ABIM IM BOARDS ITE EXAM WITH ALL QUESTIONS AND VERIFIED ANSWERS Women aged 65 and older, as well as younger women with a fracture risk of 9.3% or greater, should be screened for osteoporosis using DEXA. Ibuprofen or naproxen for primary dysmenorrhea, if side effects or not controll ed, - ANSWER OCP Reduce the risk of pressure ulcers in at-risk individuals. ANSWER: Use sophisticated static mattresses or overlays. Screening mammography is predicted to improve life expectancy by at least --- years - ANSWER 10 years. ANSWER Bulimia nervosa: Frequent episodes of binge eating more than once a week followed by inappropriate compensatory actions (vomiting, laxatives, enema, etc) owing to fear of gaining weight. anorexia BMI - ANSWER: typically underweight, or less than 18.5 otitis media with effusion treatment - ANSWER watch, typically resolves in 12 weeks. otitis externa treatment - ANSWER combination antibiotic and gluco corticoid to the topical drug, e.g. neomycin, polymyxin B, and hydrocortisone Topical lidocaine is effective in treating herpetic neuralgia. Describe uveitis - ANSWER unilateral eye discomfort, photophobia, ciliary flush (circumferential redness along the border of the sclera and cornea); there may be miosis. Indications for bariatric surgery: BMI 40 or higher without comorbidities, BMI 35 with comorbidities. Orlistat - ANSWER Weight loss medicine; loose stools are a typical side effect. Lose approximately 3.5kg in a year. Lorcaserin is a weight reduction medicine that should be avoided in pat ients taking SSRIs due to serotonin increase. Phentermine-topiramate - ANSWER Weight loss drug; avoid in glauc oma. Acromioclavicular joint degeneration presentation: pain on the superior as pect of the shoulder, tenderness on probing of the A-C joint, pain with sho ulder adduction and abduction >120 degrees. Supraspinatus tear test: Positive drop arm test. supraspinatus tendinitis - ANSWER discomfort with shoulder abduc tion or painful arc. Lung cancer screening - ANSWER ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack years of smoking history, including those who quit with in 15 years. AAA Screening - ANSWER One-time abdominal ultrasound for males aged 65-7 5 who had smoked at least 100 cigarettes. The typical outcome metric for a cohort study is relative risk. Treatment options for bipolar depression include Seroquel monotherapy and olanzapine-fluoxetine combo treatment. Hormonal estrogen is contraindicated in women with migraines and auras due t o the risk of stroke. PAP smear screening: women aged 21 to 65, every three years. In women aged 30 to 65, every 5 years if paired with HPV testing. Indications for high-intensity statins - ANSWER Age 40-75 with diab etes and an LDL of 70-189, and 10 years >7.5% ASCVD risk. ANSWER: Men with low or sub-normal testosterone levels should get a repeat confirmatory morning testosterone before beginning testosterone medi cation. The most effective treatment for severe vasomotor symptoms in postmenopausal women is systemic hormone therapy, namely an oral estradiol-progestin combination. All individuals with syncope should have the ANSWER EKG test performed. Treatment for panic disorder includes SSRI (sertraline), SNRI, TCAs, and MAO inhibitors. Trichomoniasis treatment - ANSWER: one dose of metronidazole 2g, and treat spouse. Treatment of vasomotor symptoms in postmenopausal women without a uter us - ANSWER Transdermal or oral estradiol solely (no need for progestin because th ey have no uterus). Statins and ACE-i/ARB are teratogenic; stop in pregnant women.
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