Family Medicine Questions
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. What would you like to do?
rx for abnormal uterine bleeding (menorrhagia)
Rx for allergic rhinits?
What decreases the risk of post thromboic syndrome after a dvt?
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?
Oral hypoglycemis shud be switched to what in a woman that is pregnant?
coin rubbing to get rid of disease is practiced in what geographic region?
Refractory asthama exacerbation to albuterol, next drug?
Recommendation for mammography from age 40?
every 1-2 years
which drugs make elderly fall?
What prevents contrast induced nephropahty in renal insufficieny?
- isotonic bicarb
- n acetyl cysteine
the most common type of incontinence?
rx for narcolepsy?
of the atypical antipsychotics, which one has the least propensity for weight gain?
a chest tube in a pneumothorax case is needed if it involves how much of the lung volume?
management of a <15% pneumothorax in a pt with no lung pathology?
outpatient --analgesics and reevaluate after 3 days
most common cause of hypercalcemia--
shud a cigarette smoker receive the pneumococcal vaccine?
Rx for diverticulitis?
- 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?
When shud you lower bp post cerebral stroke?
most common cause of unilateral nasal obstruction?
initial management of a hypercalcemic crisis?
hydration then furosemide
oral, genital ulcers, uveitis, vasculitis, arhtritis in asian person?
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/?
Rx for alopecia aerata?
most common presenting symptoms of obstructive sleep apnea?
excessive daytime sleepiness
birth weight in a young infant is regained in how many weeks?
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?
varenicline and nicotine pathces are beneficial?
MOA of varenicline?
binds to opiate receptors in the brain
Diabetic drug for weight loss?
high grade squamous intraepithelial lesion in what age population should not be treated aggressively?
What are the vital signs of an anorexic?
What is the risk of adenocarcinoma from barrets esophagus?
Dermatophyte treatment when involving hair or nail?
- topical ketoconazole
Rx for raynauds disease?
What gout drug worsens gout in an acute attack?
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?
a person younger than 30 with less than 2 grams of protein in urine has most likely what?
Common cause of conductive hearing loss in women?
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
- clinical and biochemical hyperandregonism
what herbal supplement produces bleeding?
where do you incise for emergency airway?
antidepressant with least sexual side effects?
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?
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?
What is presbyscusis?
- gradual hearing loss
- with age
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?
for every kg of body loss how much decrease is there in bp?
smoking and exercise has greatest effect on what cholesterol profile?
chest pain on exertion and -ve ekg
next best step?
what will be the result on ekg?
- 2mm st depression
- hypotension-->10mmHg of systolic
contraindications to stress test
cant exercise, what u use for stress test?
if you cant exercise or if u cant read the ekg bc
- thalium uptake
- dobutamine and echo
what increases false positive rate?
low pretest likelyhood of disease
nuclear stress test?
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?
target for ldl with cad and dm or acute stroke?
less than 70
which of the cholesterol drugs decreases mortality?
what lowers mortality in stemi?
when is ticlopidine the answer?
diff between unstable and nstemi?
when is clopidogrel used?
- cant take aspirin
- post stent
- post angioplasty
What is the timi score?
- aspiring in the past 7 days
- angina >2 in the past 24 hrs
- 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 ?
st elevation in how many leads for stemi?
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
drugs after acs?
- aspiring and anti anginals
- bb and bp meds
- diet and diabetes
how to tell diff between valve rupture and septal rupture?
oxygen saturation increased
long term therapy for post vfib/vtech??
most accurate test for prinzmetal angina?
test for confirming parkinsons?
symptoms improve with dopamine
common cause of wheezing in an infant?
what surgeries carry a high risk for perioperative myocardial ischemia?
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?
management of rosacea?
antibiotics--metro, doxycycline, tetracycline
what is indicated for ovulation induction in pcos?
rx for restless leg syndrome?
rx for hiccups?
best initial treatment for primary insomnia?
rx of pyelonephritis in pregnant woman?
what over the counter drug is associated with serotonin syndrome?
which antimuscarinic does not cross the blood brain barrier?
what oral hypoglycemic reduces mortality?
drug induced pleuritis?
best initial imagining test for the uterus and adnexae?
rx for dvt ?
- heparin for 5 days
- warfarin for 3 months
What would you like to do?
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