USMLEasy 4 Flashcards
Most common cause of low back pain patients younger than 25? (Especially athletes)
Spondylolisthesis
Longest acting insulin? Lasts for how long?
Ultralentate; 24-32 hours
Most specific laboratory test to confirm alcohol abuse?
MCV
Primary dysmenorrhea – caused by? Mechanism of treatment? First line therapy? 2nd line?
Prostaglandin release from endometrium during menstruation
Treatment reduces prostaglandin production or inhibits ovulation
NSAIDs
OCP
Characteristics of pain in MI?
#Radiation to arms/shoulders #Exertional #Associated with nausea/vomiting, diaphoresis
Hepatitis that is associated with HCC?
Hep B
Who should get MRI screenings breast cancer?
High-risk women (BRCA)
Symptoms of nicotine withdrawal?
#Irritability/anxiety/restlessness #Depressed #Insomnia
Contact-wearer gets several bouts of conjunctivitis – treatment?
If Not a contact-wearer?
Gentamicin (for gram-negative)
fluoroquinolones ot polymyxin
Testosterone levels peak when?
Morning
Scabies versus chiggers versus bedbugs versus fleas?
Pruritic erythematous papules in between fingers, on wrist, around the waist (with clothing is tight next to skin)
Amenorrhea and elevated DHEA-S – next step?
CT adrenal glands
Pt started on OCP presents with elevated blood pressure – next step?
Discontinue OCP and recommend barrier method
Critical pathologic problem in Alzheimer’s disease? Purpose of medication?
Loss of synapses; improve cognition (does not slow neurodegeneration)
Pharyngitis with palate petechiae – most likely etiologies?
Differentiate how?
EBV or group a strep
EBV also presents with cervical adenopathy
Calcium channel blocker that has migraine prophylactic effect?
Verapamil
Nifedipine used for Cluster headaches
Treatment for recurrent sinusitis that shortens course of disease?
Antibiotic therapy and topical nasal steroids (not decongestions, alpha agonists, echinacea)
Tularemia versus black recluse spider bite?
Painful ulceration at bite site
Local pain and itching, which becomes hemorrhagic bulla with induration
Medications that cause ejaculatory dysfunction in men?
#Beta blockers #Alpha blockers #Antipsychotics #Exercise #HCT
Patient presents with left-sided earache that is worse with eating. Tenderness and crepitus at left temporomandibular joint. Diagnosis? Treatment?
Temporomandibular joint dysfunction
NSAIDS