1. -dine - ANS-h2 blockers (famotidine)
2. -gliptan - ANS-diabetic med--no hypoglycemia
3. -ide - ANS-thiazide diuretic
4. -lol - ANS-beta blocker
5. -lol - ANS-Beta Blocker
6. -pam - ANS-benzo
7. -pine - ANS-calcium channel blocker---first line for ISH
8. -pril - ANS-ace inhibitor
9. -sartan - ANS-ARB
10. -sin - ANS-alpha adrenergic blockers (tx BPH)
11. 1st gen Cephalosporin - ANS-Keflex---Gram +
12. 2nd gen Cephalosporin - ANS-Cefuroxime, Gram + and Gram -
13. 35 yo with normal paps since 18. Normal pap and hpv..when should she be tested
again??? - ANS-5 YEARS....ACOG says testing no more than every 5 years in women
over 30 if BOTH tests are negative and adequate screening has taken place. If PAP
ONLY ---rec is every 3 YEARS.
14. HPV testing in combo with pap is more sensitive.
15. HPV testing is more SPECIFIC in women over 30.
16. HPV testing ALONE is NOT recommended.
17. 3rd generation cefalosporin - ANS-Cefixime (suprax), Ceftibuten ...weak gram -, gram
+...beta lactamase!!!
18. 4 criteria diagnostic of anorexia nervosa - ANS-Weight below 85% of ideal body weight
19. Intense fear of weight gain
20. Severe body image disturbance
21. Absence of menses
22. 4 indications for cxr with acute cough - ANS-abnormal VS
23. rales, consolidation
24. >75 years old
25. fever
26. A carotid bruit in an elderly patient indicates what? - ANS-Indicates artery disease in
other places. Those with carotid bruit have double stroke risk. Other vessels should be
evaluated. MORE LIKELY TO DIE OF CARDIOVASCULAR DISEASE THAN
CEREBROVASCULAR DISEASE
27. A common early finding in patients with chronic aortic regurg is... - ANS-LV hypertrophy
28. A localized tumor in the prostate gland associated with early stage prostate CA is likely
to produce...
, 29. a. urinary hesitancy
30. b. low back pain
31. c. urinary frequency
32. d. an absence of symptoms - ANS-D!
33. these produce no symptoms or clinical manifestations. Thus PSA screening.
34. A murmur that becomes softer as pt. moves from supine to standing... -
ANS-physiologic. benign.
35. A1C provides info on glucose control over the last how many days - ANS-90 -120
36. According to Ottawa ankle rules..when should you image a sprain? - ANS-midfoot
pain/bone tenderness, bone tenderness at base of the 5th metatarsal or unable to bear
weight for 4 steps
37. acute treatment for migraine?? - ANS-triptans--arterial constriction; expensive...do not
overuse or will become ineffective
38. anhedonia - ANS-loss of interest or pleasure in doing things
39. Anosmia...what cranial nerve should be evaluated. - ANS-I-olfactory (1 nose!)
40. Another name for Neutrophils - ANS-segs or polys
41. Antibiotic for syphillis?? - ANS-PCN ; if allergy tetracycline or rocephin
42. At what age should you do a f/u CXR after treatment for pneumonia - ANS-Anyone over
40
43. AT what interval should TSH be checked after levothyroxine dose changed? - ANS-6-8
weeks
44. ATPIII recommendations for diabetics? - ANS-TC-NO REC
45. LDL <100
46. HDL >40 Males; >50 females
47. Trigs <150
48. ATPIII recs for general population? - ANS-TC <200
49. LDL <130
50. HDL 30-60
51. Trigs <150
52. B12 supplementation - ANS-Vit B12 IM every day for one week----then weekly x4----than
monthly for life
53. Bacteria responsible for most pneumonia deaths - ANS-Strep pneumonae (Gram -)
54. Best initial antibiotics for pneumonia if comorbidities or antibiotics in 90 days -
ANS--Resp quinolone (levofloxacin, gemifloxacin, moxifloxacin) or IF ALLERGY
55. -Beta-lactam (PCN or cephalosporin) PLUS macrolide
56. Best initial antibiotics for pneumonia if no antibiotic exposure in last 3 months -
ANS-Doxycycine or Macrolide (Azithromycin or Clarithromycin) ----because they cover
for atypicals
57. Can you use doxy to treat strep?? - ANS-NO! Gram +
58. characteristics of migraine - ANS-unilateral
59. crescendo
60. 4-72 hours
61. n/v; photophobis
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