Step stuff day 2

Question 1

How long before surgery should smoking cessation be initiated

Answer 1

8 weeks

Question 2

Should pts with poorly controlled COPD undergo surgery? what about emergent surgery?

Answer 2

No. Use inhaled beta agonists and oral glucocorticoids in the case of emergent sx

Question 3

Tx for PID

Answer 3

Ceftriaxone- N. Gon

Azithromycin(macrolide)- Chlamydia

Question 4

Definition of infertility above age 35

Answer 4

inability to conceive after 6 months

Question 5

Decreased ovarian reserve-

Answer 5

Common in women over age 35, still have regular periods, can dx with early FSH, clomiphene challenge test, or inhibin B level

Question 6

Type of seizure? brief episodes of impaired consciousness w/ failure to respond to stimuli, atutomatisms, and post ictal confusion

Answer 6

Complex partial seizure

Question 7

how can an absence seizure be triggered during EEG. what pattern

Answer 7

hyperventilation.

3 Hz spike wave with normal background

Question 8

Lennox Gastaut syndrome

Answer 8

presents in childhood with multiple seizures, impaired cognitive function, and EEG patter of spike and wave activity

Question 9

Treatment of local impetigo

Answer 9

Topical mupirocin

Question 10

Alternative drugs to impetigo in severe cases

Answer 10

Oral Cephalexcin, dicloxacillin or ampicillin

Question 11

Hexagonal shaped crystals on UA, positive urinary cyanide nitroprusside test

Answer 11

cystinuria

Question 12

acute worsening of respiratory ssx in pt w COPD…think

Answer 12

spontaneous pneumo from blebs from bronchiolitis

Question 13

X ray showing- soft tissue swelling, bony erosions, and joint space narrowing=

Answer 13

RA

Question 14

Complications of incomplete or inevitable abortion

Answer 14

DIC, sepsis, hemorrhage

Question 15

Treatment path for Endometriosis

Answer 15

NSAID’s and OCPs –> other combined contraceptives, progestins, GnRH analogs –> Sx

Question 16

Causes of fever in the hours after Sx

Answer 16

Prior infxn of trauma
Infxn from Sx
Malignant hyperthermia
Meds (anesthetics)
Transfusion run if applicable

Question 17

Infant with com +/- bloody stools +/- eczema w/ fam hx that is atopic=

Answer 17

Soy or milk enterocolitis