Injuries/MSK
Drugs
Bites and stings
USPTF Recs
STIs Treatments
100

2 treatments for ganglion cyst

Aspiration (47% recurrence)

Compression dressing for 48 to 72 hours 

Surgical excision (42% recurrence)

100
List two types of pharmacotherapy for the assistance in quitting smoking. 

Nicotine replacement (patch, gum, nasal spray, inhaler)

Wellbutrin (buproprion)

Chantix (varencycline)

Nortriptyline

100

DEET is effective against what insects (pick 2)?

Mosquitos, ticks, lice, fleas 

100

Who should be screened for asymptomatic bacteruria? (Grade B)

All pregnant patients

100

Treatment for pediculosis pubis

Permethrin 1%

200

Nail shape to prevent ingrown toenails?

Flat

200

What commonly prescribed medication can cause a false positive on a UDS for benzos?

sertraline (Zoloft)

200

When does a dog bite need antibiotics? Choose 1

Bites on hands, face or genitalia

Lacerations undergoing primary closure/surgical repair

Wounds in close proximity to a bone or joint

Wound in immunocompromised hosts

Deep puncture wounds

Wounds associated with crush injury

200

What grade recommendation is pre-exposure prophylaxis for HIV?

Grade A

200

Treatment for trichomoniasis

Metronidazole 2g orally single dose

or 

Tinidazole 2g orally single dose

300

Splint type for Boxer's fracture

Ulnar gutter

300

What is the maximum amount of time for urine marijuana screen to remain positive after last use?

12 weeks 

300

CDC recommendation for post exposure rabies prophylaxis for PRAIRIE DOG bite

None

300

What is the age recommendation for HTN screening? (Grade A)

All adults 18 and older

300

Treatment for first episode of genital herpes for nonpregnant, non HIV+ adults (name any correct option)

Acyclovir 400 tid 7-10 days

Acyclovir 200mg 5x daily 7-10 days

Valacyclovir 1g bid 7-10 days

Famcicyclovir 250mg tid 7-10 days

400

Name 3 red flags for concussion severe head injury

Eye findings- pupils unequal, fixed or dilated, EOM abnormal


DTRs- hyperreflexia, babinski +

Decreased muscle tone, weakness, involuntary movements

Sensory deficit

Incoordination/balance problem: Romberg+, ataxic gait, postural instability, failed finger to nose test

Severe mental status changes/confusion

LOC more than 60 seconds

400

What does the CAGE questionnaire stand for?

Have you ever felt the need to CUT down on your __?

Do you ever get ANNOYED when people tell you to quit __?

Do you ever feel GUILTY about __?

Do you ever __ within one half hour of waking up (EYE-opener)?

400

Name two different FDA-approved medication treatments for lice

Permethrin 1% (Nix)

Pyrethrin 0.3%/piperonyl butoxide 4% (Rid)

Permethrin 5% (Elimite)

Malathion 0.5% (Ovide)

Topical ivermectin (Sklice)

Natroba 0.9% (Spinosad)

Ulesfia (alcohol 5% solution)

Dimethicone (Nix Ultra, Lice MD)

Isopropyl myristate (Resultz)

400

What is the age recommendation for HIV screening? (Grade A)

Adolescents and adults aged 15-65 years (and all pregnant patients)

400

Treatment for primary syphilis 

Benzathine PCN G 2.4 million units IM in a single dose

500

Ottawa ankle AND foot rules

Ankle xray not needed if able to ambulate at injury or ER (4 steps) and no pain over distal posterior 6cm of tibia and fibula

Foot xray not needed if able to ambulate at injury or ER (4 steps) and no pain at base of 5th metatarsal and tarsal navicular

500

Name 2 lab findings associated with excessive alcohol intake

Blood alcohol

GGT increased

MCV increased

Carbohydrate-deficient Transferrin increased

500

What 4 species of animals should be regarded as rabid unless animal is proven negative by laboratory test? 

Raccoons, skunks, foxes, bats (consider immediate vaccination!)

500

Colorectal cancer screening? (Grade A and B)

Grade A: 50-75 years

Grade B: 45-49 years

500

Treatment for chancroid

Azithromycin 1g single dose

Ceftriazone 250mg IM single dose

Ciprofloxacin 500mg bid for 3 days

Erythromycin 500mg tid 7 days

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