Questions with Correct Answers
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1. Women aged 65 and older AND younger women with fracture risk of 9.3% or higher
Answer> screen for osteoporosis with DEXA
2. Ibuprofen / naproxen for primary dysmenorrhea, if side effect or not con- trolled,
Answer> OCP
3. Reduce risk of pressure ulcers in at risk-patients
Answer> use advanced static mat- tresses of overlays
4. life expectancy of at least --- years is expected to benefit from screening
mammography
Answer> 10 years
5. Frequent episodes of binge eating >1/week followed by innapropriate com- pensatory
behaviors (vomiting, laxatives,enema etc) due to fear of gaining weight
Answer> Bulimia nervosa
6. anorexia BMI
Answer> generally underweight, or less than 18.5
,7. otitis media with effusion management
Answer> observe, usually resolves in 12 weeks
8. otitis externa treatment
Answer> combined antibiotic and glucocorticoid ototopical med- ication, ee.g neomycin
+polymyxin b +hydrocortisone
9. topical lidocaine is effective in treatment of herpetic neuralgia
Answer> topical lido- caine
10. describe uveitis
Answer> unilateral eye pain, photophobia, ciliary flush (Circumferential redness along the
border of the sclera and cornea), there may be miosis
11. Indications for bariatric surgery
Answer> BMI 40 or higher without comorbidities, BMI 35 with comorbities
12. Orlistat
Answer> Weight loss medication, loose stool common side effect. Lose about
3.5kg over 1 year
13. Lorcaserin
Answer> Weight loss medication, avoid in pts taking SSRIs sue to elevation in serotonin
14. Phentermine-topiramate
, Answer> Weight loss medication, avoid in glaucoma
15. acromioclavicular join degeneration presentation
Answer> pain on superior aspect of shoulder, tenderness on palpation of A-C joint, pain
with shoulder adduction and abduction >120 degrees
16. Supraspinatus tear test
Answer> Positive drop arm test
17. supraspinatus tendinitis
Answer> pain on shoulder abduction or painful arc
18. Lung cancer screening
Answer> ANNUAL LOW-DOSE CT for age 55-80 years with 30-pack year smoking history,
including those who quit within 15 years
19. AAA Screening
Answer> One time abdominal US for men 65-75 who have smoked at least 100 cigarrettes
20. standard outcome measure for cohort study
Answer> relative risk
21. Treatment options for bipolar depression
Answer> Seroquel monotherapy, combina- tion olanzapine-fluoxetine
, 22. hormonal estrogen is contraindicated in women with migraines+aura due to risk of
Answer> stroke
23. PAP smear screening
Answer> women 21-65 , every 3 years. In women 30 - 65, every 5 years if combined with
HPV testing
24. Indications for high intensity statin
Answer> Age 40 - 75 with diabetes and an LDL of 70 - 189,and 10 years >7.5% ASCVD risk
25. men with low or low-normal testosterone level should have a repeat con- firmatory
morning testosterone prior to begining testosterone treatment
Answer>
26. severe vasomotor symptoms in postmenopausal women are best treated with
Answer> systemic hormonal therapy;- oral estradiol-progrestin combo
27. test to be performed in all patients with syncope
Answer> EKG
28. Panic disorder treatment
Answer> SSRI (sertraline), SNRI, TCAs, MAOi
29. Trichomoniasis treatment
Answer> single dose of metronidazole 2g, and treat partner