Test 24 - Created July 22

Question 1

what to do when medical care is futile and family disagrees with doctor

Answer 1

start with consultants meeting; next, involve the ethics committee

Question 2

what can be done to odd ratios to take into account confounders

Answer 2

multiple regression analysis

Question 3

how do you know if an odds ratio is statistically significant

Answer 3

confidence interval does NOT include 1

Question 4

tx of mild-to-moderate plaque psoriasis

Answer 4

topical fluocinonide or betamethasone 0.05%; topical vit. D derivatives

Question 5

tx of severe plaque psoriasis

Answer 5

phototherapy; MTX; biologics

Question 6

tx of facial and intertriginous psoriasis

Answer 6

topical tacrolimus or hydrocortisone 1%

Question 7

tx of guttate psoriasis

Answer 7

phototherapy or observe

Question 8

what to do if lobular carcinoma in situ found on core needle biopsy of a breast lesion

Answer 8

excisional biopsy

Question 9

unresponsive alcohol comes into ER. he has liver dz. vomits large amount of blood. large bore IV’s in place with fluids. what to do next?

Answer 9

endotracheal intubation -> stabilized pt -> IV octreotide -> upper endoscopy

Question 10

prevention of esophageal variceal hemorrhage

Answer 10

nonselective BBs with endoscopy and band ligation

Question 11

once cancer is diagnosed, what’s the next best step

Answer 11

stage it with imaging before treatment is started; need to see how far it has spread (locally and distantly)

Question 12

why mirtazapine may be avoided in tx of depression

Answer 12

side effects of increased appetite, weight gain, and sedation

Question 13

what to do with lithium-induced hypothyroidism

Answer 13

add levothyroxine