Women's health
Screening and Vaccines
Obesity
HTN
Misc
100

This is the preferred method of evaluation of breast mass in women <30_____ and this is the preferred method of evaluation of breast mass in women >30 _____

<30 US

>30 Mammography

100

In asymptomatic adults aged 50 to 80 years with a 20 pack-year smoking history who currently smoke or have quit within the past 15 years, this annual screening test is recommended to reduce lung cancer mortality.

What is low-dose computed tomography (LDCT) of the chest?

100

Give the BMI range for Obesity Class II.

35-39.9

100

This condition is when BP is lower in the office setting than at home

masked hypertension

100

First line treatment for bacterial conjunctivitis 

erythromycin 0.5% ointment or trimethoprim-polymyxin B ophthalmic ointment 

200

Treatment of Vaginitis with hyphae on KOH wet mount

Accept any: 


Fluconazole PO, vaginal cream Butoconazole/clotrimazole/miconazole


200

AAA screening recommended from ___ to ___ years as a one time screening is anyone who has ever smoked, as defined by more than ___ cigarettes in their lifetime

ages 65-75 

over 100 cigarettes in their life 

200

Waste circumference of ___ cm/ or ___ inches or greater in men and ___ cm or __ inches  or greater in women is associated with increased risk  of DM, CV disease and all cause mortality

102 cm or 44 in 

88 cm or 35 inches 

200

First line choice of antihypertensive patient with DM and albuminuria 

ACEi or ARB

200
This drug reduces withdrawal and may prevent relapse in nicotine use disorder 

Varenicline

300
A1c goal for a women with diabetes who are contemplating pregnancy  

<6.5%

300

Different modalities for colon cancer screening based on ACP, name all 3 along with recommended frequency

1. colonoscopy every 10 years 

2. flexible sigmoidoscopy every 10 plus FIT every 2 

3. FIT or high sensitivity guaiac-based fecal occult blood testing every 2 years

300

List 5 medications that promote weight gain

a-blockers, b-blockers, glucocorticoids, progestins, insulin, sulfonylurea, thiazolidinediones, carbamazepine, gabapentin, valproic acid, amitriptyline, imipramine, deepen, paroxetine, mirtazapine, clozapine, olanzapine, quetiapine, risperidone

300

List all the antihypertensives that are safe in pregnancy 

methyldopa, nifedipine, labetolol

300

What are PCSK9 inhibitors and how do they work

PCSK9 are monoclonal antibodies that bind to serine protease PCSK9 which a liver enzyme that degrades hepatocyte LDL receptor. 

400

List 3 of the 5 contraindications for combination contraceptive pills. 

Breast cancer, Venous thromboembolism, uncontrolled HTN, liver disease and migraine with aura 

400

This Vaccine is contraindicated in HIV patients regardless of CD4 count

Live attenuated influenza vaccine

400

Protein intake recommendation of gram  of protein per KG per day for patients on GLP-1

1.6 grams of protein per KG per day

400

First line medication used to offset the lower extremity edema caused by amlodipine 

ARB or ACEi

400

The diagnosis of systemic exertion intolerance disease requires presence of fatigue for 6 months' duration with substantial reduction in pre illness activity, postexertional malaise, unrefreshing sleep and either cognitive impairment or orthostatic intolerance. What is ideal treatment?

Cognitive behavioral therapy 

500

Clinical diagnosis of bacterial vaginosis, requires 3 of the following 4 features:


bonus, bacteria name & treatment?

vaginal pH greater than 4.5, thin and homogenous vaginal discharge, positive whiff test, clue cells comprising 20% of squamous cells on saline microscopy

Treatment: metronidazole 500 BIDx7 days or clindamycin 300 BIDx7 days

500

Name This is herbal supplement that is used to treat/prevent cognitive decline and claudication. It may increase your risk of bleeding when used with anticoagulants and NSAIDS.

ginkgo Biloba

500

This vitamin deficiency, often seen after Roux-en-Y gastric bypass, can lead to night blindness and impaired immune function if not monitored and supplemented appropriately.

Vitamin A deficiency 

500

This rare genetic form of hypertension presents with low renin, low aldosterone, metabolic alkalosis, and hypertension.

Bonus for 200: what is the mutation

 

What is Liddle syndrome

is caused by a gain-of-function mutation in the ENaC channel of the distal nephron

500

Measurement of this serum marker is required after radiographic diagnosis and delineation of affected bones in Paget disease

Serum alkaline phosphatase, 

a marker of increased bone turn over which can reflect metabolic activity and can be used in follow up post treatment