FITZ FINAL SIT EXAM 2025

Beneficence - -The obligation to help people in need Veracity - -The obligation to remain truthful A 22 years. old started a new job at a health center which would be appropriate - -MMR Weight loss management in a 55-year-old woman with DM II that is discouraged about losing weight. - -What barriers do you see to losing weight? A good candidate for Prozac would be - -A 28 year old who skips meds occasionally and has nexplanon What is a common dx for a 14 year old boy who plays basketball that is complaining of knee pain and swelling - -Osgood-Schlatter disease The most common sign of bladder cancer - -gross hematuria The placenta is best described as - -" able to transport lipophilic substances" An abnormal finding in a pregnant women in the 3rd trimester would be - -Diastolic Murmur Most common UTI pathogen in children - -e- coli A child with a PCN allergy who requires an ABT you could consider - -cefixame 57 year old woman with RA on DMARDs has this blood count HGB- low HCT - low RBC -low MCV normal MCHC normal And RDW normal what is the likely dx.? - -Anemia of chronic disease 22 year old with no complaints Asian descent with a blood count HGB- low HCT- low RBC- high MCV normal RDW normal would likely have which anemia? - -Alpha thal minor Low volume, frequent loose stools are associated with which thyroid abnormality? - HYPERthyroid 2/6 early-to mid systolic ejection murmur best heard in lower sternal border. usually disappears with position change. - -Innocent flow murmur ( pulmonic flow murmur) how many half-lives does it take to reach a steady state? - -3-5 FITZGERALD FITZGERALD The half life is the amount of time needed to decrease the serum concentration of a drug by - -50% The process of absorption, distribution, metabolism, and elimination of a drug is known as - -Pharmacokinetics A 22 year old with suspected Reiters syndrome would need which lab - -urethral cultures A 33 year old with urethritis would be best treated with which antibiotic - -Doxycycline What is a common finding in prostate cancer? - -A painless area of induration in the posterior lobe of the prostate Presbyscus - -Hearing loss related to aging that is progressive and usually unilateral, and high frequency loss What is a common behavior consistent with bipolar I disorder - -impulsive behavior 55 yr old male with asymptomatic erythematous pharynx with high lipids and mostly normal hemogram is most consistent with - -alcohol abuse Most of the body's iron is obtained from - -recycled iron content from aged RBCs What is the best way to enhance iron absorption - -Take on an empty stomach Early morning waking is consistent with what mental health disorder? - -Depression First line ABT for Pylonephritis - -Cipro Creatinine Clearance usually - -approximates GFR Creatine Clearance is best described as - -a product related to skeletal muscle metabolism Untreated primary open-angle glaucoma complaint by patient is - -peripheral vision loss Untreated primary open-angle glaucoma exam findings include - -excessive cupping on fundoscopic exam Ectopic pregnancies occur in the - -fallopian tubes A pt treated after and I and D that is in for follow- up and has some redness that is around the site treatment would include - -continuing to monitor FITZGERALD FITZGERALD A Platelet count of 20-50000 indicates what bleeding risk - -moderate with possible aggravation from post-traumatic bleeding All children should receive the Hep B vaccine - -True Treatment with ABT for COPD exacerbation is debatable even in severe disease unless pneumonia is present - -true Mr. Ass - -Mitral regurgitation, aortic stenosis =Systolic murmurs Ms. Ard - -Mitral Stenosis, Aortic Regurgitation=Diastolic Beta Blockers are contraindicated in the presence of HTN and Asthma - -True Writing prescriptions should include writing ones with similar names and nomenclatures and writing both the generic and trade name - -FALSE Which patient is least likely to be affected by medication induced hepatoxicity - -young man A certified letter would be an appropriate way to inform a pt of an abnormal pap smear - -true TSH is released by the - -Anterior lobe of the pituitary gland In Acute Cholecystitis lab changes would not include - -elevated creatinine What would be the most common pathogen for an 18 year old with a sore throat, swollen glands, for 3 days 101 temp, exudative pharyngitis, tender anterior cervical lympadenopathy, NO pain in upper right and left abd. - -Strep pyrogenes What would be an appropriate medicine to treat a pt who has been treated for ARBS with doxycycline and is still symptomatic? - -Moxifloxacin What is a classic finding in otitis media? - -Tympanic membrane immobility M. Cataralis is characterized by - -Gram positive organisms The most common causative bacterial agent in adults with ARBS is - -S. Pneumonia Patients with infection mono should not be given which antibiotic? - -Amoxicillin On EKG in Myocardial Ischemia what finding is likely? - -T-wave inversion In acute coronary syndrome this EKG change is expected. - -St segment deviation FITZGERALD FITZGERALD Spironolactone affects which electrolytes how? - -Potassium sparing and calcium excreting Mid-systolic murmur that gets louder when standing - -Hypertrophic cardiomyopathy Which class of HTN medications is most beneficial for patients who also have DM? - Ace inhibitors Physiologic or Benign murmurs usually get softer when standing or moving from supine to sitting - -True Most common pathogen in COPD exacerbation - -Respiratory viruses When treating a recurrent Duodenal ulcer treatment which medicati