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ABIM > Random Qs 2 > Flashcards

Random Qs 2 Flashcards

1
Q

holosystolic murmur with thrill

A

VSD

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2
Q

treatment of dermatomyositis

A

steroids and methotrexate or azathioprine

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3
Q

treatment of acute cholecystitis

A

antibiotics and cholecystectomy prior to hospital discharge

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4
Q

abnormal uterine bleeding in an obese woman who is <45

A

endometrial biopsy to eval for cancer

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5
Q

treatment of IgG-4 disease

A

rituximab

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6
Q

adjuvant therapy for localized breast CA after bilateral mastectomy

A

nothing, hormone therapy prevents new cancers, but only if breast tissue remains

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7
Q

undulent fever after travel

A

brucellosis

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8
Q

do you need to treat bacteruria prior to surgery?

A

Nope you and you shouldn’t check except urologis procedures

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9
Q

work-up for bronchiectasis

A

immunoglobulins

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10
Q

treatment of relapsed UC

A

infliximab & azathioprine

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11
Q

treating early stage hodgkin’s lymphoma

A

combination chemo followed by radiation therapy

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12
Q

scarring and blistering on sun exposed skin

A

porphyria cutanea tarda

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13
Q

treatment for scleroderma renal crisis

A

IV ACE inhibitor

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14
Q

treatment for GCA which is steroid sparing

A

tocilizumab (IL-6 blocker)

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15
Q

treatment for refractory gout

A

anakinra

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16
Q

How to treat prolactinemia in a patient taking risperidone

A

estrogen-progesterone replacement (let the prolactin stay)

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17
Q

treatment for a chill cellulitis

A

if nonpurulent: cefazolin, if purulent: bactrim or doxy

18
Q

traveler’s diarrhea prophylaxis in immunocompromised patients

A

rifaximin

19
Q

low-normal blood pressure, hypokalemic metabolic alkalosis, and, frequently, hypomagnesemia and high-normal serum calcium levels

A

Gitelman syndrome

20
Q

how do you diagnose CTEPH (initial test)

A

VQ scan

21
Q

treatment for severe malaria

A

artesunate

22
Q

treatment for hypermagnesemia

A

calcium gluconate and dialysis

23
Q

when to screen for secondary causes of hypertension

A

must be on four BP meds including a diuretic, or have lab/exam abnormalities

24
Q

high fever, headache, retro-orbital pain, myalgia, arthralgia, and lower back pain (break-bone fever); a positive tourniquet test is characteristic

A

dengue fever

25
Q

insidious onset of distal and proximal muscle weakness in an older patient

A

inclusion body myositis

26
Q

renal disease in ankylosing spondylitis

A

causes renal amyloidosis

27
Q

anticoagulation in a pregnant patient with a mechanical valve

A

continue warfarin

28
Q

contraindications to exercise EKG

A

inability to exercise and baseline ECG abnormalities (e.g., ST-segment depression >1 mm, left bundle branch block, left ventricular hypertrophy, paced rhythm, or preexcitation)

29
Q

treatment of severe hypothermia

A

active internal rewarming

30
Q

work-up of hyperprolactinemia

A

TSH, hypothyroidism can cause mild hyperprolactinemia

31
Q

immunosuppressants and elective surgery

A

Nonbiologic disease-modifying antirheumatic drugs (DMARDs) can be continued throughout the perioperative period; biologic DMARDs should be discontinued and restarted after evidence of wound healing.

32
Q

side effects of montelukast

A

black box warning for depression!

33
Q

treatment of isopropyl alcohol ingestion

A

supportive care (fomepizole for ethylene glycol and methanol)

34
Q

treatment for anklosing spondylitis

A

etanercept (TNF inhibitor)

35
Q

roflumilast

A

a selective phosphodiesterase-4 inhibitor, can reduce symptoms and exacerbations in patients with severe COPD who have a chronic bronchitis phenotype or frequent exacerbations

36
Q

should you screen for TB in HIV patients?

A

Yes when CD4 reaches 200

37
Q

what should you screen for in a patient with dermatomyositis

A

colon cancer

38
Q

initial therapy for COPD

A

LABA or LAMA (or combo), ICS is added later

39
Q

treatment of dry mouth in Sjogren’s

A

symptomatic tx, then pilocarpine or cevelimine - no DMARD for this

40
Q

treatment of familial Mediterranean fever

A

colchicine

41
Q

adjuvant therapy for GIST

A

imatinib

42
Q

reversal agent for dabigatran

A

Idarucizumab

ABIM (4 decks)

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