ANSWERS SET A+
✔✔for staph aureus infection (skin) with pus - ✔✔MRSA- TX Bactrim or tetracyclines?
✔✔hyperparathyroidism - ✔✔high calcium
✔✔Hyperthyroidism treatment - ✔✔methimazole, PTU-propylthiouracil (preferred in
pregnancy)
Radioactive iodine, Beta blockers
✔✔Mammography Screening - ✔✔-Age 45 - 54 yearly mammogram
-55 and older every 2 years
✔✔Fifth's Disease (Erythema Infectiosum) - ✔✔B19: lytic infection, respiratory
transmission
Sx: flushed rash/fever in kids
Px: fever, get better in a week
✔✔pt has AOM but has hives on Amoxicillin and N/V with erythromycin, what meds to
give - ✔✔TREATMENT: Amoxicillin (first line), then Augmentin, Omnicef, Ceftin,
Levaquin. If your patient is only PCN allergic do azithromycin or clarithromycin.
✔✔chlamydia in pregnancy - ✔✔Azithromycin 1 gm PO x1 or Amoxicillin 500 mg PO
TID x7d. Test of cure 3 weeks after completion of treatment (PREGO). EXAM
✔✔papilledema - ✔✔optic disc swollen w/ blurred edges due to increased ICP EXAM
✔✔actinic keratoses - ✔✔Precursor to squamous cell carcinoma. "numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow growing in
sun exposed areas. Diagnosis: BIOPSY Golden Standard. Treatment: Sm.
, (cryotherapy), Lrg. (5-FU cream)- which causes ur skin to ooze, crust, scab, redness
EXAM
✔✔Allergic Conjunctivitis - ✔✔"stringy; increased tearing" PO antihistamines. Type I
sensitivity. Typically bilateral. Rhinitis and allergic shiner.
✔✔COPD - ✔✔COPD- Gold 1-2- SABA or SAMA ON EXAM.BASCIALLY
ANTICHOLINERGIC FIRST LINE FOR COPD ON EXAM
Gold 1-2 that are poor controlled- LAMA or LABA. May use SABA for rescue.
Gold 3-4 LAMA first line. If poor use LAMA plus LABA. Alternative is LABA + ICS.
Gold 3-4- refer
SABA- Albuterol, levoalbuterol (terol)
LABA- Formeterol, salmeterol (Terol)
SAMA- Atrovent Ipatropium (tropium)
LAMA- Spiriva Tiotroium (tropium)
COPD long term is OXYGEN
✔✔CN IX Glossopharyngeal - ✔✔- Shoulder shrug/ ROMBERG test EXAM
✔✔CN V Trigeminal - ✔✔Herpes. CORNEAL ABRASION. EXAM
✔✔CN VIII Vestibulocochlear - ✔✔ears 8 EXAM
✔✔CN VII Facial - ✔✔BELLS EXAM
✔✔ACEI contraindicated - ✔✔pregnancy
✔✔Safe to give varicella/MMR - ✔✔Do not give <12 mo. EXAM QUESTION
✔✔Acne Vulgaris - ✔✔common acne. Retin-A, acne worsens 4-6 weeks if no
improvement in 8-12 weeks increase dose or add erythromycin, benzoyl peroxide.
✔✔Acne Rosacea - ✔✔- chronic small acne like papules/pustules around nose mouth
chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM
✔✔Cataracts - ✔✔is on EXAM in elderly night vision issues. Opaque
✔✔Kawasaki disease - ✔✔- acute high fever, enlarged lymph. BRIGHT RED RASH,
conjunctivitis, dry cracked lips, strawberry tongue, Swollen hands, feet, AFTER the
fever resides the rash PEELS on hands/feet. Treated with high dose aspirin and gamma
globulin. This is TOXIC and VASCULAR, think blood clots, heart problems etc. Treat:
high dose aspirin. EXAM