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PGY-2 > Primary Care/Hopkins > Flashcards

Primary Care/Hopkins Flashcards

1
Q

HIV- when should viral load be undetecable

A

3 months

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2
Q

Immunity following zoster infection

A

lasts for around 3 years

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3
Q

AOM w/ ruptured TM

A

topical + oral antibiotics for adult patients

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4
Q

AOM complications

A

mastoiditis
meningitis
labrynthitis
abscesses (brain, epidural, subdural)

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5
Q

How to start insulin for T2DM

A

10 units glargine at night or .2-.3units/kg

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6
Q

How to adjust basal insulin for T2DM

A

q3d, 2 units for 130-180, 4 units for 180+

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7
Q

Exenatide

A

GLP1 receptor agonist

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8
Q

GLP1 agonists

A

Mimic incretins
Injections
Increased risk of pancreatitis, MTC

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9
Q

SGLT2 inhibitors

A
  • UTI, yeast infections

- Avoid in CKD, risk of fractures, DKA

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10
Q

Canaglifozin

A

SGLT2 inhibitors

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11
Q

Microcytic Anemia - differential

A 
F: Fe
L: Lead poisoning
A: ACD
T: thal
S: sideroblastic
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12
Q

Ferritin and IDA

A

Ferritin is LOW

high with inflammation

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13
Q

Rotterdham Criteria

A 
PCOS
2/3 of
1) anovulatory cycles
2) signs/labs consistent with hyperandrogenism
3) polycystic ovaries
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14
Q

Eye changes in DM

A

T2DM- macular edema

T1DM- proliferative

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15
Q

Lung Disease in Crohn’s

A

necrobiotic nodules

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16
Q

Most common eye disease in HIV

A

CMV retinitis, CD4 less than 100

17
Q

Most common cause of viral conjunctivitis

A

adenovirus

18
Q

Most common causes of bacterial conjunctivitis

A

H flu

S pneumo

19
Q

Adenoma Size requiring more frequent colonoscopy

A

greater than 10mm (q3y)

20
Q

Drug most commonly associated with drug induced liver injury

A

Augmentin!

typically cholestatic

21
Q

Acute Gout Treatment

A

Steroids or NSAIDS&raquo_space; colchicine

22
Q

Allopurinol AE

A

severe cutaneous rxn

23
Q

Secondary Causes of HTN: A

A

Apnea (OSA)

Alcohol

24
Q

Secondary Causes of HTN: B

A

Bad Kidneys: RAS, CRF, PCKD

25
Q

Secondary Causes of HTN: C

A

Coractation of Aorta

26
Q

Secondary Causes of HTN: D

A

Drugs, Diet

27
Q

Secondary Causes of HTN: E

A

Endocrine: hyperaldosterone, hyperthyroidism, acromegaly, cushings disease, pheochromcytoma

28
Q

HLD screening

A

males 35, females 45

earlier if risk factors (DM, family history of CVD, smoking, HTN)

29
Q

Family history of CVD- ages

A

males: 50
females: 60

30
Q

Lipid Screening for children

A

ages 9-11 and 17-21

31
Q

Indications for Statins

A

1) LDL > 190
2) Clinical CVD
3) ASCVD >7.5%
4) DM age 40-75

32
Q

TZD

A

insulin sensitization
Avoid in CHF/risk of fluid retention
Pioglitazone

33
Q

Insulin secreatogogues

A

sulfonylureas and glitinides

PGY-2 (21 decks)

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