KEY QUESTIONS AND ANSWERS
What class of medications for T2DM is associated with ketoacidosis?
SGLT2 inhibitors such as dapagliflozin
Definition of febrile neutropenia.
Single oral temp of 38.5 C, sustained temp of 38 C for over 1 hr with ANC < 500
Antihypertensive of choice in gout patients?
Losartan (ARBs)
Preferred method for diagnosing lymphoma?
Staging?
Open lymph node biopsy?
Staging = PET-CT
Name 2 nonsynthetic opioids that drug tests will usually catch?
Morphine and codeine
The rest are synthetic
Typical incubation period for COVID 19?
4-5 days
All patients aged 40-75 with diabetes and an LDL above 70 should be taking...
A moderate intensity statin
USPSTF recommends ASA 81mg daily after ___ weeks gestation for those at high risk for preeclampsia.
12
According to the ADVANCE and ACCORD trials, harms increase in aggressive tx of T2DM with an A1c
less than 6.5%. In choosing between removing MTF vs insulin you should remove...
Insulin
Best regimen for preventing exacerbations in mild asthma?
ICS/LABA PRN
What are HIDA scans used to diagnose?
Functional gallbladder diseases such as acalculous cholecystitis, biliary dyskinesia, biliary dysmotility
The AAP recommends screening for maternal depression at which WCCs?
1, 2, 4, 6 months
, In women with large symptomatic fibroids which treatment option reduces size, bleeding and
improves QOL?
Uterine artery embolization and occlusion
Consider use of the Hunter Serotonin Toxicity criteria when serotonin syndrome is suspected. SSRIs
mixed with ___ puts pt at higher risk?
Tramadol
Guidelines from the American College of Radiology recommend imaging in children and adolescents
that meet which criteria?
Pain that awakens them at night
Abnormal neurologic findings
Pain that radiates
Pain that persists more than 4 weeks
AAA screening is for...
Men aged 65-75 who have ever smoked
Treatment of delusion of infestation?
Initial blood work and then typical antipsychotic such as olanzapine or risperidone
Triad of Meniere's disease?
Episodic vertigo
Hearing loss
Tinnitus
Children do not need a booster / car seat when they reach what height?
145 cm
57 inches
Best prevention of CAUTIs in patients with chronic indwelling Foley?
Routine cleaning of meatal surface with soap and water during baths / shower
Which type of burns blister, but do NOT blanch with pressure?
Deep partial thickness burns
Tx of CAP in pt with comorbidity?
Augmentin + macrolide
Tx of buckle fx?
Short arm splint for 4 weeks, can then return to activity if pain-free
No need for repeat imaging or ortho referral