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a patient presents with symmetrical erythematous lesions on extensor surfaces of elbows, knees, and back. margins are sharply defined. this is most likely: a. plaque psoriasis b. tinea corposis c. atopic dermatitis d. eczema - ---✔✔✔ANSWER----a. plaque psoriasis which patient is not considered at high risk for colorectal cancer? a. 20 year old with hx of abdominal radiation from childhood cancer
b. 30 year old woman whose grandma was diagnosed with CR CA at age 65 c. 38 year old woman with ulcerative colitis d. 50 year old man with 1st degree relative diagnosed with CR CA at age 45 - --- ✔✔✔ANSWER----B- 30 year old whose grandmother was diagnosed at age 65 serious adverse effects of azithromycin - ---✔✔✔ANSWER----D. QT prolongation serious side effect of sildenafil - ---✔✔✔ANSWER----c. priapism pt taking PPI for 6 months has diarrhea for 3 weeks. consider: - --- ✔✔✔ANSWER----d. c. diff abnormal finding: a. apical pulse in 22 year old man b. systolic murmur in a woman who is 18 weeks pregnant with BMI of 38 c. S4 in 58 year old obese man with DM d. BP of 118/65 in a frail 78 year old man. - ---✔✔✔ANSWER----c. S4 in obese man with DM
premature: 5-7 days side effect of amoxicillin in children - ---✔✔✔ANSWER----abdominal pain hypersensitivty- nausea, vomiting, pruritis, urticaria etc monoarticular pain in first metatarsophalangeal joint; edematous and inflamed - - --✔✔✔ANSWER----gouty arthritis not a common neuro sign for suspected meningitis - ---✔✔✔ANSWER---- papilledema bactrim is not effective against - ---✔✔✔ANSWER----psuedomonas aeruginosa pt with DM treated with levofloxacin for UTI; monitor fo: - --- ✔✔✔ANSWER----hypoglycemia maintenance therapy for allergic rhinitis - ---✔✔✔ANSWER----topical nasal steroid weight loss, elevated CRP and ESR but denies hematochezia - --- ✔✔✔ANSWER----chrons disease
peds patients at greater risk for adrenal suppression related to topical steroid use due to - ---✔✔✔ANSWER----higher ratio of skin surface area to body mass joints least likely to be affected by osteoarthritis - ---✔✔✔ANSWER---- wrists patient with eating disorder may also have - ---✔✔✔ANSWER----anxiety disorder meds that do not produce bronchodilation - ---✔✔✔ANSWER---- gluccocorticoids condition not likely to cause a rise in troponin levels - ---✔✔✔ANSWER---- unstable angina pyelonephritis on oral cipro, worsening symptoms after two days - --- ✔✔✔ANSWER----consider hospitalization and treatment with IV antibiotics use of nonselective beta blockers to treat migraines can cause - --- ✔✔✔ANSWER----bronchial constriction
slow growing facial lesion with depressed center and firm elevated border with visible telangietic vessels - ---✔✔✔ANSWER----squamous cell carcinoma pt took humulin R 6 hours ago prior to lunch, now plans to work out how should the patient procede to prevent hypoglycemia - ---✔✔✔ANSWER----have a snack available if needed acute tension headache refractory to simple analgesics can trial combo of analgestics and - ---✔✔✔ANSWER----butalbital? cardinal symptom of lead toxicity - ---✔✔✔ANSWER----anemia avoid giving gemfibrozil with - ---✔✔✔ANSWER----statins side effect of benzoyl peroxide - ---✔✔✔ANSWER----bleaching of the eyebrows acyclovir - ---✔✔✔ANSWER----requires dose adjustments symmetrical distal sensory loss - ---✔✔✔ANSWER----polyneuropathy prolonged use of inhaled corticosteroids - ---✔✔✔ANSWER----pneumonia
primary prevention for reducing MI risk - ---✔✔✔ANSWER----lowering LDL man presents with nocturia and polydispia with a random BG of 352: plan today? - ---✔✔✔ANSWER----initiate insulin nocturnal parethesias in upper extremeties - ---✔✔✔ANSWER----carpal tunnel MOA of sulfonylurea agents - ---✔✔✔ANSWER----increase release of insulin from pancreatic beta cells muscles of expression unilaterally affected due to inflammation or edema - --- ✔✔✔ANSWER----bells palsy emotional response that causes excessive worry about something that has not occurred is - ---✔✔✔ANSWER----anxiety adverse effect associated with overuse of tylenol - ---✔✔✔ANSWER---- increased alk phos use of ritalin to manage ADHD can result in - ---✔✔✔ANSWER----tics
fact about lead toxicity - ---✔✔✔ANSWER----lead is more readily bound to red blood cells than plasma isolated systolic hypertension treatment - ---✔✔✔ANSWER----calcium channel blocker recheck of TSH level after starting levothyroxine - ---✔✔✔ANSWER---- 6 weeks older adult side effects when taking acyclovir - ---✔✔✔ANSWER---- confusion and hallucinations allergic response CBC evaluation - ---✔✔✔ANSWER----eosinophilia urinary stress incontinence during pregnancy - ---✔✔✔ANSWER---- nonpharm interventions to avoid side effects of treatment of H pylori, patients should take - --- ✔✔✔ANSWER----probiotic 40 year old black patient with elevated BP of 175/100 and 170/102 should start what medications - ---✔✔✔ANSWER----amlodipine
pain and morning stiffness of right knee, moderate swelling with tender bony ridge along the joint margin: dx? - ---✔✔✔ANSWER----osteoarthritis 6 week old with bright red rubbery nodule of dense blood vessels: Dx? - --- ✔✔✔ANSWER----hemangioma basal cell carincoma appearance - ---✔✔✔ANSWER----pearly papules with telangiectatic nodules most common pathogen for pyelonephritis - ---✔✔✔ANSWER----e. coli unilateral centrally located ridge of breast tissue that is tender to palpation - --- ✔✔✔ANSWER----gyenecomastia pregnant patient exposed to chicken pox and unsure of immunity status - --- ✔✔✔ANSWER----check immune status seratonin syndrome from taking SSRI and - ---✔✔✔ANSWER----tramadol complication of endometriosis - ---✔✔✔ANSWER----infertility
max daily dose of ibuprofen - ---✔✔✔ANSWER----2400? antacid most likely to cause constipation - ---✔✔✔ANSWER----calcium carb (TUMS) RA characteristic - ---✔✔✔ANSWER----symmetrical topical permethrin treatment duration - ---✔✔✔ANSWER----8 hours glucocorticoid nasal spray adverse reaction not related to the use: - --- ✔✔✔ANSWER----sialorrhea nasal septal perforation--> spraying the nasal spray into the septum nexplanon implant - ---✔✔✔ANSWER----produces a quicker return to fertility than the depo shots FDA approved beta blocker for treatment of migraines - ---✔✔✔ANSWER- ---propranolol how to take zetia - ---✔✔✔ANSWER----without regard to meals
initial primary mediator from mast cells - ---✔✔✔ANSWER----histamine to reduce the risk of CV events in patients with asymptomatic PAD; treat with - --
- ✔✔✔ANSWER----aspirin levaquin should not be given to children younger than 18 because: - --- ✔✔✔ANSWER----adverse effects on bone and cartilage formation type of leader that has minimal involvement in decision making allowing people to make their own decisions - ---✔✔✔ANSWER----laissez faire CMP finding after a woman sustains a tibial fracture - ---✔✔✔ANSWER---- elevated alkaline phosphatase - signs of bone disorders left shoulder pain with abduction and forward flexion; positive drop arm test - --- ✔✔✔ANSWER----complete rotator cuff tear acute hep B infection - ---✔✔✔ANSWER----varied clinical presentations
