USMLEasy 4

Question 0

Most common cause of low back pain patients younger than 25? (Especially athletes)

Answer 0

Spondylolisthesis

Question 1

Longest acting insulin? Lasts for how long?

Answer 1

Ultralentate; 24-32 hours

Question 2

Most specific laboratory test to confirm alcohol abuse?

Answer 2

MCV

Question 3

Primary dysmenorrhea – caused by? Mechanism of treatment? First line therapy? 2nd line?

Answer 3

Prostaglandin release from endometrium during menstruation

Treatment reduces prostaglandin production or inhibits ovulation

NSAIDs

OCP

Question 4

Characteristics of pain in MI?

Answer 4

#Radiation to arms/shoulders
#Exertional
#Associated with nausea/vomiting, diaphoresis

Question 5

Hepatitis that is associated with HCC?

Answer 5

Hep B

Question 6

Who should get MRI screenings breast cancer?

Answer 6

High-risk women (BRCA)

Question 7

Symptoms of nicotine withdrawal?

Answer 7

#Irritability/anxiety/restlessness
#Depressed
#Insomnia

Question 8

Contact-wearer gets several bouts of conjunctivitis – treatment?

If Not a contact-wearer?

Answer 8

Gentamicin (for gram-negative)

fluoroquinolones ot polymyxin

Question 9

Testosterone levels peak when?

Answer 9

Morning

Question 10

Scabies versus chiggers versus bedbugs versus fleas?

Answer 10

Pruritic erythematous papules in between fingers, on wrist, around the waist (with clothing is tight next to skin)

Question 11

Amenorrhea and elevated DHEA-S – next step?

Answer 11

CT adrenal glands

Question 12

Pt started on OCP presents with elevated blood pressure – next step?

Answer 12

Discontinue OCP and recommend barrier method

Question 13

Critical pathologic problem in Alzheimer’s disease? Purpose of medication?

Answer 13

Loss of synapses; improve cognition (does not slow neurodegeneration)

Question 14

Pharyngitis with palate petechiae – most likely etiologies?

Differentiate how?

Answer 14

EBV or group a strep

EBV also presents with cervical adenopathy

Question 15

Calcium channel blocker that has migraine prophylactic effect?

Answer 15

Verapamil

Nifedipine used for Cluster headaches

Question 16

Treatment for recurrent sinusitis that shortens course of disease?

Answer 16

Antibiotic therapy and topical nasal steroids (not decongestions, alpha agonists, echinacea)

Question 17

Tularemia versus black recluse spider bite?

Answer 17

Painful ulceration at bite site

Local pain and itching, which becomes hemorrhagic bulla with induration

Question 18

Medications that cause ejaculatory dysfunction in men?

Answer 18

#Beta blockers
#Alpha blockers
#Antipsychotics
#Exercise
#HCT

Question 19

Patient presents with left-sided earache that is worse with eating. Tenderness and crepitus at left temporomandibular joint. Diagnosis? Treatment?

Answer 19

Temporomandibular joint dysfunction

NSAIDS