Resp
USPSTF rec annual low dose CT screening for what specific populations?
50 to 80 y/o + 20 pack-yr hx AND currently smoke or quit within the past 15 years.
ACA/AHA defines HTN as?
Blood pressure ≥130/80 mm Hg.
Most effective ratio of Spironolactone to lasix to diuresis pts w/ ascites?
Henoch Schönlein purpura
1st line med for somatic symptom DO?
SSRIs
most appropriate prednisone dosage &duration to give in the ED for patient with COPD exacerbation?
40 mg daily for 5 days
3 cardinal sx of aortic stenosis
Presyncope or syncope, Angina, Dyspnea,
You suspect IHCP in one of your OB clinic pt. What additional labs will support your diagnose?
LFTs and serum bile acids
Sepsis protocol for IVF repletion?
30 mL/kg in the first 3 hrs.
contact dermatitis is a type ___ hypersensitivity reaction.
4
Pt is diagnosed w/ acute bacterial rhinosinusitis that have persisted for 10 days, warranting empiric antibiotic therapy but is PCN allergic. What is an alternative empiric abx of choice?
DOXY
DAILY DOUBLE!!!!!!
All diabetics should be started on statin at age?
40-75.
Provide a list of at least 3 high dose statins (specific dosage)
What is the ratio we used to check for preE labs? What units?
Urine total protein: Creatinine ratio
Unit: mg/dL
FDA issued a warning that this drug can increase the occurrence of aortic dissections or ruptures.
Fluoroquinolones
HPV is routinely recommended at age _____, but can start at age ____.
Rec by CDC at age 11-12 y/o
Offered starting @ age 9
Name 2 occupations that expose patient to silicosis, resulting in ILD.
Stone cutting, sand blasting, mining, and quarrying.
What is Mobitz type II AV block and tx?
PR interval unchanged, regularly dropped QRS.
Pacemaker placement.
What labs predict the severity of pancreatitis (hint: Ranson’s criteria). Minimum of 3 labs.
Hct, BUN, Cr, Ca+ levels, base deficit, WBC, AST, LDH, glucose >200
Diagnose and Tx?
Tertiary syphillis; PCN once weekly for 3 wks
first and best indicator of iron absorption and BM response to PO iron therapy in the tx of IDA? How soon do you expect to see the change?
Reticulocyte count
An increase in reticulocytes is seen as early as 4 days, peaking at 7–10 days.
A lesion is seen on XR. What characteristic would make it ‘malignant’?
Appearance?
Size?
+/- calcifications?
Size or volume doubling time
Appearance: nonsolid “ground glass”
Size: >6 mm
Noncalcified lesions
Size or volume doubling time b/w 1 month and 1 year
Borders: irregular or spiculated.
76 y/o F with hx of CHF and prior MI. What is their CHADSVASc score (give breakdown of how you scored them)
≥75 (2), F (1), CHF (1), MI (1)= total of 5 pts.
What specific score estimate cirrhosis severity and the components of it?
Child-Pugh:
Bilirubin, albumin, INR, ascites, encephalopathy
TB skin test ≥5mm is considered positive in what specific circumstance (at least 3)?
HIV+, close contact of contagious tb case, abnormal CXR w/ fibrotic changes concerning for old TB, immunosuppressed pt (TNF-alpha inhibitors, chemotherapy, organ transplantation, glucocorticoid treatment (equivalent of ≥15 mg/day prednisone for ≥1 month).
Define subclinical HYPERthyroidims and what additional risk factors would warrant treatment for TSH 0.1-0.5?
Low TSH, normal T3,4. Age >65, Heart disease, Osteoporosis, Nodular thyroid disease (i.e thyroid adenoma or toxic multinodular goiter)