USMLEasy 3

Question 0

Alzheimer’s disease – first ability to go? Last to go?

Answer 0

Memory disturbances

Social behavior

Question 1

Withdrawal of this causes hyper alert confusion?

Answer 1

Alcohol (opiates do not cause confusion)

Question 2

Breast-cancer rate in lesbians versus heterosexuals?

Answer 2

Not different

Question 3

Best Noncardiac intervention for heart failure?

Answer 3

Discontinuing alcohol

Question 4

Intervention that raises HDL most?

Answer 4

Moderate alcohol

Question 5

Cluster headache prophylactic management?

Answer 5

#CCB – nifedipine 
#Prednisone
#Indomethacin
#Li

Question 6

Most sensitive test for endometriosis?

Answer 6

MRI

Question 7

Class of antidepressants that best prophylactic treat migraines?

Answer 7

Tricyclic antidepressants (amitriptyline)

Question 8

Hot tub folliculitis caused by? Treatment?

Answer 8

Pseudomonas; reassurance

Question 9

LFT that indicates poor prognosis in primary biliary cirrhosis?

Answer 9

Bilirubin

Question 10

Patient complains of anterior knee pain. Mild swelling, significant stiffness after sitting for long periods of time. Positive patellar grind test. – Suspected diagnosis? Mechanism? Treatment?

Answer 10

Patellofemoral syndrome; Patella tracks laterally to vastus lateralis

Strengthen hamstrings and vastus medialis

Question 11

Most common overuse injury seen in athletes?

Answer 11

Patellofemoral syndrome

Question 12

In order to prevent relapse, treatment for depressive disorders should continue for?

Answer 12

6-9 months

Question 13

Initial laboratory workup for Fatigue includes?

Answer 13

#BMP
#CBC
#Thyroid
#ESR
#UA
#Pregnancy
#age/gender appropriate cancer screening (prostate, breast, lung)

Question 14

Most common causes of fatigue in primary care?

Answer 14

#Depression
#Life stress
#Chronic medical conditions
#Medical reactions

Question 15

Atrovent used for?

Answer 15

COPD

Question 16

Asthma patient has failed short acting beta agonist and inhaled corticosteroid – options for next step in therapy?

Answer 16

Long acting beta agonist or leukotriene receptor agonist

Question 17

Hematuria throughout urination occurs with?

Terminal hematuria suggests?

Answer 17

#Bladder or renal lesions or kidney stones
#Bladder neck or prostatic urethral leave

Question 18

Medication used for urge incontinence?

Stress incontinence?

Answer 18

Pseudoephedrine

#Oxybutynin (anticholinergic)
#tolterodine (anticholinergic)

Question 19

Patients with BPH – drug options?

Prostatitis?

Answer 19

Bactrim

#Finasteride
#terazosin

Question 20

When to obtain ankle radiographs after injury? (Ottawa ankle rules)

Answer 20

#Unable to walk
#Tenderness over malleoli
#Midfoot tenderness
#Proximal fifth metatarsal tenderness

Question 21

Never treat uncomplicated acute bronchitis with?

Answer 21

#Antibiotics
#NSAID
#Nasal steroid

#Inhaled steroid
#Oral steroid taper

Question 22

RDW in iron deficiency? Thalassemia?

Answer 22

Elevated

Normal

Question 23

Naltrexone – mechanism of action in opioid addiction?

Alcohol addiction?

Answer 23

Saturates/blocks opiate receptor

Reducing reinforcing effects of alcohol (no getting drunk)

Question 24

How do contraceptives treat dysmenorrhea?

Answer 24

Suppression of prostaglandin release

Question 25

Smoking cessation affects what lipids?

Answer 25

HDL(raises)

Question 26

BP Medications that prevents recurrence stroke?

Answer 26

Combination diuretic ACE inhibitor

Question 27

Beta blockers that reduce mortality?

Answer 27

#Carvedilol
#Metoprolol
#Bisoprolol

Question 28

Patient presents with radicular pain with normal radiographs and no response to conservative therapy – when is an MRI indicated?

Answer 28

Pain persists more than six weeks

Question 29

Concerning side effects of niacin?

Answer 29

Increases insulin resistance