Wrong Flashcards

1
Q

Cognitive decline with disinhibition

A

Frontotemporal dementia

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2
Q

Pt with early satiety and pain with eating (dx)

A

Paraesophageal hernia

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3
Q

A test that can look for hemoglobinopathy like thalassemia

A

Hemoglobin electrophoresis

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4
Q

Most common longterm crohns complication

A

Bowel stricture

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5
Q

Are anal skin tags more common in crohns or colitis?

A

Crohns

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6
Q

Dx of patient with gradual onset pelvic and abdo pain and low grade fever

A

PID

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7
Q

Dx of pt with tender arm, fever and increase ESR

A

Osteomyelitis

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8
Q

A drug to stop bed wetting

A

Desmopressin

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9
Q

How to calculate osmolar gap

A

Osmolality = (2xNa) + glucose + urea

Gap = given Osmolality - calculated

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10
Q

Female athlete triad

A

Amenorrhea, disordered eating, low bone mass

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11
Q

Testicular cancer spreads to what lymph nodes

A

Para-aortic

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12
Q

New breast lump

A

Biopsy right away

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13
Q

Bowed legs and diet deficiency

A

Ricketts

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14
Q

Dx of pt with cytoplasmic antineutrophil antibodies, proteinuria, hematuria, CXR infiltrates bilat

A

Granulomatosis with polyangitis

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15
Q

Varicocoele is associated with

A

Infertility

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16
Q

Antibiotics that cause QT prolongation

A

Macrolides

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17
Q

Nurse had pertussis exposure

A

Give postexposure prophylaxis Abx

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18
Q

Signs of hyperaldosteronism

A

HTN and low K

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19
Q

Most common cause of fever 48 hours post op

A

Atelectasis

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20
Q

Where are bile acids reabsorbed

A

Terminal ileum

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21
Q

Where are fats reabsorbed

A

Jejunum

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22
Q

Tetanus exposure

A

Tetanus immune globulin and vaccine

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23
Q

Jaundice and anemia post new drug exposure

A

Autoimmune hemolytic anemia

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24
Q

Tremor treatment

A

Propanolol

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25
Q

Antipsychotic side effects

A

Impaired glucose tolerance and lipid disorders

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26
Q

Dx of pt with mild liver inflammation and malaise

A

Mono

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27
Q

Food poisoning within hours to 1 day of eating

A

Staph aureus

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28
Q

Signs of magnesium toxicity

A

Decreased patellar reflexes and resp depression

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29
Q

How to dx giant cell arteritis

A

Temporal artery biopsy

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30
Q

Looks like vitiligo but is scaly

A

Tinea versicolor

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31
Q

Worsens psychosis

A

Stimulants

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32
Q

Infant with jaundice and pale stool

A

Biliary atresia

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33
Q

Normal central venous pressure

A

8-12

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34
Q

Increased central venous pressure after surgery

A

Cardiogenic shock

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35
Q

Treatment for prostate ca

A

Antiandrogen therapy

Not chemo even with Mets

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36
Q

Neonate with no meconium in 72 hours and no vomiting

A

Congenital aganglionic megacolon (hirshsprungs)

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37
Q

Tx of polymyalgia rheumatica

A

Prednisone

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38
Q

Delusional disorder vs somatic symptom disorder

A

Delusional doesn’t affect day to day life and usually short term

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39
Q

Test for bladder, renal, prostate etc ca

A

Urine cytology

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40
Q

Associated with Tourette’s

A

OCD and adhd

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41
Q

Determining baby’s Rh status in utero

A

Cell free DNA /NIPT

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42
Q

Is valproate okay in pregnancy

A

No

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43
Q

Is carbamazepine okay in pregnancy

A

Yes

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44
Q

Dx of pt with pruritus, fatigue, mild hepatomegaly and increased ALP

A

Primary biliary cholangitis

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45
Q

Blood test for primary biliary cholangitis

A

Antimitochondrial antibodies

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46
Q

Generalized thickening and inflammation of colon with bloody diarrhea

A

Ischemic colitis

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47
Q

Rare side effect of molar pregnancy

A

Hyperthyroidism

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48
Q

Type of biopsy for BCC

A

Excisional. Not punch or shave

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49
Q

Appearance of klinefelter

A

Tall

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50
Q

How long after Zika country to conceive

A

3 months

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51
Q

Mechanism for quad tendon rupture

A

Going down stairs

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52
Q

Mechanism for meniscus tear

A

Trauma

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53
Q

Mechanism for ACL tear

A

Pivoting

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54
Q

Mechanism for PCL tear

A

Severe trauma. Rarely happens

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55
Q

Dx of pt with gait disturbance, urinary incontinence and cognitive impairment

A

Normal pressure hydrocephalus

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56
Q

Dx of pt with cog impairment, gait disturbance and psychiatric symptoms

A

Lewy body dementia

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57
Q

Pt is stiff 15 mins in the morning

A

OA

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58
Q

CT shows ?bronchogenic ca

A

Do broncoscopy next not Bx

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59
Q

Lithium side effects

A

Sedation, tremor, dry mouth, polyuria, hypothyroidism, increased WBC

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60
Q

Potential cause of recurrent SA

A

Lupus

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61
Q

Indication for urgent laparoscopy

A

Free air

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62
Q

Change in bowel habits

A

Colonoscopy

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63
Q

How soon before IUD works

A

1 week

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64
Q

Kids with tantrums

A

Ignore them

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65
Q

How many people can be at a delivery?

A

As many as mom wants

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66
Q

Gentamicin and kidney disease

A

Decrease the dose

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67
Q

Newborn with seizures - what tests to order

A

Blood Glucose and calcium

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68
Q

Gastric ulcer not improved with PPI

A

Go gastroscopy and bx

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69
Q

Tx for infectious diarrhea

A

Don’t give Abx until after stool sample

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70
Q

Choledoco/cholangitis tx

A

Admit and give IV Abx and order endoscopic sphincterotomy

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71
Q

Child depression tx

A

CBT before meds

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72
Q

Stridor after intubation

A

Laryngospasm

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73
Q

Rib # tx

A

Encourage normal ADLs

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74
Q

When you need to know the blood type write

A

Type and cross match

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75
Q

Info needed for colon ca screening

A

FH of polyps and adenomatous polyposis and cancer, and personal hx of colitis

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76
Q

Bradycardia and hypotension tx

A

External pacer pads

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77
Q

Dystonia tx

A

Benztropine IM or diphenhydramine IM

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78
Q

Preventing dystonia in future

A

Anticholinergics

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79
Q

Tb meds - oral or IV

A

Oral

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80
Q

Upper arm weakness dx

A

Spinal cord injury

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81
Q

Tests for ?esophageal cancer

A

OGD and barium swallow

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82
Q

Rotator cuff tendinopathy dx and tx

A

No investigations needed
Tx is nsaids and physio

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83
Q

Tests needed with cocaine use

A

EKG

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84
Q

Is warfarin okay in pregnancy

A

No

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85
Q

Is low molecular weight heparin okay in pregnancy

A

Yes

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86
Q

Pt with meningococcal meningitis

A

Treat family with rifampin

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87
Q

Acute onset vertigo, nausea and hearing loss in one ear

A

Internal auditory artery infarction

88
Q

Why is relative risk confusing to pts

A

They don’t know baseline risk

89
Q

Blood exposure but the person with blood source refuses to give blood test results

A

Manage as if she was exposed

90
Q

Dx of pt with fatigue, weight loss, N and V, hypotension and electrolyte disturbance

A

Adrenal insufficiency

91
Q

Test to confirm adrenal insufficiency

A

ACTH stimulation test

92
Q

When to do bone densitometry

A

Age 65+

93
Q

Biggest risk of suicide in transgender pt

A

Lack of family support

94
Q

Consent laws

A

12-13 2 year’s difference
14-17 5 year’s difference

95
Q

Pt with chronic progressive edema

A

It can’t be a blood clot if it’s chronic
Just needs physio

96
Q

Dx of pt with slow growth, low IQ, small hands and feet, hypogonadism, obesity

A

Prader-Willi

97
Q

Pt doesn’t want you to disclose their HIV status to surgeon

A

Don’t disclose

98
Q

Pt has peptic ulcer

A

Gastroscopy and biopsy

99
Q

Pt with recurrent UTI

A

Postcoital Abx

100
Q

Incidental finding of enlarged uterus and fibroids. No bleeding

A

Just reassure - likely leiomyomas

101
Q

Child has a suspicious fracture

A

Do full body x-ray

102
Q

This murmur is always pathological

A

Wide split S2

103
Q

Signs it’s growing pains

A

The pain wakes you from your sleep

104
Q

Pt has low K not improving with supplementation

A

Check for hypomagnesium

105
Q

Hallucinations not often associated with schizophrenia

A

Olfactory (smell)

106
Q

Pt has incidental finding of large prostate on imaging

A

Do DRE

107
Q

An antidepressant associated with SIADH

A

Citalopram

108
Q

What is primary dysmenorrhea

A

Regular period cramps

109
Q

Besides GI issues, what else can Crohns have

A

Joint pain

110
Q

Patient has high calcium, low Hgb, kidney failure and bone pain

A

Multiple myeloma

111
Q

Before pregnancy screening

A

Do protest counselling

112
Q

Does O2 CO2 or HCO3 cause decreased LOC

A

Increased CO2

113
Q

Pt has mass in arm sus for cancer

A

Do X-ray to check for bone involvement

114
Q

This disease is associated with contractures

A

Diabetes

115
Q

Pt has FHx of 3rd trimester loss

A

Do CBC and Hgb electrophoresis of the couple

116
Q

Firstline rec for bipolar

A

Olanzapine

117
Q

This drug is known to decrease sodium

A

Carbamazepine

118
Q

When locuming and using a medical record

A

Have your own account and password

119
Q

Pt had a measles exposure

A

Give them the measles vaccine

120
Q

At what age is reversing letters when writing normal

A

Until 7

121
Q

PCOS - what test would be off

A

Abnormal glucose tolerance test

122
Q

Pt has adrenal incidentiloma and HTN

A

Do plasma aldosterone to renin ratio

123
Q

Pt is wondering about lead exposure

A

Do blood lead level

124
Q

Absolute risk reduction of 5% treatment and 3% placebo

A

2%

125
Q

Pt has hot flashes and cervical cancer

A

Combined hormonal is fine. Cervical cancer not related to estrogen

126
Q

Pt has cancer and needs an antithrombotic following surgery

A

SQ unfractionated heparin

127
Q

Pt has suspected cause of infertility and has been trying to conceive for 6 months

A

Refer for infertility assessment even though it’s under a year

128
Q

Gout tophi

A

Nodular urate crystal deposits on pinnae, hands etc

129
Q

Pt has PMDD

A

Stress reduction

130
Q

What does eschorotomy mean?

A

Pt has severe burns of their chest and they go into resp distress so cut open the burn

131
Q

CF and lung function

A

Lung function is worse in pts who don’t exercise

132
Q

Child with midline thyroid lump

A

Likely thyroglossal duct cyst. Excise

133
Q

What age to stop colonoscopy

A

75

134
Q

Tx for hyperprolactinemia

A

Dopamine agonist

135
Q

Pt has vertigo, tinnitus, unilateral hearing loss

A

Menieres

136
Q

Pt is on lithium and can’t eat or drink post op

A

Dc lithium

137
Q

Postmenopausal pt with solid pelvic mass, bloating, urgency, pelvic pain and vaginal discharge

A

Epithelial ovarian cancer

138
Q

Pt has SBO - physical exam

A

DRE and palpate inguinal area

139
Q

Prevention in COPD

A

Annual flu and pneumococcal vaccine

140
Q

What disease is known to worsen asthma

A

GERD

141
Q

A patient has new ADHD symptoms in their 20s

A

Provide ADHD screening regardless of having issues in childhood

142
Q

Child with back pain and pain in areas where muscles, tendons, ligaments attach to bone

A

Juvenile ankylosing spondylitis

143
Q

E. Coli source

A

Contaminated well

144
Q

Flu vaccine in children

A

Do dose number 2 28 days after first

145
Q

Imaging for enlarged prostate

A

CT pelvis

146
Q

Low amniotic fluid and IUGR at 38 weeks

A

Induce labour

147
Q

condition that occurs when monochorionic twins share unequal portions of the placenta

A

Selective intrauterine growth restriction

148
Q

Pt has been on Ativan for 30 years and is saying she is having worsening sleep and wants a higher dose

A

Decline to increase

149
Q

Making up words

A

Neologisms

150
Q

the production or creation of false or erroneous memories without the intent to deceive

A

Confabulation

151
Q

a mode of speech characterized by association of words based upon sound rather than concepts. For example, this may include compulsive rhyming or alliteration without apparent logical connection between words.

A

Clanging

152
Q

a condition in which the heart becomes thickened without an obvious cause.

A

Hypertrophic cardiomyopathy

153
Q

High percentage of hemoglobin S

A

Sickle cell disease

154
Q

Treatment of sickle cell disease

A

Hydroxyurea

155
Q

Hard palate mass - long-standing

A

Benign bony growth

156
Q

Is Tdap safe in pregnancy

A

Yes

157
Q

Is MMR vaccine safe in pregnancy?

A

No

158
Q

Is chicken pox vaccine safe in pregnancy

A

No

159
Q

Child with familiar hypercholesterolemia

A

Will likely have xanthelasma

160
Q

Pt comes in with wrist laceration bandaged up

A

Before removing bandage, assess hand function

161
Q

Sore throat with severe pain worse when swallowing, uvula swollen and displaced, tonsil swollen and displaced

A

Peritonsillar abscess

162
Q

Peritonsillar abscess tx

A

Refer to surgeon for drainage

163
Q

a neurological condition experienced by individuals with epilepsy, in which a seizure is followed by a brief period of temporary paralysis

A

Todd paralysis

164
Q

Projectile vomiting in infant after eating diagnostic test

A

Abdominal ultrasound

165
Q

Test for amenorrhea - not pregnant

A

Serum FSH

166
Q

Recurrent swelling of face and lips and resp distress

A

C1 esterase inhibitor

167
Q

You are concerned that a physician has lost their clinical skills

A

Meet with the physician and recommend an audit of their practice

168
Q

Risk factor for OA

A

Obesity

169
Q

Name for Spanking a child, etc.

A

Corporal punishment

170
Q

Capillary refill of 4 seconds

A

Admit to hospital

171
Q

Mass in RUQ and microhematuria of young child

A

Nephroblastoma (Wilms tumour)

172
Q

Presence of schistocytes

A

Traumatic hemolytic anemia

173
Q

Age of delivery for gestational diabetes

A

39 weeks

174
Q

4 year old with ADHD symptoms

A

Recommend a structured routine

175
Q

Displaced supracondylar fracture of humerus with pale pulse less hand

A

Traction and splinting of arm first

176
Q

Sleep apnea can cause/worsen

A

HTN

177
Q

a response to chronic hypoxemia, which triggers increased production of erythropoietin by the kidneys

A

Polycythemia secondary to hypoxemia

178
Q

Pt with cervical cancer who had radiation and is now having constant vaginal discharge

A

Vesicovaginal fistula

179
Q

Vesicovaginal fistula

A

an abnormal opening between the bladder and the vagina that results in continuous and unremitting urinary incontinence

180
Q

Pt with longstanding diarrhea and lethargy

A

Micronutrient deficiency - likely malabsorption

181
Q

10 year old with 1 week of light vaginal bleeding but no breast

A

Foreign body

182
Q

Pharmaceutical company wants you to do a presentation and will pay all your expenses

A

Accept but disclose the compensation

183
Q

Post MI. Patient fully conscious and alert but HR 50

A

Monitored observation

184
Q

3 episodes of asthma attacks in 1 year for 2 year old

A

Prescribe daily inhaled steroids (indefinitely)

185
Q

Pseudomonas aeruginosa is associated with

A

Cystic fibrosis

186
Q

5 month old with accessory muscle use, crackles and wheezing tx

A

Nasal suctioning

187
Q

Postmenopausal bleeding but you aren’t able to do endometrial biopsy

A

Transvaginal US

188
Q

Unilateral pleuritic chest pain and hemoptysis

A

PE

189
Q

Can fibromyalgia be treated with opioids

A

Nope

190
Q

Pt keeps missing appts

A

Ask them why

191
Q

Joint pain, dactylitis, nail pitting with no rash

A

Psoriatic arthritis

192
Q

Stress incontinence

A

Pelvic floor exercises before pessary

193
Q

Besides smoking, this can increase lung ca in northern communities

A

Radon gas

194
Q

Closed fracture following MVA, ;4 hours later hypotension

A

Blood loss

195
Q

Heavy periods tx when OCP is contraindicated

A

NSAIDs

196
Q

Molar pregnancy tx

A

Dilatation, suction and curettage

197
Q

Young man with recent pneumonia and moderately sized pleural effusion

A

Do diagnostic thoracentesis

198
Q

Arthritis blood test

A

CRP better than Rheumatoid factor?

199
Q

Best anti hypertensive in pregnancy

A

Nifedipine

200
Q

An antipsychotic that makes antidepressants more effective

A

Aripiprazole

201
Q

Best way to reduce sugar intake of kids

A

Take away soft drinks in places where kids learn, play, etc

202
Q

A 3 year old can’t get to sleep

A

Recommend bedtime stories

203
Q

Forgetfulness, weakness, falls, peripheral neuropathy

A

Pernicious anemia

204
Q

Excessive menstrual bleeding and shortening of days between periods

A

Do CBC

205
Q

Teenager with parents getting divorced

A

Recommend a mediator looking at the best interest of the teen and parents

206
Q

Teen boy with gynecomastia

A

Idiopathic - reassure

207
Q

Who should explain an injury to a patient? The person who caused the injury or the person who noticed

A

The one who caused it

208
Q

Going from angry to sad affect

A

Labile

209
Q

an official who is usually appointed by the government or by parliament to investigate complaints and attempt to resolve them, usually through recommendations or mediation.

A

Ombudsperson

210
Q

This drug can cause bruising

A

Valproate

211
Q

Pt in MVA with many fractures. Before putting in a catheter do this

A

DRE

212
Q

45 year old with irregular heavy bleeding and endometrial biopsy showing benign hyperplasia

A

IUD

213
Q

This antipsychotic can cause myocarditis

A

Clozapine

214
Q

Antipsychotic that can cause stiffness and falls

A

Risperidone

215
Q

Child with high glucose, high lipids and high BMI

A

Do urine albumin to creatinine ratio

216
Q

Pregnant woman exposed to parvovirus

A

Order serum parvovirus immunoglobulin G and M