Medicine Year 1 Comprehensive Exam-
Graded A
Epi Pen - correct answer-Given in .3-.5 ml of 1/1000 dilution of epinephrine.
-Considered to indicate severe allergy
Unplanned Weight Loss - correct answer-Consider- depression, Hyperthyrodism,
Cancer, Stress, Anorexia, or Bulimia. (Do not assume bulimia with tooth erosion, GERD
(gastro-esophageal reflux disease can also be the culprit if patient has to clear the
throat while laying down)
Unplanned Weight Gain - correct answer-Consider- Obesity, Hypothyrodism,
Depression.
Hyperthyrodism - correct answer-Due to the production of too much thyroxine (thyroid
Hormone)
Patient will Show tremors, short attention span, moist skin, thin hair, increased bowel
movements, racing heart, constantly hot. It can lead to exopthalmia (Graves disease) as
well as lid lag.
Hypothyrodism - correct answer-Patient has decreased thyroxine hormone (with high
TSH) and therefore decreased BMR.
Patient will show signs of depression, withdrawn, feels cold, constipated, thick hair,
facial puffiness(mixed non pitting edema), dry skin.
Alcoholism - correct answer-Dependence of alcohol. increases the liver enzymes that
can lead to cirrhosis. Pt can not be given local anesthetic since it will be broken down
right away. Use Ativan or Valium. Alcohol decreases the efficiency of anti-seizure
medications. Never treat an intoxicated patient. Acetaminophen Tylenol is toxic with
alcohol.
Female Patient (pregnant) - correct answer-Should treat during the second trimester.
-Need to obtain consent and permission from obstetrician .
-put patient in Left-Lateral Position to avoid pressure in Vena Cava
-Cannot do radiographs in first trimester. (1 Gy = 100 rads, and 65 Gy or 6500 rads
makes dental extractions contraindicated for life.
Lactation - correct answer--Patient need to pump milk every 3-4 hrs
-drugs remain in breast milk for 2 hours.
- anesthetics and antibiotics can harm the baby.
-Use AAA after feeding.
Graded A
Epi Pen - correct answer-Given in .3-.5 ml of 1/1000 dilution of epinephrine.
-Considered to indicate severe allergy
Unplanned Weight Loss - correct answer-Consider- depression, Hyperthyrodism,
Cancer, Stress, Anorexia, or Bulimia. (Do not assume bulimia with tooth erosion, GERD
(gastro-esophageal reflux disease can also be the culprit if patient has to clear the
throat while laying down)
Unplanned Weight Gain - correct answer-Consider- Obesity, Hypothyrodism,
Depression.
Hyperthyrodism - correct answer-Due to the production of too much thyroxine (thyroid
Hormone)
Patient will Show tremors, short attention span, moist skin, thin hair, increased bowel
movements, racing heart, constantly hot. It can lead to exopthalmia (Graves disease) as
well as lid lag.
Hypothyrodism - correct answer-Patient has decreased thyroxine hormone (with high
TSH) and therefore decreased BMR.
Patient will show signs of depression, withdrawn, feels cold, constipated, thick hair,
facial puffiness(mixed non pitting edema), dry skin.
Alcoholism - correct answer-Dependence of alcohol. increases the liver enzymes that
can lead to cirrhosis. Pt can not be given local anesthetic since it will be broken down
right away. Use Ativan or Valium. Alcohol decreases the efficiency of anti-seizure
medications. Never treat an intoxicated patient. Acetaminophen Tylenol is toxic with
alcohol.
Female Patient (pregnant) - correct answer-Should treat during the second trimester.
-Need to obtain consent and permission from obstetrician .
-put patient in Left-Lateral Position to avoid pressure in Vena Cava
-Cannot do radiographs in first trimester. (1 Gy = 100 rads, and 65 Gy or 6500 rads
makes dental extractions contraindicated for life.
Lactation - correct answer--Patient need to pump milk every 3-4 hrs
-drugs remain in breast milk for 2 hours.
- anesthetics and antibiotics can harm the baby.
-Use AAA after feeding.
