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END OF PAGE what eye finding is specific to diabetic retinopathy - ANSWERS- neovascularization which abx can be used for mastitis - ANSWERS-- amoxicillin/clavulanate
- dicloxacillin
- cephalexin injury with a popping sound and then unable to extend the knee for a straight leg raise - ANSWERS-rectus femoris rupture (quadriceps tendon tear) thrombophlebitis - ANSWERS-inflammation and the vein and surrounding skin that occurs when a thrombus occurs in a superficial vein close to the skin FPR - ANSWERS-places the area that needs to be treated in a NEUTRAL position
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END OF PAGE --> then apply a compressive or torsional force while placing the somatic dysfunction into its freedom for 3-5 seconds anterior chapman point for the sinuses - ANSWERS-btwn clavicle and first rib posterior chapman point for sinuses - ANSWERS-C2 articular pillar empiric outpatient tx of community acquired pneumonia - ANSWERS- doxycycline OR macrolides (azithromycin, etc) --> provides coverage against typical and atypical organisms what causes priaprism? - ANSWERS-erection of corpus CAVERNOSUM which foods are okay for celiac disease patients - ANSWERS-- soybean and tapioca flour
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END OF PAGE which ANCA is positive in wegener's - ANSWERS-c-anca --> p-anca usually NOT present coin facing you on AP/PA film - ANSWERS-esophagus coin facing you on lateral film - ANSWERS-trachea what size AAA needs surgical repair - ANSWERS-> 5.5 cm first step in GERD patient with alarm symptoms - ANSWERS-upper endoscopy first line tx for comodonal acne - ANSWERS-topical retinoid pt with asthma sx less than 2 days per week - ANSWERS-intermittent asthma
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END OF PAGE Lloyd's sign - ANSWERS-positive CVA tenderness MCC of febrile UTI in kids how to evaluate? - ANSWERS-vesicoureteral reflux --> voiding urethrogram hyperlipidemia with LDL < 190 what should you do? - ANSWERS-lifestyle modification --> if LDL was > 190, then start statin tx for atypical pneumonia - ANSWERS-macrolides (ie azithromycin, erythromycin) BMI calculation - ANSWERS-
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- toileting
- continence
- feeding
- dressing
- bathing next best step after thyroid nodule is palpated and TSH is normal - ANSWERS-thyroid ultrasound VS for thyroid - ANSWERS-T tx for episiotomy infection - ANSWERS-suture removal and irrigation and debridement of the wound abx for pseudomonas - ANSWERS-fluoroquinolones --> cipro or levofloxacin
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END OF PAGE diarrhea with macrocytic anemia and elevated LFTs - ANSWERS-celiac disease donepezil - ANSWERS-cholinesterase inhibitor --> used to treat mild/moderate symptomatic dementia what kind of drug is citalopram - ANSWERS-SSRI COPD treatment that has been shown to improve mortality - ANSWERS-supplemental oxygen mixed incontinence - ANSWERS-combo of stress and urge incontinence functional incontinence - ANSWERS-pt is aware of need to urinate, but unable to reach toilet in time due to physical or mental reasons overflow incontinence - ANSWERS-unpredictable dribbling of urine or weak urine stream
MEDICINE
END OF PAGE --> new prescription has to be issued treatment for very high triglycerides - ANSWERS-fibrates test with the highest sensitivity for h. pylori - ANSWERS-serology test what common drug should be discontinued prior to a CT with contrast - ANSWERS-metformin --> bc of risk of lactic acidosis how does post-exposure prophylaxis of HIV work? - ANSWERS-blocks action of reverse transcriptase --> ie inhibits viral repilication first line therapy for human bites - ANSWERS-amoxicillin/clavulanic acid
MEDICINE
END OF PAGE first line drugs for diabetic retinopathy - ANSWERS-- TCA (amitryptiline)
- anticonvulsants (pregabalin, gabapentin) which way does L5 always rotate? - ANSWERS-opposite direction of the sacrum which way does L5 always side bend? - ANSWERS-same direction of sacral axis guarda resp altor - ANSWERS-guardian that is judicially appointed living will - ANSWERS-addresses pt's wishes to withhold or withdraw life sustaining medical treatment in the event of terminal disease or persistent vegetative state res ipsa loquitor - ANSWERS-'the thing that speaks for itself'
- something that would not normally occur in the absence of negligence
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END OF PAGE (PTU has more side effects) treatment for plantar fasciitis - ANSWERS-- rest
- calf stretching
- shoes with arch support
- NSAIDs
- night splints young child with fever, weight loss, hepatosplenomegaly - ANSWERS- acute lymphoblastic leukemia best first test to dx onychomycosis - ANSWERS-microscopic evaluation of toenail scrapings using KOH prep brown tumor - ANSWERS-osteitis fibrosa cystica --> due to severe hyperparathyroidism leading to hypercalcemia
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END OF PAGE ocular findings in pt with htn - ANSWERS-- cotton wool patches
- AV nicking important diet recommendation for pt with liver cirrhosis and ascites - ANSWERS-dietary sodium restriction chronic GERD and then pt starts having trouble swallowing imaging study to do? - ANSWERS-EGD gram negative coccobacillus that is transmitted by animals - can present with vertebral osteomyelitis or septic arthritis in large peripheral joints - ANSWERS-brucellosis products of conception have evacuated the uterus and cervical os now closed - ANSWERS-complete abortion vaginal bleeding, open os, products of conception can be seen or palpated in cervical canal - ANSWERS-incomplete abortion
MEDICINE
END OF PAGE CRC screening in a pt with first degree relative with colon cancer - ANSWERS-colonoscopy every 5 yrs starting at age 40, or 10 years before the family member was diagnosed, which ever comes first red flag symptoms of low back pain - ANSWERS-- night pain
- unrelenting pain at rest
- fever
- lost of bowel or bladder control
- trauma
- osteoporosis
- chronic corticosteroid use
- immunosuppression
- greater than 5% weight loss in 6 months treatment for olecranon bursitis - ANSWERS-bursa aspiration first --> then culture and start abx what ages should have AAA screening - ANSWERS- 65 to 75
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END OF PAGE order of decision makers - ANSWERS-- spouse
- adult child
- parents
- domestic partner
- sibling
- close friend tx for primary hyperparathyroidism - ANSWERS-parathyroidectomy conditions of obstructive lung dz - ANSWERS-- FEV1/FVC < 70%
- FEV1 less than 80% predicted best method for smoking cessation - ANSWERS-behavior AND pharm therapy stages of htn - ANSWERS-
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END OF PAGE rhinorrhea, cough, wheezes in child less than 2 - ANSWERS- bronchiolitis oligomenorrhea/amenorrhea, infertility, hot flashes, weight gain, vaginal dryness and atropy in a woman less than 40 dx? what would confirm dx? - ANSWERS-primary ovarian failure --> dx with elevation of FSH in the menopausal range on 2 occasions by at least 1 month tx for acute management of influenza - ANSWERS-supportive care which influenza vaccine is recommended for pts with egg allergy - ANSWERS-IIV3 or IIV LAIV4 - ANSWERS-live attenuated influenza vaccine
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END OF PAGE --> administered intranasally --> CONTRA in pts with egg allergy YF-VAX - ANSWERS-yellow fever vaccine which ages for family history for CAD are high risk - ANSWERS-- father or brother before age 55
- mother or sister before age 65 child with rhinorrhea, hoarse cry, prolonged inspiratory phase, that responds to humidified air - ANSWERS-croup
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