Random
Drugs
Circulatory
Pulmonary
Peds
100
How many doses of varicella vaccine are required for all all children with a normal immune status
Two
100
Which of the follow ing is NOT an effective adjunct to SSRIs in the treatment of unipolar depression? Lithium Low dose T3 Atypical antipsychotics Gapapentin
Gabapentin
100
Does weight reduction reduce the chance of a patient having a second heart attack?
No
100
What is a contraindication to the use of bupropion for smoking cessation?
Seizure Disorder
100
A 4 year is note to have 3+ proteinuria on dip (done for abdominal pain) The pain resolves and repat Urinalysis shows 2+ proteinuria. A metabolic panel is normal. What is the next step in evaluation?
A spot first morning urine protein/creatinine ratio (correlates well with 24 hour protein) Most common cause is benign postural proteinuria
200
What is the usual treatment for Erythrasma?
Topical or systemic erythromycin (caused by Corynebacterium minutissimum and presents as small reddish brown macules that may coalesce into larger patches with sharp borders)
200
What is the most effective topical treatment for chronic plaque psoriasis?
High potency corticosteroids
200
What arrythmia doe high dose methodone cause?
Torsades de pointes
200
Do corticosteroids effect the course of bronchiolitis?
No corticosteroids, antibiotics, and decongestants are not beneficial bronchidilators may be used if they seem helpful in a given case, treatment is primarily supportive
200
What is treatment for a 5 month old with an axillary temp of 100.6, runny nose, and a red immobile right ear drum?
Amoxicillin for 10 days (under 2 should be treated not observed)
300
Which is most effective for rhinorrhe, nasal congestion, watery, itchy eyes secondary to dust mite allergy? oral antihistamines, oral leukotriene-receptor antagonist, intranasal antihistamines, intranasal corticosteroids, furnace filters and mite-proof bedding covers
Intranasal corticosteroids
300
What vitmain deficinecy is associated with PPI use?
B12
300
What are the components of the CHADS 2 score?
CHF, HTN, Age >75, DM, CVA/TIA. Everything gets 1 point except stroke which gets 2. If a patient has 1 or less ponits they can be treated with aspirin alone for anticoagulation.
300
Which class of antibiotics are associated with tendinopathy and tendon rupture?
Fluoroquinolones
300
An 8 yo male presents with cervical lymphadenitis - he has a new kitten? What is the most common treatment for cat scratch disease (Bartonella hensalae)?
Zithromax (others that can be used are rifampin, cipro, Bactrim, gent)
400
What is the diagnosis - healthy breastfeeding mom 3 weeks post partum with 3 days of bilateral nipple pain, present between feedings and associated with erythema and cracking of the areola?
Candida infection
400
What is the black box contraindication to thiazolinediones (eg Actos)
Heart failure
400
What is the treatment for atrial flutter 2:1 block with associated hypotension?
Electrical cardioversion
400
You recommend dextromethorphan for a patient with cough and history of depression. He presents with shivering, tremors, and diarrhea. On exam HR is 110 and pupils are dilated?What is the likely diagnosis?
Serotonin Syndrome
400
A 3 yr old male has had 3 spells in the past month where he started crying when he was prevented from doing something, stopped breathing and face and lips turned blue. In 30-45 sec he resumed crying, his color turned normal. Exam is normal. What is the most likely diagnosis?
Simple breath holding spells- reassurance is the appropriate treatment.
500
What can be taken at meals to reduce calcium oxalate stones?
Potassium citrate (increases urinary pH and urinary citrate)
500
What medication is recommended for patients with hypertension and a prior history of stroke?
Combination of a thiazide diuretic and an ACE inhibitor has been shown to reduce the risk of recurrent stroke
500
Which helps the symptoms of claudication best? Warfarin, Cilostazol (Pletal), Clopidogrel (Plavix)
Cilostazol
500
What medication can be used to reduce repiratory secretions at end of life without excessive sedation?
Glucopyrrolate (Robinul) (scopolamine and hyoscyamine are also effect but are sedating as they cross the blood brain barrier)
500
A 6 year comes in for the third time in 3 months with painful erythematous tender areas around the nail fold area associated with absence of cuticle on the second and third fingers on both hands. Amoxicillin and Bactrim have not been helful. What is the diagnosis.
Chronic Paronychia (likely from finger sucking) Present for at least 6 weeks and associated with chronic water immersion
M
e
n
u