antibiotics
treatment for a simple staph aureus infection?
MSSA- nafcillin, oxacillin, dicloxacillin
Which ethical principle is encompassed by an obligation to:
- Respect patients as individuals
- Create conditions necessary for independent choice
- Honor patients' preference in accepting or not accepting medical care
Autonomy
What issue presents with Beck's triad of:
Hypotension
Distended neck veins
Distant heart sounds
Cardiac tamponade
What are the true contraindications to vaccinations?
- Anaphylaxis to previous vaccination
- or very sick
A patient is found to have microcytic anemia (MCV < 80 μm3). What is the best next step in workup regardless of etiology?
Iron studies
Management for Neisseria gonorrhoeae monoinfection?
IM ceftriaxone
Minors are considered legally emancipated if they are self-supporting, in the military, and/or ___________
married
Three major risk factors for thrombosis are 'Disruption in blood flow (stasis)', 'Endothelial cell damage', and 'Hypercoagulability'- Named what?
Virchow's Triad
What forms of contraception are not allowed in women with breast cancer?
All hormone-containing contraceptives are contraindicated in patients with breast cancer (both estrogen and progesterone may have a proliferative effect on breast tissue)
(Copper IUD is preferred)
You have a dude with blood in his pee and flank pain radiating to the groin... You got a urine already. Next best step?
Non-contrast helical CT
What is the recommended empiric treatment for healthy patients with community-acquired pneumonia in an outpatient setting?
Amoxicillin or doxycycline or macrolide*
A patient who is unconcious cannot verablize informed consent, we are able to treat under the concept of ______
Implied consent
Alport sydrome, the Type IV collagen defect, often presents with ocular disturbances, sensorineural hearing loss, and what additional symptom?
Isolated hematuria
Which nonselective β-blocker is contraindicated in patients with asthma?
Propranolol
What is the best next diagnostic step for an patient with suspected community-acquired pneumonia but negative chest X-ray?
CT chest
What are one of the two different regimens to manage pelvic inflammatory disease inpatient?
Cefoxitin/Cefotetan & Doxycycline ("Foxy doxy")
OR
Gentamicin & Clindamycin ("Gentle clean" the uterus)
_______ is a clinical term and may be assessed by physicians
_______ is a legal term and can only be decided by a judge
Capacity & Competence
This "unhappy triad" is caused by a lateral force on the knee in contact sports when the foot is planted, injuring what 3 ligaments?
ACL, MCL, medial meniscus*
*Although this is the classic presentation, injury to the lateral meniscus is actually more common than injury to the medial meniscus
What D2 antagonist is contraindicated in patients with small bowel obstruction or Parkinson disease?
Metoclopramide
Due to its prokinetic effects and potential to exacerbate motor symptoms
What is the best next test in a patient with suspected constitutional growth delay?
Bone age
Sideroblastic anemia results from a B6 deficiency, most commonly seen as a side effect due to this tuberculosis medication.
Isoniazid
Patient is a registered organ donor and family says "no" after they die, what happens?
Proceed with organ donation
Which neuromuscular pathology is an absolute contraindication to aminoglycoside use?
Myasthenia gravis
Can precipitate a neuromuscular blockade
What is the next best step in working up a hemodynamically stable female patient who presents with vaginal bleeding and a positive urine pregnancy test?
Transvaginal ultrasound