Pharmacology
A patient presents with h/o SLE(lupus) and episodes of white cold fingers, which then become red and purple and are quite painful. BP is 160/92; HR 59; RR 16; T98.2F. Exam is normal with good capillary refill and normal radial pulses. You have been monitoring her BP and would like to treat her HTN; which drug would be best suited to this particular patient?
What is Nifedipine
Which of the following cardiac disorders would cause the a wave (venous pulsation) of the internal jugular vein to be absent?
What is atrial fibrillation
A patient with lower back pain was seen in the ED. lumbar xrays demonstrated a 1 centimeter of anterior slippage of L4 on L5. what condition does this patient require information on?
What is spondylolisthesis.
A 15 year old female presents with "severe"cramping with her menses; it begins the day before the menses and persists through the first three days. She has missed multiple days of school. She has been taking Tylenol without relief. VS are normal; pelvic exam is normal. What is the primary pathophysiology responsible for her symptoms?
What is Increase in progresterone during the luteal phase
A patient presents with abdominal pain. On deep palpation of the left lower quadrant the patient notes increased pain in the right lower quadrant. This is noted as a positive?
What is Rovsings sign
The drug classof choice for a patient with Raynaud's phenomenon and essential hypertension is?
What is calcium channel blocker
q. 53
What will cause a peaked P wave on EKG?
What is atrial enlargement
-also acceptable cor pulmonale
-increased magnitude = hypokalemia
A 65 yo male has difficulty rising from a seated position and straightening his trunk, but he has no difficulty flexing his leg. Which muscle is most likely to have been injured?
What is Gluteus maximus
study of choice for a 32 yo female presenting with complaints of irregular vaginal bleeding for the past twelve months. she has gained weight. feels tired a lot, and has noted increasing trouble with constipation
What is serum TSH
q.113
What's most likely to occur when your diaphragm goes into spasms?
What are hiccups
This is used to treat children with enuresis?
What is desmopressin
What EKG finding is consistent with hypokalemia besides an increased amplitude of a wave?
What is a prominent U wave.
flexion of the distal phalanx of the index finger is allowed by this?
What is the flexor digitorum profundus. FDP
A 48 yo obese female presents to your clinic complaining of metrorrhagia for the past month. PAP smear was normal three months ago. You perform an endometrial biopsy as part of the workup and the pathology report states that the endometrium on d. 27 of the cycle is proliferative with no atypia. The best treatment for this patient's symptoms is:
What is a hysterectomy consult
Which ophthalmic exam finding is consistent with Grave's disease?
What is exophthalmos
The most appropriate drug for a patient with benign prostate hyperplasia and essential hypertension is?
What is Tamsulosin
Six days ago, a 3 yo girl had a temperature of 104F. No specific cause was found. Her fever has persisted and she now has conjunctivitis, strawberry tongue, dry fissured lips, erythema, and desquamation of her hands and feet, and bilateral cervical adenopathy. Most concerning is this likely complication of her ongoing condition?
What is a coronary artery aneurysm
q. 49
the muscles that comprise the rotator cuff?
What the supraspinatus, infraspinatus, teres minor and subscapularis.
A woman presents to your office complaining of a "frothy" vaginal discharge. Your examination reveals a strawberry cervix, a positive whiff test and no clue cells. treatment of choice for this condition is?
What is metronidazole
Which of the following findings is most consistent with cataracts?
What is poorly visualized red reflex.
A 47 yo HIV positive female with CD4 count today of 180 presents with a complaint of a nonproductive cough. She is afebrile, tachypneic, and tachycardic. Lung exam reveals bilateral rales. Chest Xray shows diffuse interstitial infiltrates. The recommended treatment in this patient is.
What is Trimethoprim-Sulfamethoxazole
q.59
Acute intermittent porphyria is the result of a defect in what biosynthetic pathway?
What is corticosteroid.
Serratus anterior palsy is a dysfunction that is characteristic of traumatic, non-traumatic, and idiopathic injury to?
what is the Long thoracic nerve. medial winging.
A 42 yo pack a day smoking female presents because she is getting remarried and desires a birth control method. she has no prior history of STI's and had been married for almost 20 years prior to this relationship. Which of the following would be the most appropriate method for this patient?
What is an IUD
q.52
The exam finding most commonly seen with a 70 yo male with severe chronic COPD?
What is increased AP diameter