Preventative Care
Colorectal cancer screening age
45 years old
First-line Type 2 Diabetes drug
Metformin
Infant weight doubling timeline
4 to 5 months
HPV screening intervals for ages 30-65
Every 5 years (Co-testing with pap is also every 5 years; pap alone is every 3 years).
32 year old male with 3 days of low back pain. Workup.
No imaging is recommended (uncomplicated low back pain does not require imaging in the first 4-6 weeks)
pregnancy Tdap timing
between 27 and 36 weeks
Stage 1 Hypertension definition
Systolic 130–139 mmHg OR diastolic 80–89 mmHg
High fever followed by rash on trunk
Roseola infantum (Exanthem subitum / HHV-6)
28-week prenatal checkup, she is Rh negative
Rho(D) Immune Globulin (RhoGAM)
Acute Ankle Injury Rules
The Ottawa Ankle Rules
65yo male former smoker screening
Abdominal Aortic Aneurysm (AAA) screening ultrasound
Cardioprotective DM meds for HFrEF (2)
SGLT2 inhibitors (e.g., empagliflozin) and GLP-1 receptor agonists (e.g., liraglutide)
First-line Acute Otitis Media drug
High-dose Amoxicillin (80-90 mg/kg/day divided into 2 doses)
Green-yellow discharge + strawberry cervix. Diagnosis and treatment
Trichomonas vaginalis; treated with Metronidazole.
55 year old female with sudden onset severe right eye pain, blurred vision and halos around lights. Right pupil is mid-dilated and non-reactive to light.
Acute Angle-Closure Glaucoma.
Normal colonoscopy interval
10 years
Elderly hypothyroidism initiation
"Start low and go slow" (typically 12.5 to 25 mcg daily)
3 week old male present with projectile vomiting and a firm mass in the right upper quadrant
Hypertrophic Pyloric Stenosis
Postmenopausal bleeding main cause
Endometrial Cancer (Endometrial hyperplasia must also be ruled out via endometrial biopsy)
pulmonary embolism EKG finding
S1Q3T3 pattern (Deep S wave in lead I, Q wave in lead III, and T wave inversion in lead III
Female osteoporosis screening age
65 years old
Microscopic triad for nephrotic syndrome
Heavy proteinuria (oval fat bodies/"maltese crosses"), fatty casts, and minimal/no hematuria
2 wk old home birth here for WCC. harsh holosystolic murmur at LLSB. BP shows higher in upper than lower extremities. What is diagnosis and classic Chest X-ray finding?
Coarctation of the Aorta and rib notching (due to collateral intercostal arterial blood flow; an "inverted 3 sign" is also acceptable).
38 weeks gestation with preeclampsia, what is managment
Induction of labor at 37 weeks 0 days (or immediately upon diagnosis if diagnosed after 37 weeks).
62 year old male with acute, progressive LLQ pain, fever and leukocytosis. Imaging.
CT scan of the abdomen and pelvis with intravenous (IV) contrast