Test 41 - Created Aug 6

Question 1

how to treat gallstone pancreatitis

Answer 1

mild: surgery w/in 7d of clinical improvement
severe: wait until infl. and complications have resolved

Question 2

what to do when major depression identified

Answer 2

educate patients/families about diagnosis and start tx

Question 3

tx of urinary retention

Answer 3

urethral cath -> suprapubic cath; do suprapubic first if recent h/o GU trauma or surgery

Question 4

most specific diagnostic finding for cardiac tamponade physiology

Answer 4

early diastolic collapse of RV and RA on echo

Question 5

factors most consistently associated with requests for euthanasia or physician-assisted suicide

Answer 5

loss of sense of autonomy and dignity; fear of future suffering

Question 6

postpartum thyroiditis

Answer 6

hyperthyroidism, nontender goiter, TPO Ab’s present, low RAIU scan

Question 7

tx of organophosphate poisoning

Answer 7

atropine and pralidoxime

Question 8

celiac disease stool and sxs

Answer 8

flatulence and foul-smelling bulky D with steatorrhea not related to meal times

Question 9

lactose intolerance stool and sxs

Answer 9

chronic watery D, flatulence, and bloating after meals

Question 10

comorbid psych conditions with Tourette’s

Answer 10

ADHD and OCD (others exist but these are the most common)

Question 11

absolute contraindications to DTaP vaccine

Answer 11

anaphylaxis or encephalopathy

Question 12

what to do if pt comes in for dark urine after running a marathon and U/A shows blood

Answer 12

repeat U/A in 1 wk to see if it resolves

Question 13

indications for statin therapy

Answer 13

established ASCVD, LDL over 190, 40+ yo with DM, 10yr ASCVD risk 7.5-10%

Question 14

antibodies in dermatomyositis

Answer 14

Anti-Mi2 and anti-Jo-1

Question 15

disease cotton dust can cause

Answer 15

byssinosis

Question 16

contraindications for exercise during pregnancy

Answer 16

anyone at risk for PTD (cervical insuff, PTL, pPROM); at risk for antepartum bleed (placenta previa, persistent 2nd/3rd tri bleed); underlying condition that could be exacerbated by exercise (severe anemia, HTN, RLD, severe heart dz)

Question 17

what to give in an acute gout flare when pt has renal failure (aka NSAID and colchicine are contraindicated); can’t give NSAID with h/o GI bleed either

Answer 17

intra-articular steroids

Question 18

presentation of vulvar cancer

Answer 18

dyspareunia, vulvar pruritis, bleeding

Question 19

Genetic Information Nondiscrimination Act of 2008

Answer 19

It prevents employers from requiring or requesting genetic testing results of their employees. If an employer already has genetic test info, the law prevents the employer from using that info to discriminate against the employee.