-
rx for abnormal uterine bleeding (menorrhagia)
-
Rx for allergic rhinits?
intranasal glucocorticoids
-
What decreases the risk of post thromboic syndrome after a dvt?
compression stockings
-
laryngotracheobronchitis rx?
-
Which are the most clinically valid studies?
randomized, placebo controlled studies
-
What proteins are decreased in a pt with sepsis?
albumin bc acute phase proteins are being synthesized instead
-
where shud the insulin be injected in an athlete?
in the non exercised part of the body i.e abdomen
-
Vit D deficiency measures what form of vit d in the blood?
25 hydroxycalciferol
-
Oral hypoglycemis shud be switched to what in a woman that is pregnant?
insulin
-
coin rubbing to get rid of disease is practiced in what geographic region?
east asia
-
Refractory asthama exacerbation to albuterol, next drug?
oral corticosteroids
-
Recommendation for mammography from age 40?
every 1-2 years
-
which drugs make elderly fall?
diphenhydramine
-
What prevents contrast induced nephropahty in renal insufficieny?
- isotonic bicarb
- n acetyl cysteine
-
the most common type of incontinence?
stress incontinenece
-
rx for narcolepsy?
methylphenidate
-
of the atypical antipsychotics, which one has the least propensity for weight gain?
aripiprazole
-
a chest tube in a pneumothorax case is needed if it involves how much of the lung volume?
>15%
-
management of a <15% pneumothorax in a pt with no lung pathology?
outpatient --analgesics and reevaluate after 3 days
-
most common cause of hypercalcemia--
high pth
-
shud a cigarette smoker receive the pneumococcal vaccine?
yes
-
Rx for diverticulitis?
- amox/clavulanate
- mnz and fq
-
SCFH or slipped capiral femoral head is diagnosed how?
limited internal rotation when the hip is flexed
-
campylobacter affects which sex more?
males
-
When shud you lower bp post cerebral stroke?
>220/120
-
most common cause of unilateral nasal obstruction?
nasal septum
-
initial management of a hypercalcemic crisis?
hydration then furosemide
-
oral, genital ulcers, uveitis, vasculitis, arhtritis in asian person?
behcet disease
-
what is the best management of afib?
ventricular rate control and warfarin for chads2 score of more than 2
-
honey colored crusts?
impetigo--staph or group a
-
1st choice drug for depression in kids and adolescents/?
SSRI
-
Rx for alopecia aerata?
intralesional corticosteroids
-
most common presenting symptoms of obstructive sleep apnea?
excessive daytime sleepiness
-
birth weight in a young infant is regained in how many weeks?
2
-
what artery is harvested in an AAA repair?
inferior mesenteric artery leading to ischemic colitis
-
intensive glycemic control has benefits in all of diabetic complications except which one?
cardiovascular disesae
-
varenicline and nicotine pathces are beneficial?
no
-
MOA of varenicline?
binds to opiate receptors in the brain
-
Diabetic drug for weight loss?
metformin
-
high grade squamous intraepithelial lesion in what age population should not be treated aggressively?
adolescents
-
What are the vital signs of an anorexic?
- hypotension
- bradycardia
- hypothermia
-
What is the risk of adenocarcinoma from barrets esophagus?
<1%
-
Dermatophyte treatment when involving hair or nail?
skin?
- terbinafine
- topical ketoconazole
-
Rx for raynauds disease?
ccb
-
What gout drug worsens gout in an acute attack?
allopurinol
-
management of a pregnant pt with a dvt during pregnancy?
continue anticoagulation for 6 weeks
-
what are the only 2 meds for kids with dm type 2?
-
what hormones is used to differentiate between seizure and pseudoseizure?
prolactin
-
a person younger than 30 with less than 2 grams of protein in urine has most likely what?
orthostatic proteinuria
-
Common cause of conductive hearing loss in women?
otosclerosis
-
what is the ankle ottawa rules?
- x ray if
- cant take 4 steps
- tenderness over navicular or base of 5th metatarsal
- tenderness over the malleoulus
-
diagnosis of pcos?
- 2 of the following 4
- oligomennorhea
- ammenorhea
- pcos
- clinical and biochemical hyperandregonism
-
what herbal supplement produces bleeding?
ginkgo
-
where do you incise for emergency airway?
cricothyroid membrane
-
antidepressant with least sexual side effects?
buproprion
-
side effect of corticosteroid does what in copd?
increases risk for pneumonia
-
-
what disease is associated with dupuytren's contracture?
-
Rx for granuloma annulare?
-
role of probiotics?
contraindications?
decreases the course of antiobitoc associated or infectioius dirrhea
- contraindications--short gut syndrome
- immunocompromised states
-
after how many months into pregnancy should you screen for gestational diabetes?
6
-
-
What is presbyscusis?
- gradual hearing loss
- with age
- symmetrical
- bilateral
- sensinuronal
-
4 types of inconitence?
- functional--get get to the toilet
- stress---due to increased abdominal pressure
- overactive or detrussor instability
- neurogenic--due to ms, dm,
-
ldl goal with cad, pad, carotid disease, aortic disease, dm?
LDL goal with cad and DM?
-
lifestyle modification has greatest effect on what part of cholesterol?
HDL
-
for every kg of body loss how much decrease is there in bp?
1mm hg
-
smoking and exercise has greatest effect on what cholesterol profile?
hdl
-
chest pain on exertion and -ve ekg
next best step?
what will be the result on ekg?
-
+stress test?
- 2mm st depression
- or
- hypotension-->10mmHg of systolic
-
contraindications to stress test
cardiac instability
-
cant exercise, what u use for stress test?
-
if you cant exercise or if u cant read the ekg bc
1--lbbb
2-- lvh
3-pacer
4-digoxin
- thalium uptake
- or
- dobutamine and echo
-
what increases false positive rate?
low pretest likelyhood of disease
-
nuclear stress test?
what happens?
radioactive thalium is picked up by cells
-
with dobutamine and adenosine what do you see on echo?
decrease wall contractility
-
when is angiography done?
in those with stable angina and + stress test
-
when is cabg done?
- decreased ventricular funciton
- unable to do pci bc dz is too diffuse
- stenosis of left main coronary
- three vessel dz
- two vessel dz with dm and cad
-
when do you do angioplast with a stent?
1 or 2 vessel dz
-
lowering what cholesterol profile decreases mortality?
LDL
-
target for ldl with cad and dm or acute stroke?
less than 70
-
which of the cholesterol drugs decreases mortality?
statin
-
what lowers mortality in stemi?
-
when is ticlopidine the answer?
never
-
diff between unstable and nstemi?
enzymes
-
when is clopidogrel used?
- cant take aspirin
- post stent
- post angioplasty
-
-
What is the timi score?
- age>65
- aspiring in the past 7 days
- angina >2 in the past 24 hrs
- biomarker
- cad risk factors
- dx of cad
- ekg changes >0.5 st changes
-
according to the timi score, when shud pt get heparin, abciximab and angiography ?
timi >3
-
st elevation in how many leads for stemi?
2 leads
-
what are the ecg changes in mi?
- peaked t waves
- st elevation
- q wave
- depressed t wave
-
when do you give thrombolytics?
-
contraindication to thrombolytics?
- ischemic stroke in the past 3 months
- intracranial hemmorhage
- melena
-
drugs after acs?
- aspiring and anti anginals
- bb and bp meds
- cholesterol
- diet and diabetes
- exercise
-
how to tell diff between valve rupture and septal rupture?
oxygen saturation increased
-
long term therapy for post vfib/vtech??
bb
-
vtach/vfeb unprovoked?
defibrillator
-
most accurate test for prinzmetal angina?
what test?
- angiography--normal
- ergonavine
-
test for confirming parkinsons?
symptoms improve with dopamine
-
common cause of wheezing in an infant?
gerd
-
what surgeries carry a high risk for perioperative myocardial ischemia?
vascular surgery
-
most accurate test for gastroparesis?
gastric emptying scintigraphy
-
benign nocturnal limb pains in child?
pain in the thighs and/or legs after an active day
-
-
before starting statin, would shud be ruled out?
secondary causes of high lipds such as dm, hypothyroid
-
when do u stop the prophylaxis and/or treatment for opportunistic infections in HIV?
when t cell count goes up to over 200
-
in what esophageal disorder do you not scope?
zenkers
-
management of rosacea?
antibiotics--metro, doxycycline, tetracycline
-
what is indicated for ovulation induction in pcos?
-
rx for restless leg syndrome?
- iron
- ropinorole/bromocriptine
-
rx for hiccups?
chlorpromazine
-
best initial treatment for primary insomnia?
cbt
-
rx of pyelonephritis in pregnant woman?
-
what over the counter drug is associated with serotonin syndrome?
dextromethorphan
-
which antimuscarinic does not cross the blood brain barrier?
glycopyrrolate
-
what oral hypoglycemic reduces mortality?
metformin
-
drug induced pleuritis?
- hydralazine
- inh
- procainamide
-
best initial imagining test for the uterus and adnexae?
transvaginal sonogram
-
rx for dvt ?
- heparin for 5 days
- warfarin for 3 months
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