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Exam Questions and Answers
What is the recommended treatment for cat scratch disease? - Correct Answers ✅usually self-limiting and presents with lymphadenopathy that goes away on it's own; severe cases may benefit from azithromycin What is the most common cause of traveler's diarrhea? - Correct Answers ✅e coli What bacteria is responsible for causing cat scratch disease? - Correct Answers ✅bartonella henselae What are the 4 different components of tetralogy of fallot? - Correct Answers ✅overriding aorta, pulmonary stenosis, right ventricular hypertrophy, and a ventricular septal defect What does the murmur auscultated in tetralogy of fallot sound like? - Correct Answers ✅systolic murmur best heard at the left upper sternal border What does the murmur auscultated in a ventricular septal defect sound like? - Correct Answers ✅systolic murmur best heard at the left lower sternal border
Exam Questions and Answers
Where is the aorta best auscultated? - Correct Answers ✅at the second ICS to to the right of the sternum Where is the pulmonary artery best auscultated? - Correct Answers ✅at the second ICS to the left of the sternum What is a scotoma? - Correct Answers ✅a blind spot or aura that obstructs part of your vision Is presbyopia nearsightedness or farsightedness? - Correct Answers ✅farsightedness meaning it can be harder to see things up close, such as reading a newspaper and may need to hold it farther away or use reading glasses Is myopia nearsightedness or farsightedness? - Correct Answers ✅nearsightedness meaning it is hard to see things far away Do cataracts cause myopia or presbyopia? - Correct Answers ✅myopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult
Exam Questions and Answers
movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy What are the components of the fetal biophysical profile? - Correct Answers ✅nonstress test (heart rate monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing How is the fetal biophysical profile performed? - Correct Answers ✅via ultrasound and fetal heart rate monitoring When is the fetal biophysical profile often performed? - Correct Answers ✅in the third trimester, often after week 28- What is a normal kick count in pregnancy? - Correct Answers ✅at least 10 kicks in a consecutive two hour period How much weight should an underweight woman gain in pregnancy? - Correct Answers ✅28-40 pounds How much weight should a normal weight woman gain in pregnancy? - Correct Answers ✅25-35 pounds
Exam Questions and Answers
How much weight should an overweight woman gain in pregnancy? - Correct Answers ✅15-25 pounds How much weight should an obese woman gain in pregnancy? - Correct Answers ✅11-20 pounds Underweight and normal weight woman should be gaining how much weight per week in their second and third trimesters? - Correct Answers ✅1 pound Overweight and obese women should be gaining how much weight per week in their second and third trimesters? - Correct Answers ✅0.5 pounds What is the biggest risk associated with scabies? - Correct Answers ✅secondary infection due to itching What do scabies look like on the skin? - Correct Answers ✅red papular bumps that have s shaped burrows on them; may have fluid coming from them
Exam Questions and Answers
What are the main s/s of rubeiola (measles) - Correct Answers ✅Koplick spots + the 3 c's - cough, coryza, conjunctivitis GABHS infection puts individuals at the highest risk of developing what sequelae? - Correct Answers ✅peritonsillar abscess, glomerulonephritis, rheumatic fever What is the diagnostic criteria for acute rheumatic fever? - Correct Answers ✅2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection When can a breastfeeding mother breast feed again after drinking alcohol? - Correct Answers ✅wait 2-3 hours per drink consumed before breastfeeding again Can a mother take methadone while pregnant and breastfeeding?
- Correct Answers ✅yes Does subsequent mean before or after? - Correct Answers ✅after
Exam Questions and Answers
What is the recommended treatment for Kawasaki disease? - Correct Answers ✅refer to the ED, will likely need IVIG and high dose aspirin What are the s/s of Kawasaki disease? - Correct Answers ✅fever + CREAM (conjunctivitis, rash, erythema of palms and soles, adenopathy cervical, mucous membranes) Kawasaki disease is caused by what? - Correct Answers ✅an acute vasculitis of the small and medium blood vessels What is the main difference between Kawasaki disease and scarlet fever? - Correct Answers ✅KD has conjunctivitis and scarlet fever does not The rash associated with acute rheumatic fever - Correct Answers ✅erythema marginatum The rash associated with parvovirus aka slapped cheek aka fifth disease - Correct Answers ✅erythema infectiosum
Exam Questions and Answers
Erikson stage from 21-39 years - Correct Answers ✅intimacy vs isolation Erikson stage from 40-65 years - Correct Answers ✅generativity vs stagnation Erikson stage for 65 and older - Correct Answers ✅ego integrity vs despair Macrobid/nitrofurantoin is contraindicated in which patients? - Correct Answers ✅those with renal insufficiency Treatment options for complicated UTI - Correct Answers ✅cipro or levo x 5-7 days Treatment options for uncomplicated UTI - Correct Answers ✅bactrim x 3 days, macrobid x 5 days, fosfamycin 1g one time dose Olecranon bursitis is pain in which region of the elbow? - Correct Answers ✅the posterior elbow; will also have swelling and warmth
Exam Questions and Answers
Lateral epicondylitis manifests as what type of elbow pain? - Correct Answers ✅weak grip and pain with gripping, pain with rotation of the wrist and forearm The medical term for golfer's elbow - Correct Answers ✅medial epicondylitis How does the pain in lateral vs. medial epicondylitis differ? - Correct Answers ✅lateral epicondylitis is worse with supination of the hand and medial epicondylitis is worse with pronation of the hand involves tapping a finger along the problem nerve - Correct Answers ✅tinel sign asking the patient to place both elbows on a table while keeping both forearms vertical and flexing both wrists - Correct Answers ✅phalen sign Which nerve runs on the side of the thumb - Correct Answers ✅median nerve
Exam Questions and Answers
What is the gold standard for the diagnosis of herpes? - Correct Answers ✅nucleic acid amplification test Most cases of acute sinusitis are viral and how can we treat them?
- Correct Answers ✅treat the symptoms with intranasal steroids and saline rinses What is the difference between chronic vs gestational hypertension? - Correct Answers ✅chronic htn is present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension is after 20 weeks gestation Which is the recommended diagnostic when a patient has a breast lump? - Correct Answers ✅if less than 45, do an ultrasound. if older than 45, do a diagnostic mammogram. An overactive bladder is what type of incontinence? - Correct Answers ✅urge incontinence What is the recommended treatment for urge incontinence? - Correct Answers ✅anticholinergics like oxybutynin
Exam Questions and Answers
What is the recommended treatment for stress incontinence? - Correct Answers ✅alpha agonists like sudafed, TCAs What is the recommended treatment for BPH? - Correct Answers ✅alpha blockers like terazosin, doxazosin, tamsulosin Alcohol and marijuana worsen which type of incontinence? - Correct Answers ✅urge Which SSRI is safest in pregnancy? Which poses the most risk? - Correct Answers ✅sertraline; paroxetine Infants born to women who smoke are at increased risk for what?
- Correct Answers ✅low birth weight and preterm delivery What is the best marker of an acute MI? - Correct Answers ✅troponin When do troponins peak after a MI? - Correct Answers ✅12 hours
Exam Questions and Answers
A U wave present on EKG is thought to represent what? - Correct Answers ✅repolarization of the purkinje fibers What is considered legal blindness? - Correct Answers ✅20/200 or worse What is the pain of temporal arteritis like? - Correct Answers ✅new onset headache, jaw pain with chewing Are nexplanon and norplant (levonorgestrol) combined contraceptives or progesterone only? - Correct Answers ✅progesterone only Breastfeeding women cannot have which type of anti- contraceptive? - Correct Answers ✅anything with estrogen in it; this includes things like cocps
