narcolepsy

what is a non pharmacological treatment?

Answer 1

Modafinil is the first-line medication in the treatment of narcolepsy. It has a low abuse potential, and unlike other stimulants, it is not associated with rebound hyper somnolence

If a question ask non pharmacologic treatment it is scheduling naps

Question 2

Case
A 77-year-old man presents with a rash. The patient states that the rash began a few months ago as several small, reddish-brown spots on his shoulders. Over time the spots became bigger, with some of them growing together to form large, well-defined patches. The surrounding skin was not affected. He denies any fever, and he states that he has never had this before. His past medical history is significant for hypertension and obesity. He is otherwise healthy, and he denies any other symptoms.

On physical exam, he is a well-developed obese man in no acute distress. He has large areas of well-defined patches that have various shades of brown. Examination of skin scrapings under a microscope shows hyphae.

Question
This condition is usually caused by what organism?

Answer 2

Tinea versicolor is a common fungal infection. It is common in adults and adolescents. The most commonly affected areas include the chest, back, and shoulders. Occasionally, it can be found on the face. It causes the affected skin to change color and become either lighter or darker. It was believed to be caused by a yeast called Malassezia furfur,

Question 3

a young child with scoliosis, under 30 degrees, how often do you do a follow up x ray?

Answer 3

every 3 months.

Question 4

Case
A 77-year-old man presents with a rash. The patient states that the rash began a few months ago as several small, reddish-brown spots on his shoulders. Over time the spots became bigger, with some of them growing together to form large, well-defined patches. The surrounding skin was not affected. He denies any fever, and he states that he has never had this before. His past medical history is significant for hypertension and obesity. He is otherwise healthy, and he denies any other symptoms.

On physical exam, he is a well-developed obese man in no acute distress. He has large areas of well-defined patches that have various shades of brown. Examination of skin scrapings under a microscope shows hyphae.

Question
This condition is usually caused by what organism?

Answer 4

a combo of chemo meds and possible radiation

Question 5

when are colonoscopies no longer recommended?

Answer 5

(USPSTF) recommend against screening for colon cancer in asymptomatic persons over 85 who have had adequate screening in the past

Question 6

medication used for acetaminophen overdose

Answer 6

Acetylcysteine (Mucomyst)

Question 7

what holds the highest risk for MI? DM,Smoking, htn, obesity?

Answer 7

DM