Injuries/MSK
2 treatments for ganglion cyst
Aspiration (47% recurrence)
Compression dressing for 48 to 72 hours
Surgical excision (42% recurrence)
Nicotine replacement (patch, gum, nasal spray, inhaler)
Wellbutrin (buproprion)
Chantix (varencycline)
Nortriptyline
DEET is effective against what insects (pick 2)?
Mosquitos, ticks, lice, fleas
Who should be screened for asymptomatic bacteruria? (Grade B)
All pregnant patients
Treatment for pediculosis pubis
Permethrin 1%
Nail shape to prevent ingrown toenails?
Flat
What commonly prescribed medication can cause a false positive on a UDS for benzos?
sertraline (Zoloft)
When does a dog bite need antibiotics? Choose 1
Bites on hands, face or genitalia
Lacerations undergoing primary closure/surgical repair
Wounds in close proximity to a bone or joint
Wound in immunocompromised hosts
Deep puncture wounds
Wounds associated with crush injury
What grade recommendation is pre-exposure prophylaxis for HIV?
Grade A
Treatment for trichomoniasis
Metronidazole 2g orally single dose
or
Tinidazole 2g orally single dose
Splint type for Boxer's fracture
Ulnar gutter
What is the maximum amount of time for urine marijuana screen to remain positive after last use?
12 weeks
CDC recommendation for post exposure rabies prophylaxis for PRAIRIE DOG bite
None
What is the age recommendation for HTN screening? (Grade A)
All adults 18 and older
Treatment for first episode of genital herpes for nonpregnant, non HIV+ adults (name any correct option)
Acyclovir 400 tid 7-10 days
Acyclovir 200mg 5x daily 7-10 days
Valacyclovir 1g bid 7-10 days
Famcicyclovir 250mg tid 7-10 days
Name 3 red flags for concussion severe head injury
Decreased muscle tone, weakness, involuntary movements
Sensory deficit
Incoordination/balance problem: Romberg+, ataxic gait, postural instability, failed finger to nose test
Severe mental status changes/confusion
LOC more than 60 seconds
What does the CAGE questionnaire stand for?
Have you ever felt the need to CUT down on your __?
Do you ever get ANNOYED when people tell you to quit __?
Do you ever feel GUILTY about __?
Do you ever __ within one half hour of waking up (EYE-opener)?
Name two different FDA-approved medication treatments for lice
Permethrin 1% (Nix)
Pyrethrin 0.3%/piperonyl butoxide 4% (Rid)
Permethrin 5% (Elimite)
Malathion 0.5% (Ovide)
Topical ivermectin (Sklice)
Natroba 0.9% (Spinosad)
Ulesfia (alcohol 5% solution)
Dimethicone (Nix Ultra, Lice MD)
Isopropyl myristate (Resultz)
What is the age recommendation for HIV screening? (Grade A)
Adolescents and adults aged 15-65 years (and all pregnant patients)
Treatment for primary syphilis
Benzathine PCN G 2.4 million units IM in a single dose
Ottawa ankle AND foot rules
Ankle xray not needed if able to ambulate at injury or ER (4 steps) and no pain over distal posterior 6cm of tibia and fibula
Foot xray not needed if able to ambulate at injury or ER (4 steps) and no pain at base of 5th metatarsal and tarsal navicular
Name 2 lab findings associated with excessive alcohol intake
Blood alcohol
GGT increased
MCV increased
Carbohydrate-deficient Transferrin increased
What 4 species of animals should be regarded as rabid unless animal is proven negative by laboratory test?
Raccoons, skunks, foxes, bats (consider immediate vaccination!)
Colorectal cancer screening? (Grade A and B)
Grade A: 50-75 years
Grade B: 45-49 years
Treatment for chancroid
Azithromycin 1g single dose
Ceftriazone 250mg IM single dose
Ciprofloxacin 500mg bid for 3 days
Erythromycin 500mg tid 7 days