Quiz 3

Question 1

Initial treatment for HTN

Answer 1

ACEi, ARBs, CCB, Thiazides

Not BB

Question 2

polymyalgia rheumatica

Answer 2

bilateral shoulder pain and stiffness
accompanied by upper arm tenderness. On examination there is soreness about both shoulders
and the patient has great difficulty raising his arms above his shoulders.

The treatment response to 15
mg of prednisone daily is dramatic, often within 24–48 hours

Question 3

Elective abortion is against the physician’s

personally held moral principles.

Answer 3

hysicians are not compelled
to perform any act that violates their moral principles, the AAFP also states that physicians do have a
responsibility to provide resources

Question 4

severe diabetic foot ulcer.

Answer 4

Piperacillin/tazobactam and
vancomycin would be the most appropriate choice of antibiotics because together they cover the most
common pathogens in diabetic foot ulcers, as well as MRSA,
polymicrobial and can include gram-positive
cocci, gram-negative bacilli, and anaerobic pathogens.

Question 5

euvolemic but have hyponatremia, decreased serum osmolality, and elevated urine
osmolality,

serum sodium level of 125 mEq/L (N
135–145). His serum osmolality is 268 mOsm/kg (N 275–290). His urine sodium level is 50
mEq/L (N <20) and his urine osmolality is 300 mOsm/kg.

Answer 5

syndrome of inappropriate secretion of antidiuretic hormone (SIADH)

Common drugs that cause SIADH include SSRIs (sertraline)(particularly in patients over 65),
chlorpropamide, barbiturates, carbamazepine, opioids, tolbutamide, vincristine, diuretics, and NSAIDs.

Question 6

Which one of the following is the most common cause of unintentional deaths in children?

Answer 6

Motor vehicle accidents

Question 7

FVC is <80% of predicted, his FEV1/FVC is 90% of predicted,
diffusing capacity of the lung for carbon monoxide
(DLCO) is also low.

Answer 7

Pulmonary fibrosis

Question 8

acute pericarditis

Answer 8

treated empirically with colchicine and/or NSAIDs

Question 9

Weight classification for kids:

overweight, under, obese, …

Answer 9

Children under the age
of 2 years are identified as being overweight when their weight-for-length ratio exceeds the 95th percentile
for their sex.
Children age 2–18 years
are appropriately classified as underweight when their BMI falls below the 5th percentile, healthy weight
when their BMI is between the 5th and 85th percentile, overweight when their BMI is between the 85th
and 94th percentile, and obese when their BMI is in the 95th or greater percentile.

Question 10

Primary amenorrhea

Answer 10

Primary amenorrhea is defined as a history of no menses in a female 13 years of age or older with no
pubertal development, or 5 years after initial breast development, or in a patient older than 15 years.

Question 11

Turner Syndrome dx

Answer 11

If the patient has dysmorphic features such as short stature, a low hairline, or
a webbed neck, the suspicion for Turner’s syndrome should be high. While FSH and LH levels may be
elevated, the definitive diagnosis would be made from a karyotype. Primary amenorrhea