Name one of the 3 methods to detect active H. pylori infection
What is urea breath test, stool monoclonal antigen, endoscopy with biopsy
100
Infant born to a mother with unknown HBsAg status should have this if the infant is less than 2,000g
What is HBIG and HepB vaccine
100
Diagnostic criteria for sepsis include:
A. temperature of 36.5 degrees C
B. Heart rate greater than 90 beats per minute
C. Respiratory rate less than 20 breaths per minute
D. Leukocyte count 5,000 and 11,000 cells/mm3.
What is B
100
In a CHF patient, intubation will risk worsening hypotension by what mechanism?
What is decreasing preload
100
Patient positions head in extension and rotation, Examiner pushes down on head
What is Spurling's
200
Screening guidelines for lung cancer
What is 55-80 years with at least a 30 year pack history who currently smoke or have quit within the past 15 years
200
Minimum age for the administration of LAIV (live attenuated influenza vaccine)
What is 2 years
200
A major cause of sepsis among hospitalized severely ill patients is:
A. Malignancy
B. Hyperglycemia
C. Intestinal ulceration
D. Nosocomial infection
What is D
200
A patient with SOB, elevated JVD and peripheral edema what is the initial treatment. Pure right sided heart failure
What is IV saline
200
Infant lying supine with diaper off, Hips flexed to 90 degrees, attempt to sublux unstable hip
What is Barlow's
300
What type of colon polyp has the highest malignant potential?
What is adenoma
300
1 dose of Tdap vaccine should be administered to pregnant women during each pregnancy at what gestational age?
What is 26-37 weeks?
300
Altered mental status is a common manifestation of sepsis. An early sign of this change may be:
A. Irritability
B. Disorientation
C. Polyneuropathy
D. Nonfocal manifestations
What is A
300
what is the one best test that you
would use to determine if this patient has CHF?
A) Echocardiography.
B) Brain natriuretic peptide (BNP) level.
C) Chest radiograph looking for evidence of pulmonary
edema (Kerley B lines, etc.).
D) SPECT thallium test.
E) Adenosine thallium testing.
What is Echocardiography
300
Patient supine, Knee flexed to 45 degrees, Hip flexed to 45 degrees, Examiner braces lower leg, One hand holds ankle, other hand holds knee, Assess for pain on palpation in the joint line, assess for “click”.
What is McMurray
400
Diagnostic criteria for acute pancreatitis
What is lipase or amylase greater than 3x the normal amount
400
3 immunizations that contraindicated in pregnancy
What is Influenza (LAIV), MMR, Varicella, Zoster, BCG
400
What drugs are the fist choices to restore blood pressure and perfusion in the patient with sepsis?
A. Dobutamine or vasopressin
B. Norepinephrine or dopamine
C. Chlorpromazine or pseudophedrine
What is B
400
Which drug does not lower mortality in CHF?
A. Digoxin
B. Metoprolol
C. ACE inhibitors
D. Hydralazine and long-acting nitrates
E. Spironolactone
What is Digoxin
400
Shoulder forward flexed to 90 degrees, Elbow flexed to 90 degrees. Examiner grasps patient’s elbow with one hand and their wrist with the other. Passive external rotation the shoulder, followed by passive internal rotation of the shoulder
What is Hawkins
500
Diagnostic criteria for multiple sclerosis
What is Clinical diagnosis. Two neurologic deficits separated in time and space in the absence of fever, infection, or competing etiologies is considered diagnostic.
500
Which HPV vaccine is indicated for males and at what age
What is HPV4 (quadrivalent)
Age 11-12, 13-21 who have not been vaccinated previously or who have not completed the 3 dose series.
500
What are the signs of a septic patient responding to treatment?
A. MAP > 65 mmHg or systolic >100
B. Urine output > 0.5 ml/kg/hr
C. SpO2 >95%
D. Decreasing serum lactate level
E. Improving level of consciousness
What is All of the above
500
Nonpharmacologic therapies
for heart failure treatment includes all of the following EXCEPT:
A) Fluid restriction of <2 L/day.
B) Sodium restriction of <2 g/day.
C) Dietary consultation.
D) Cardiac risk factor modification.
E) Monthly weight monitoring.
What is E. Should be daily weight monitoring
500
Patient lies prone on examining table, testing leg flexed to 90 degrees, Examiner leans on patient’s foot, applying pressure to heel, compresses tibia into femur, rotate tibia internally and externally on femur