Bread and Butter
Things we do for no reason
Girls just wanna have access to healthcare
Forever young
Prostate of mind
100

Youngest age at which spirometry can be attempted (not at Memorial)

Five

100

First line therapy to treat infection-related fever in asymptomatic hospitalized patients

Nothing

100

Requirement for the clinical diagnosis of completed menopause in women >45 years old

Amenorrhea for 12 consecutive months
100

Babies under what age presenting with fever require an extensive work-up including LP, urinalysis, urine culture, history, physical, CBC, and blood cultures

28 days

(a fever is 100.4F or higher)

100

Initial imaging study for testicular masses

Scrotal ultrasound

200

First line treatment for children with fecal impaction and for maintenance therapy of functional constipation

PEG (miralax)

200

Although treating a deficiency in this mineral may be beneficial, there is no known benefit to give non-deficient patients this as a supplement for wound healing

Zinc

200

Most effective non-IUD emergency contraception method

Ulipristal 

200

Tanner stage or age range where gynecomastia is normal in pubescent boys

Age 13-14 (Tanner stage 3-4)

200

First line pharmacologic treatment for BPH after lifestyle changes

alpha-1 adrenergic blockers (eg terasozin, doxazosin) 

300

For patients with acute LGIB that are hemodynamically stable, colonoscopy can be delayed for ___ days

14

300

Indications for anaerobic coverage in aspiration pneumonia (name one)

Complicated pneumonia, macro-aspiration in setting of severe periodontal disease, putrid sputum, long duration

300

Oral non-hormonal non-SSRI treatment for the vasomotor symptoms of menopause (name one; double points for naming four)

Gabapentin, Pregabalin, Clonidine, Oxybutynin
300

First line antibiotic therapy for children with AOM

High dose amoxicillin (80-90 mg/kg divided into two doses)

300

First line antibiotic for men with acute bacterial prostatitis who are mildly ill

Ciprofloxacin (500mg BID x14 days while awaiting culture)

400

First line treatment for mild, moderate and severe croup

dexamethasone 

(0.6mg/kg orally or parenterally)

400

This intervention reduces febrile nonhemolytic transfusion reactions with blood/platelet transfusion by about 50%

Leukoreduction

400

Dosing regimen for intermittent sertraline for PMDD treatment

Once daily during the luteal phase of menstrual cycle only - beginning therapy 14 days before anticipated onset of menstruation

400

Exercise recommendation for patients with HOCM

Moderate intensity (vigorous intensity possible with shared decision making)

400

Two STDs which increase the transmission rate of HIV

Gonorrhea, Chlamydia

500

First line therapy for comedones (blackheads)

Topical retinoids

500

Reccomended oxygen level to start supplementation for most non-COPD hospitalized patients 

SpO2 <90%-92% 

(Target SpO2 of no higher than 94%-96%)

Excluding patients with carbon monoxide poisoning, decompression injury, gas embolism, cluster headache, sickle cell crisis, and pneumothorax 

500

Non-hormonal drug used to treat osteoporosis which also may decrease the risk of developing breast cancer

Raloxifene (selective estrogen receptor modulator)

500

Positive-pressure ventilation should be started in newborns who are gasping, apneic, or with a heart rate below _____ beats per minute by 60 seconds of life

100

500

Next laboratory step for men who have a positive PSA on screening testing

Repeat PSA in a few months to ensure accuracy

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