Pass Solutions.
child with head lice
rx'd with shampoo permethrin
still has nits in her
can she go to school? - Answer yes
as long as continue home remedy, nit combing and repeat permethrin shampoo in 6 days
is diverticular bleeding painful? - Answer no
- abdominal pains
BP recommendation for >65 - Answer 150/90
young boy
left hip pain
afebrile
ESR normal
WBC normal
Radiograph knee and hip normal
dx?
rx? - Answer transient synovitis
rx: nsaids
rx for SVTs but short-term and llong term - Answer CCB eg verapamil, diltiazem
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,16 yo
fatigue
on OCPs
low bleed on periods
normal TSH
normal Hct
normal RBC count
MCV <80
what lab test next? - Answer Hgb electrophoresis
- check beta thalassemia
Signs of ALS
- mainly motor sx - Answer asymmetrical weakness in legs, feet, ankles
slurred speech
trouble swallowing
SOB
wt loss
mcc urge incontinence in elderly - Answer detrusor instability
what diabetes medications are good for prevention of developing DM in pre-diabetes pt - Answer
metformin
"alpha-glucosidase inhibitors (acarbose)
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,orlistat
thiazolidinediones
most specific sign of peritonsillar abscess - Answer difficulty opening mouth
rx management for concussion - Answer physical and cognitive rest
- avoid physical activity that exacerbate sx
- avoid activities that require
concentration or attention, such as schoolwork and electronics use.
lung cancer screening recommendation - Answer ANNUAL
low-dose noncontrast CT
Asymptomatic adults 55-80 yo who have a 30-pack-year smoking history and currently smoke or have
quit smoking within the past 15 years.
non-medical indicated (elective) induction of labor or C-section deliveries should be scheduled at what
GA? - Answer 39wks 0 d
drug to prevent seizure in alcohol withdrawal - Answer benzos
initial rx allergic rhinitis - Answer intranasal steroids
most effective medication to prevent relapse in alcohol abuse - Answer naltrexone
do not use acamprosate if renal disease
which SSRI should be prevented in elderly - Answer paroxetine
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, - anticholinergic effects
screen for autism at what age in kids? - Answer 18 - 24months
bacterial vaginosis has vagina pH ? - Answer >4.5
29 yo woman
30weeks gestation
received Tdap 3 years ago
what vaccine should she receive? - Answer Tdap again
27 -36 weeks gestation, regardless of when they last received it
rx for acute gout
pt has HTN and CKD - Answer prednisone
note: nsaids, colchicine and steroids can be used for acute gout...but prednisone is best in CKD
mcc med-induced adverse drug events in US - Answer anti-coags
most common risk factor for uncomplicated cystitis - Answer Frequent sexual intercourse
others:
- spermicide use
- previous UTI
- new sex partner
- fam hx UTI in first degree female relative
first line rx primary dysmenorrhea - Answer nsaids
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