Women's health
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
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?
Give the BMI range for Obesity Class II.
35-39.9
This condition is when BP is lower in the office setting than at home
masked hypertension
First line treatment for bacterial conjunctivitis
erythromycin 0.5% ointment or trimethoprim-polymyxin B ophthalmic ointment
Treatment of Vaginitis with hyphae on KOH wet mount
Accept any:
Fluconazole PO, vaginal cream Butoconazole/clotrimazole/miconazole
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
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
First line choice of antihypertensive patient with DM and albuminuria
ACEi or ARB
Varenicline
<6.5%
Different modalities for colon cancer screening based on ACP, name all 3 along with recommended frequency
2. flexible sigmoidoscopy every 10 plus FIT every 2
3. FIT or high sensitivity guaiac-based fecal occult blood testing every 2 years
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
List all the antihypertensives that are safe in pregnancy
methyldopa, nifedipine, labetolol
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.
List 3 of the 5 contraindications for combination contraceptive pills.
Breast cancer, Venous thromboembolism, uncontrolled HTN, liver disease and migraine with aura
This Vaccine is contraindicated in HIV patients regardless of CD4 count
Live attenuated influenza vaccine
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
First line medication used to offset the lower extremity edema caused by amlodipine
ARB or ACEi
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
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
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
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
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
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