GI
What diagnostic test can safely order for a 30-year-old woman reporting right upper quadrant abdominal pain, nausea, and vomiting?
US.
Postvoid residual (PVR) test yields 30 mL of urine is...
Normal finding.
Bell's Palsy
Steroid, eye lubricant, drooling, alteration in taste, tinnitus
Swelling on the posterior aspect of the knee:
Meniscus tears.
Swelling and tenderness in the small joints of both hands and reports several weeks of malaise and fatigue. A rheumatoid factor (RF) test is negative. What is the next step?
Radiographic tests, CBC, Acute-phase reactant levels.
A 50-year-old patient presents with supraclavicular lymphadenopathy. Which action is correct?
Check STD.
A patient is taking SSRI for panic disorder. Six weeks later, the patient reports little relief from symptoms. What is the next step?
Refer to a mental health provider.
A patient with cirrhosis develops ascites. What is the treatment?
Spironolactone.
PSA 12 ng/mL indicates...
Prostate cancer.
An elderly patient becomes apathetic, with decreased alertness and a slowing of speech several days after hip replacement surgery alternating with long periods of lucidity.
Delirium
Symptoms of a herniated nucleus pulposus or ruptured.
Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain.
RA vs OA:
Symmetric tender, swollen joints vs swelling of distal interphalangeal joint.
Daily recurrent fever associated with sweating, chills, and recent weight loss.
TB or lymphoma.
What medication should not be used to treat OCD and PTSD?
Benzodiazepines.
Fatty stool is associated with:
Celiac disease.
Terazosin for BPH causing persistent daytime dizziness. What can be done?
Prescribe finasteride instead of terazosin.
To rule out Alzheimer's disease what test should be done.
Brain imaging studies such as CT or MRI
Symptom of cauda equina compression:
Paresthesia of the perineum and buttocks.
Which laboratory tests may help distinguish systemic lupus erythematosus (SLE) from other systemic rheumatologic disorders?
Serum complements levels.
A patient with constant fatigue and moves and kicks the legs frequently during sleep. What treatment?
Iron supplement.
A patient is seen frequently over 1 year with somatic complaints with no physical disease. The patient a 15% weight loss in the previous 2 months and is irritable with other family members. What will the provider do initially?
Perform a suicide risk assessment.
Test to conform ulcerative colitis or Crohn's disease.
Colonoscopy.
Potential complication of glomerulonephritis is....
HTN.
What test can be done in the office to rule out vertigo?
Hallpike-Dix positioning maneuver
Pain at the elbow with resisted movements at the wrist and forearm:
Lateral epicondylitis.
A scuba diver reports persistent nosebleeds after a diving trip. What is the treatment?
Decongestant medications.
A college student with increased bizarre behavior and poor school performance along with difficulty engaging the patient in an organized conversation. The patient denies any concerns about behavior. What will the provider do initially to manage this patient's symptoms?
Begin treatment with lithium or lamotrigine.
Liver biopsy shows micronodular cirrhosis with what condition?
Alcoholism.
Kidney disease is associated with which of the most dangerous electrolyte imbalances?
K.
Treatment for tension-type headache.
NSAIDS, Triptans, muscle relaxers.
Risk factors for carpel tunnel syndrome:
Repetitive movement, pregnancy, untreated hypothyroidism.
Eosinophilic granulomatosis with polyangiitis (EGPA) is associated with:
Increased eosinophils.
Treatment for ETOH withdrawal.
Benzodiazepines.
Complications of gastroesophageal reflux disease (GERD):
Esophageal ulcers, Barrett's esophagitis, and esophageal stricture.
A patient with streptococcus has a pink tinge and very foamy urine. What is the suspected problem?
Glomerulonephritis.
Treatment for benign tremor.
Beta blocker.
Straight-leg-raise test evaluates tension of:
L5 & S1
Pain and swelling of one knee and in one hand, along with inflammation in both eyes' s/p treated UTI 3 weeks ago:
Reactive arthritis.
Restlessness, nausea, vomiting, elevations of the pulse and blood pressure, pupillary dilation, hyperactive bowel sounds. Withdrawal from which substance?
Opioids.
Zollinger-Ellison syndrome is associated with:
Peptic ulcer.
Presence of 2 cardinal signs which improve with levodopa.
Parkinson's disease.
Grade II ankle sprain:
Moderate swelling, mild to moderate ecchymosis and moderate joint instability.
Fibromyalgia:
Cause unknown. Patient with Rheumatoid arthritis and systemic lupus erythematosus suffers most.
To rule out schizophrenia...
Ask about the patient's speech and thinking patterns.
What med can treat dyskinesia caused by carbidopa-levodopa?
Amantadine
Grade III ankle sprain:
Complete ankle instability, significant swelling, and moderate to severe ecchymosis.
Raynaud phenomenon:
Female patients aged 15-45 years; a period of intense itchiness after blanching; classic tricolor changes in their fingers or toes of first white (pallor), then blue (cyanosis), and then red (reperfusion hyperemia) after the vasospasm ends.
Tension-type headache symptoms:
Bilateral, mild to moderate, pressing headache lasting 30 minutes to 7 days.
Cluster headache:
More prevalent in men, occurring in attacks of severe unilateral orbital, supraorbital, or temporal pain, lasting 15 to 180 minutes.