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COMPLETE 200+ QUESTIONS AND
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Abnormal cells on PAP, what do you do next? - ANSWERSRefer for Colposcopy
CAGE ACRONYM - ANSWERSCut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia - ANSWERSFever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWERSCN 3,4,6
Definition of metabolic syndrome - ANSWERScluster of conditions that increase risk
of heart disease, stroke, diabetes.
diagnose trichomoniasis - ANSWERSwet prep
3 month old infant with down syndrome, due to milk intolerance, mom started on
goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What
additional test would you order? - ANSWERSIron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSWERSIncrease Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss -
ANSWERSMini mental exam
4 month old with strabismus, mom is worried...... - ANSWERStell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? -
ANSWERSGrowth chart
6 month old closed anterior fontanel. - ANSWERSXRAY
,Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do
you do next? - ANSWERSPelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? - ANSWERSAnterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWERSurinalysis and culture
GERD treatment - ANSWERSH2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWERSLEEP
excision
Fingernail hematoma treatment? - ANSWERSdrill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWERSSalpingitis, or history of abortion,
PID,
Koplick spots - ANSWERSMeasles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots - ANSWERSMeasles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease - ANSWERSAvascular necrosis of the proximal femoral
head
Lipid level of 1500, increased risk for? - ANSWERSPancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWERSMacrocytic anemia,
B12 Def
Man with BPH, prostate feels on digital exam? - ANSWERSEnlarged, symmetrical,
smooth
Man with HTN, CAD, present femoral pulses but absent pedal - ANSWERSArterial
Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress - ANSWERSMeniscus
tears
Serotonin syndrome ss - ANSWERShyper rigidity, fever, myoclonus, dilated pupils,
AMS, hyper reflexes, from SSRI or mix w MAOI and TCA
NSAID contraindicated in - ANSWERSHF and ARF
increase BP impair renal prostaglandin and sodium retention
strabismus - ANSWERSmisalignment of eyes, abnormal after 6 months
, macular degeneration - ANSWERSloss of central vision
retinal detachment - ANSWERSfloaters, curtain, flashes
Xanthelasmas - ANSWERSsharply demarcated yellowish deposit of cholesterol
underneath the eye
Red reflex absent - ANSWERSretinoblastoma (leukorrhea) , cataracts, glaucoma.
Will have white reflex
Mono, return to play and Dx - ANSWERS4-6 weeks when spleenolmegaly resolves
Mono spot/ Heterophile
Viral stomatitis - ANSWERSulcer on cheek
(Aphthous)- viral canker sore
cholesteatoma - ANSWERSchronic sinusitis or OM. cauliflower, foul-smell, hearing
loss.
erodes bones in face affects facial CN 7.
Benign- risk hearing loss refer SURGERY
Acute Closed Angle Glaucoma
Vs
Open Angle - ANSWERSAcute: Sudden pain, halos, cupping, dilated, cloudy , IOP,
HA, refer ED
Open (primary) : CN 2, gradual loss peripheral vision first
Papilledema - ANSWERSSwollen, optic disc, increase cup to disc ratio, HA, ICP,
HTN,
Acyclovir (cheapest) - ANSWERS200mg 5 x day
Pt on PPI, has osteoporosis has a cough, - ANSWERSrefer for EGD r/o Barrett's.
allergic rhinitis - ANSWERSblue pale turbinate clear drainage. Tx inhaled
corticosteroids
hordeolum Vs
chalazion
blepharitis - ANSWERShordeolum: painful swollen red warm abscess TREAT hot
compress erythromycin, dicloxacillin.
chalazion does not hurt
Blepharitis always unilateral, Tx baby shampoo warm compress
Sialolithiaisis - ANSWERSpainful lump, calculi or salivary stones.
sub mandibular gland whartons; duct.
Roseola infantum- Sixth disease - ANSWERSviral, young children, high Fever 3-4
days followed by maculopapular rash