ns & Guaranteed Answers.

vaccine not recommended in pregnancy - correct answer MMR, it's a live vaccine, also small pox empiric STI tx includes: - correct answer ceftriaxone(Rocephen) 500mg IM x1, doxycycline 100mg po bid x7 days which drug is used to tx vertigo - correct answer meclizine MacMurray's test evaluates for - correct answer meniscal injury of knee 28yr old has 3/6 systolic murmur. Which characteristic indicates a need for referral? - correct answer a fixed split s2- could indicate pulmonary pathophysiology, lots more pressure in pulm circulation creates circulatory discord which AB may increase likelihood of photosensitivity? - correct answer ciprofloxacin(fluoroquinolones), tetracyclines, doxycycline which ABs are teratogenic - correct answer fluoroquinolones, tetracyclines, sulfa 25y/o F presents w/ lower abd pain. What finding would indicate the etiology as PID? - correct answer temp>101, ESR elevated (s/s of inflammation) Cushings disease is caused by excess secretion of : - correct answer glucocorticoids first line therapy for pan sensitive UTI in a woman - correct answer nitrofurantoin, then bactrim continuous urinary leakage with a full bladder is referred to as: - correct answer overflow incontinence, think: full bladder is overflowing Pt taking ACE inhibitor should avoid: - correct answer potassium rich supplements (hyperkalemia) which insulin has the lowest risk of hypoglycemia - correct answer Glargine. Generally, the longer the acting insulin, the less chance of abrupt hypoglycemia, next is NPH Pt w/newly dx genital herpes would appropriately receive a prescription for: - correct answer acyclovir which should you first admin for 84yr old pt not motivated to participate in care - correct answer geriatric depression screening tool macrocytic, megaloblastic anemia due to vitamin B12 def - correct answer pernicious anemia, lack of parietal cells that secrete intrinsic factor that allows us to absorb b12 syphilis may present as: - correct answer a rash, a painless chancre MOA: Sulfonylurea agents such as glimepiride - correct answer stimulate release of insulin from pancreatic beta cells regimen tx appropriate for dx of enterobiasis - correct answer Albendazole: 1 dose now and 1 dose in 2 weeks for pinworms, helminths Not normal finding /physiologic change during pregnancy - correct answer diastolic murmur is never ever normal 65yr old M pt has LDL of 200. What class of med is preferred for tx? - correct answer HMG CoA reductase inhibitors, aka statins Med contraindicated during pregnancy - correct answer bactrim first line tx for acute gout - correct answer colchicine for acute, allopurinol for prevention risk factor for testicular ca - correct answer cryptorchidism, undescended testes probable etiology of 25y/o w/ aortic stenosis - correct answer congenital (bicuspid aortic valve) RA characteristic that is not found in OA - correct answer symmetrical joint involvement pts w/full or partial extra copy of chromosome 21 dx - correct answer down syndrome first line tx for chronic gout - correct answer allopurinol peds respiratory condition w/marked hoarseness - correct answer croup 65y/o w/BPH with overflow incontinence. What to prescribe? - correct answer Tamsulosin, class: alpha blocker/antagonist area that drains into Rt thoracic duct (lymph system) - correct answer Right arm which AB is LEAST likely to affect INR in those taking warfarin - correct answer cefalexin female pt dx'd w/ chlamydia. How to manage? - correct answer tx w/doxycycline pt forgot to take warfarin(coumadin