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What is Paget's disease? - CORRECT ANSWER-there is localized
increased bone turnover and blood flow resulting in the
breakdown of bone and replacing it with weakened and highly
vascular bone putting the indiv at increased risk of fractures
How do we treat Paget's diseease? - CORRECT ANSWER-
bisphosphonates
How should pregnant women wear their seatbelt? - CORRECT
ANSWER-with the shoulder strap like a normal person and then
the groin strap below the belly and across the hips
What is another name for fifth disease? - CORRECT ANSWER-
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - CORRECT ANSWER-
primary
,When should patients begin antiretroviral therapy for HIV
infection? - CORRECT ANSWER-as soon as it is detected, even if in the
acute phase
What are the first generation antihistamines? - CORRECT ANSWER-
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - CORRECT ANSWER-
rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial
prostatitis? - CORRECT ANSWER-a fluoroquinolone (cipro or levo) +
bactrim
What is the recommended treatment for acute prostatitis? -
CORRECT ANSWER-cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - CORRECT
ANSWER-clear to bloody unilateral nipple discharge (bilateral is
usually benign), and also a wart like lump palpated in the
nipple area
If a patient has GABHS but has an allergy to penicillins, what is
the second line option? - CORRECT ANSWER-first generation
cephalosporins, unless the allergy is severe, then you would
consider macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in
which patient populations? - CORRECT ANSWER-in those who are on
, any type of nitrate or triptan because it could result in
hypotension
What class of drug is sildenafil (viagra)? - CORRECT ANSWER-a PDE5
inhibitor which can cause hypotension so you should do a full
cardiac assessment before starting a patient on this and maybe
do an EKG
What are the symptoms of peripheral artery disease? - CORRECT
ANSWER-think P meaning pain, A meaning absent or weak pulses,
eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - CORRECT ANSWER-walking
and physical activity to improve circulation. second line is an
aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - CORRECT
ANSWER-do not elevate the feet; keep them down
How do we diagnose PAD? - CORRECT ANSWER-an ABI < 7; doppler
can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? - CORRECT ANSWER-
think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy
discoloration
If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice,