Practitionersl inl Primaryl Carel IIl Review|l
Wilkesl (Latestl 2026/l 2027l Update)l 100%l
Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Amountl ofl calciuml neededl dailyl forl OP
Answer:
1200l mg/day
Q:l Amountl ofl Vitl Dl perl dayl forl OP
Answer:
800-1000l IU/day,
Q:l OAl Dx
Answer:
Diagnostics:l X-ray:l jointl spacel narrowing,l osteophytes.
Q:l OAl Tx
Answer:
Non-pharm:l Exercise,l weightl loss,l assistivel devices.
Pharm:
NSAIDsl (topical/oral).
Intra-articularl corticosteroids.
Duloxetinel forl chronicl pain.
Surgical:l Jointl replacementl inl advancedl disease.
,Q:l Spinall stenosisl H&P
Answer:
Lowl backl painl radiatingl tol legs,l worsensl withl walkingl (neurogenicl claudication),l
relievedl byl sitting/flexion.
Q:l Spinall stenosisl Dx
Answer:
MRIl ofl lumbarl spine
Q:l Spinall stenosisl Tx
Answer:
PT,l NSAIDs,l epidurall steroids;l surgeryl forl severel cases.
Q:l ALSl pathophysiology
Answer:
-l Al progressivel neurologicall diseasel (startsl inl LE)thatl resultsl inl thel destructionl ofl
upperl andl lowerl motorl neurons
-l Leadsl tol musclel spasticity,l weakness,l fasciculation,l andl atrophy
Q:l ALSl Tx
Answer:
RILUZOLEl 50mgl BIDl (glutamatel inhibitor),l edaravonel (freel radicall scavenger);l
supportivel care,l respiratoryl support.
Q:l Bell'sl palsyl Dx
, Answer:
Clinical;l rulel outl strokel (foreheadl sparingl =l centrall lesion).
Absencel ofl Otherl Neurologicall Signs:l Therel shouldl bel nol weaknessl orl numbnessl inl
otherl partsl ofl thel body.
Diagnosticl Testsl (usuallyl notl neededl forl al straightforwardl diagnosis):l (EMG):
Bloodl Tests:l r/ol Lymel diseasel orl infections.
MRIl orl CTl Scans:l r/ol structurall cause
Q:l Bell'sl palsyl Tx
Answer:
Orall corticosteroidsl (prednisonel 60-80l mgl x5l days),l artificiall tearsl (preventl corneall
abraison,l NOl eyel patch.
Antivirall Medications:l Sometimes,l anl antivirall drugl suchl asl valacyclovirl orl acyclovir
Q:l Migrainel characteristics
Answer:
Unilateral,l pulsatile;l ±l aura.
Q:l Migrainel Tx
Answer:
NSAIDsl (ibuprofen,l naproxen,l acetaminophen),l combol (ASA,l APAP,l caffeine),l triptansl
(modl tol severe),l Dihydroergotaminel (DHE)
avoidl triggers
prophylaxisl withl beta-blockers,l topiramatel (daily),l orl amitriptyline.
Notl Recommended:l Opioids,l butalbital-containingl meds
Q:l Clusterl HAl characteristics
Answer:
Severel unilaterall nonpulsatilel orbitall painl withl lacrimation/l rhinorrhea