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Exam
100

Which vaccine is the only one to contain thimerisol?

Multi dose flu vaccines

Thimerosal is an ethyl mercury-based preservative used in vials that contain more than one dose of a vaccine (multi-dose vials) to prevent germs, bacteria and/or fungi from contaminating the vaccine.

100

First line therapy for PCOS

combined oral contraception and/or progestin-containing contraceptives.

IE) Sprintec

100

COPD patients should be screened for what genetic condition

Alpha 1 antitrypsin deficiency

100

When initiating ACE inhibitors it is important to monitor for increases in which lab values. (Only one correct answer needed to get points on this)

Creatinine, Potassium

200

What is the name of the CDC app for vaccines?

CDC Vaccine Schedules.

500 bonus points if one person on your team already has it downloaded

200

This condition is characterized by focal areas of increased bone turnover and disorganized bone formation

Paget disease

200

Which one of the following is most appropriate for treatment of RSV bronchiolitis in otherwise healthy hospitalized infants?

Supportive care (as-needed oxygen and frequent nasal hygiene)

200

What is the most effective nonsurgical option for reducing heavy menstrual bleeding?

levonorgestrel IUD (Mirena, etc)

300

What is the age group in which HPV can be administered as a two dose schedule.

9-14 yo (for those who initiate in this age group, ideal start time is 11/12 yo)

300

What intervention has demonstrated an increased life expectancy of up to 3.3 months for patients with terminal cancer

Hospice Care

300

What is the acceptable INR range for patients with mitral valve stenosis? 

2.5-3.5

300

What is the primary feature that distinguishes bipolar I from bipolar II?

Manic episodes, or mixed manic/depressive episodes

400

For patients with egg allergies what is the recommended restriction on administering vaccines?

There is no recommended restriction, they should receive the routine vaccination schedule.

400

What would be the next appropriate step for treating uncomplicated reflux in an infant whose parents have tried making the proper positional, volume and frequency of feed changes.

addition of thickening agents such as rice cereal
400

What is the preferred treatment for onychomycosis?

Terbinafine

400

On polarized microscopy of joint fluid gout is confirmed by ______.

negatively birefringent crystals.

500

Due to an ongoing outbreak in Florida gay and bisexual Floridian men are recommended to get what additional vaccine?

Meningitis (MenACWY aka Menveo)

500

You examine a patient with difficulty hearing, the findings are:

Weber: lateralized (louder) on the right

Rinne: negative on the right (louder bone conduction)

Right sided conductive hearing loss (IE otosclerosis, cerumen impaction)

Weber: conductive right sided hearing loss or left sided sensorineural hearing loss

Rinne: In this patient air conduction is inferior to bone conduction. Conductive hearing loss more likely


500

According to GOLD which COPD patients should be screened for Alpha 1 Antitrypsin deficiency?

Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines recommend that all people with COPD, regardless of age or ethnicity, should be tested for AAT deficiency.

500

on x-ray pseudogout is characterized by

chondrocalcinosis (calcification of the cartilage)