While the cat's away Jeopardy

I did not know that-Pearls in Primary Care

100

Which STI preventative method is regulated by the FDA as a medical device and are subject to random testing and sampling for quality

Condoms are subject to random sampling and testing by the FDA, and each latex condom manufactured in this country is tested electronically by the manufacturer for holes.

200

Which types of insulin should never be mixed with any other form of insulin?

Insulin glargine should not be mixed with other forms of insulin due to the low pH of its diluent. It is a long-acting, acidic insulin analog soluble only at a pH of 4.0. Its reduced solubility at the physiologic pH it encounters following subcutaneous injection allows for its slow absorption rate.

300

What screening test should be performed prior to the initiation of chronic NSAIDS therapy to prevent peptic ulcer disease?

Based on meta-analyses of randomized, controlled trials physicians should perform laboratory screening for and eradicate Helicobacter pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease (SOR A). 

400

This pic is used to teach which population of patients which fish is safe to eat

Pregnant patients during pregnancy due to a potentially high mercury content of fish

500

Lymphadenopathy in which body location  is associated with the highest risk of malignancy?

 Supraclavicular adenopathy is associated with a high risk of intra-abdominal malignancy in both adults and children, with studies finding 34%–50% of these patients having a malignancy. 

Kids scare me

100

Which vitamin supplementation is needed in exclusively breastfed infants?

The American Academy of Pediatrics recommends a daily intake of 400 IU of vitamin D in infants, children, and adolescents. Breastfeeding does not provide adequate levels of vitamin D. Exclusive formula feeding provides adequate levels of vitamin D, but infants who consume less than 28 ounces of formula per day need supplementation with 400 IU of vitamin D daily. Vitamin D supplementation can be started once breastfeeding is established, usually within a few days of birth. A growing body of evidence suggests that high-dose maternal vitamin D supplementation (6000–6400 IU daily) is a reasonable alternative to infant supplementation for parents who prefer this approach.

200

Caused by a poxvirus and is uniquely characterized by flesh-colored, dome-shaped papules with central umbilication, most commonly on the trunk, axilla, popliteal or antecubital fossae, and crural folds

Molluscum contagiosum

300

Acne appearing at which one of the following ages should prompt detailed endocrine laboratory testing for possible underlying systemic disease?   

A. 3 weeks

B.  7 months

 C. 5 years

 D. 9 years

 E. 13 years

C.

Acne appearing during mid-childhood is rare and, if present, warrants referral for extensive laboratory testing to identify an underlying endocrine abnormality

400

Radial head subluxation also know as?

Nursemaids elbow.

500

What age group of kids “forgotten child” when it comes to car safety restraints?

A. Infant --2 year old

B. 4-8

C. 8-12

D. 12-16

B.

While child seat use is mandated for infants and children, many states do not require the use of child-appropriate safety restraint devices for the upper end of this age group. Children between the ages of 4 and 8 face an unconscionably high risk of death, paralysis or other serious injury in automobile crashes because they are either unrestrained or they are strapped into adult safety belts that are not designed to fit them. Children whose weight or height is above the forward-facing limit for their car safety seat should use a belt-positioning booster seat until the lap and shoulder belt of the car fits properly.

Common Abbreviations in Medicine

100

OTC

Over the counter

200

DO

Doctor of Osteopathy Medicine

300

CPAP

continuous positive airway pressure

400

PEG treatment

Polyethylene glycol (MiraLAX) used to treat functional constipation

500

OSHA

Occupational Safety and Health Administration

Need to Know

100

How many ml in a tablespoon?

15 ml.

200

Which routine lab screening got an update during the pandemic by the uspstf and now recommended for all pts 18-79  rather than just those born between 1945-1965?

According to a 2020 update by the U.S. Preventive Services Task Force, routine HCV screening is recommended for all patients 18–79 years of age regardless of history. This recommendation does not require patients to have a history of engaging in high-risk behavior or a history of hepatitis A or hepatitis B. Routine screening was previously recommended only for patients born between 1945 and 1965.

300

Why take Coumadin (Warfarin ) in eve.

a. Due to mechanism of action--works best on full stomach.

b. Patients usually see Providers in the day and we are asked they come fasting

c. Metabolized best after a days activity

d.to shorten  the interval between learning of the need to make a dose adjustment

D

This strategy likely shortens the interval between learning of the need to make a dose adjustment (typically communicated to patients in the late afternoon following a morning blood test) and being able to make that dosing change.

400

Which 2 diabetic drug class causes weight loss?

GLP-1---Semaglutide (Ozempic)

SGLT-2--empagliflozin (Jardiance)

500

Which vaccine is recommended for every single pregnancy?

A Tdap booster is recommended during every pregnancy. It should be given at 27–36 weeks gestation if at all possible. This allows transmission of pertussis antibodies to the fetus before birth and will protect the infant for the first 2–3 months before primary immunizations take effect.

This screen is for what?

100

colonoscopy

colon cancer

200

CAGE

alcohol use

cut down

annoyed

guilty

eye opener

300

BMI

weight ---to identify individuals who have underweight, healthy weight, overweight, or obesity

400

STOP-Bang

The STOP-Bang questionnaire is a screening tool to help identify patients with obstructive sleep apnea (OSA). In the questionnaire S = snoring, T = tiredness, O = observed apnea, P = high blood pressure, B = BMI >35 kg/m2, A = age >50, N = neck circumference >40 cm, and G = male gender.For each question, answering “yes” scores 1, answering “no” scores 0, and the total score can range from 0 to 8, with a higher score indicating a higher probability of OSA. A score of at least 3 has >90% sensitivity for moderate to severe OSA.

500

Tripledemic screen

Influenza, COVID-19 and respiratory syncytial virus