FAMILY MEDICINE COMAT COMBANK
Q'S 100% PROVEN
Amlodipine ANS - dihydropyridine calcium channel blocker used for HTN.
SE's= peripheral edema, fatigue, palpitations.
SE's of statins ANS - myopathy, rhabdomyolysis, hepatotoxicity.
(follow LFT's)
glyburide ANS - sulfonylurea drug class indicated for treatment of DM II
major difference in bacterial vs viral conjunctivitis ANS - bacterial infection produces a mucopurulent
discharge (rather than clear).
Difference of allergic conjunctivitis compared to adenoviral conjunctivitis ANS - Both have bilateral
watery discharge, but allergic has pruritis & a foreign body sensation.
Most common cause of epidemic keratoconjunctivitis ANS - Adnovirus; usually there's an associated
pharyngitis, fever, malaise, & periauricular lymphadenopathy.
Most likely cause of resistant hypertension in a patient at high risk for atherosclerosis ANS - renal
artery stenosis
(note: may hear a renal artery bruit over the site, and patient may requires stenting for treatment).
Definite diagnosis of renal artery stenosis ANS - Renal MRI or CT angiography of renal arteries.
Other tests to consider in EBV infection in addition to monospot (latex agglutination assay) ANS - ESR
(elevated, in contrast to streptococcal pharyngitis).
, Liver Function studies (elevated aminotransferases & bilirubin).
What antibiotic should be used if a person has secondary bacterial pharyngitis in addition to EBV
mononucleosis? ANS - Penicillin or erythromycin is required...avoid ampicillin & amoxicillin because it
will cause a diffuse, erythematous rash.
Types of diabetic retinopathy ANS - Non-proliferative (consists of nerve-fiber layer infarcts...aka cotton-
wool spots), intra-retinal hemorrhages, & macular edema.
Proliferative retinopathy= neovascularization of retinal vessels (simulated by VEGF-vascular endothelial
growth factor- which is released after initial cell death due to ischemic injury)....proliferative retinopathy
can result in vitreous hemorrhage & retinal detachment.
When si arteriovenous nicking seen ANS - Hypertensive retinopahy.
Different MOA's of NRTI's vs NNRTI's ANS - NRTI's: direct competition of viral reverse transcriptase by
mimicking other nucleosides & are incorporated into the DNA strand & prevent addition of natural
nucleosides into the DNA strand (halts production of new virions).
NNRIT's: directly bind & inhibit reverse transcriptase enzyme.
Differential for galactorrhea ANS - PRegnancy, prolactinoma, hypothyroidism, medication, & breast
stimulation.
Diagnostic steps for a suspected prolactinoma ANS - First check prolactin levels...if elevated, get an
MRI.
In a woman with galactorrhea, what's the next step after ruling out pregnancy & a prolactinoma ANS -
Thyroid function tests should be checked for hypothyroidism.
Order of priority of surrogates ANS - Spouse, adult child, parents, domestic partner, sibling, close
friend...then attending physician or ethics committee.
Q'S 100% PROVEN
Amlodipine ANS - dihydropyridine calcium channel blocker used for HTN.
SE's= peripheral edema, fatigue, palpitations.
SE's of statins ANS - myopathy, rhabdomyolysis, hepatotoxicity.
(follow LFT's)
glyburide ANS - sulfonylurea drug class indicated for treatment of DM II
major difference in bacterial vs viral conjunctivitis ANS - bacterial infection produces a mucopurulent
discharge (rather than clear).
Difference of allergic conjunctivitis compared to adenoviral conjunctivitis ANS - Both have bilateral
watery discharge, but allergic has pruritis & a foreign body sensation.
Most common cause of epidemic keratoconjunctivitis ANS - Adnovirus; usually there's an associated
pharyngitis, fever, malaise, & periauricular lymphadenopathy.
Most likely cause of resistant hypertension in a patient at high risk for atherosclerosis ANS - renal
artery stenosis
(note: may hear a renal artery bruit over the site, and patient may requires stenting for treatment).
Definite diagnosis of renal artery stenosis ANS - Renal MRI or CT angiography of renal arteries.
Other tests to consider in EBV infection in addition to monospot (latex agglutination assay) ANS - ESR
(elevated, in contrast to streptococcal pharyngitis).
, Liver Function studies (elevated aminotransferases & bilirubin).
What antibiotic should be used if a person has secondary bacterial pharyngitis in addition to EBV
mononucleosis? ANS - Penicillin or erythromycin is required...avoid ampicillin & amoxicillin because it
will cause a diffuse, erythematous rash.
Types of diabetic retinopathy ANS - Non-proliferative (consists of nerve-fiber layer infarcts...aka cotton-
wool spots), intra-retinal hemorrhages, & macular edema.
Proliferative retinopathy= neovascularization of retinal vessels (simulated by VEGF-vascular endothelial
growth factor- which is released after initial cell death due to ischemic injury)....proliferative retinopathy
can result in vitreous hemorrhage & retinal detachment.
When si arteriovenous nicking seen ANS - Hypertensive retinopahy.
Different MOA's of NRTI's vs NNRTI's ANS - NRTI's: direct competition of viral reverse transcriptase by
mimicking other nucleosides & are incorporated into the DNA strand & prevent addition of natural
nucleosides into the DNA strand (halts production of new virions).
NNRIT's: directly bind & inhibit reverse transcriptase enzyme.
Differential for galactorrhea ANS - PRegnancy, prolactinoma, hypothyroidism, medication, & breast
stimulation.
Diagnostic steps for a suspected prolactinoma ANS - First check prolactin levels...if elevated, get an
MRI.
In a woman with galactorrhea, what's the next step after ruling out pregnancy & a prolactinoma ANS -
Thyroid function tests should be checked for hypothyroidism.
Order of priority of surrogates ANS - Spouse, adult child, parents, domestic partner, sibling, close
friend...then attending physician or ethics committee.
