Of proper taste
These nutritional deficiencies (name at least 2) can result in atrophic glossitis
iron
B9
B12
B2 (riboflavin)
B3 (niacin)
This medication increases the risk of euglycemic DKA
SGLT2i
Genital herpes is caused by ___ and ___
HSV-1 and 2
When is menstrual bleeding considered heavy?
considered heavy when it impairs quality of life, lasts at least 8 days, is described as “flooding” or “gushing,” saturates one or more menstrual protection items within 2 hours on multiple days, requires simultaneous use of multiple menstrual protection items or changing items overnight, features the repeated passing of blood clots the size of a quarter or larger
Laboratory evaluation for RA should include...
CBC, CMP, CRP, ESR, RF, anti CCP
This condition is associated with poor hygiene, tobacco use, and antibiotic use
Black hairy tongue
Name 3 conditions on DDx for DKA
gastroenteritis
starvation ketosis
MI
pancreatitis
HHS
This test is preferred test for confirming HSV in clinically apparent lesions
type specific viral PCR assay
What is the laboratory evaluation for easy bruising/bleeding?
PT/PTT, fibrinogen, CBC, CMP, peripheral blood smear, consider vWD
This medication is the initial therapy usually started for patients with moderate to severe RA.
oral methotrexate
Name two treatments for burning mouth syndrome
gabapentin
topical clonazepam
capsaicin
CBT
alpha lipoic acid
How does DKA differ from HHS?
HHS - acidosis mild or absent, ketone levels low or absent, bicarb >15, glucose usually > 600
Name at least 2 complications of genital herpes
encephalitis, meningitis, and urinary retention
When should you refer to heme/onc?
when the initial laboratory evaluation reveals a specific disorder or is nondiagnostic with a concerning history, a patient with a suspected or confirmed bleeding disorder is undergoing a procedure, or there is a request for prenatal counseling.
This decision tool for undifferentiated arthritis can help with early diagnosis of RA.
Leiden clinical prediction rule
All ___ and ___ lesions should be biopsied due to risk of malignancy
leukoplakia and erythroplakia
This is the laboratory work-up that should be obtained when DKA is suspected
CBC w/diff, CMP, Mg, A1c, EKG, beta hydroxybutyrate, UA, VBG
Name at least 2 risk factors for genital herpes
GBS colonization
hormonal contraceptive use
oral genital contact
These physical exam findings may suggest a bleeding disorder (name 2).
truncal bruising, five or more bruises greater than 1 cm in diameter, and atraumatic petechiae or hematomas.
Patients with RA are at an increased risk of mortality from these conditions (list 3)
infection, CV disease, respiratory disease
Symptomatic oral lichen planus can be treated with topical and systemic corticosteroids and calcineurin inhibitors, which come in a variety of forms including mouthwash, adhesive paste, oral suspension, and solution. Lichen planus has malignant potential, particularly the erosive form; therefore, referral to a dermatologist or oral pathologist for continued monitoring is recommended.
This severe complication of DKA is more common in kids than adults.
Cerebral edema
Recurrences are less common with this type of genital herpes
A normal PT/PTT may indicate ___, whereas an abnormal PT/PTT may indicate ____.
platelet disorder; factor deficiency
List at least 2 common side effects of methotrexate
diarrhea
nausea/vomiting
oral ulcers
cirrhosis/hepatotoxicity
dizziness
fatigue
HA
cough