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Neurology
Women's Health
Nephrology
Geriatrics
100
Per ACOG 2013, at 24 weeks gestation you preform a 1-hour glucose tolerance test which is elevated at 166 mg/dL. You would next: A. Repeat the 1-hour GTT in one week B. Have the patient see the dietician for diabetic diet information C. Order a 3-hour GTT D. Start low-dose metformin
C. Order a 3-hour GTT
100
An 82 y/o male developed sudden dysarthria and RUE weakness. He arrives at the ED 2 hours later. Which of the following imaging studies should be ordered STAT? A. Non-contrast head CT B. Contrast head CT C. CT-A of the head D. Non-contrast MRI of the head
A. Non-contrast head CT
100
A 22 year old test positive for gonorrhea. Which of the following is the recommended treatment? A. Doxycycline B. Ceftriaxone C. Ceftriaxone plus azithromycin D. Ofloxacin
C. Ceftriaxone plus azithromycin
100
Indications for nephrology referral in patients with CKD include which of the following? A. GFR < 30 mL/min B. BP> 130/80 despite treatment with an ACE-I dand diuretic C. Presence of a new recently trained Nephrologist in town D. Diabetes and a urine albumin/creatinine ratio of 30-300mg/g
A. GFR < 30 mL/min
100
Which of the following pharmacokinetic factors changes least with age? A. Absorption B. Distribution C. Metabolism D. Elimination
A. Absorption
200
Which of the following tests is recommended in routine prenatal care? A. serologic HSV testing B. Pap cytology in each pregnancy C. Cystic Fibrosis carrier screening D. Screening for asymptomatic bacteriuria by urine culture
D. Screening for asymptomatic bacteriuria by urine culture
200
Acute strokes are most often the result of which of the following pathological processes? A. Acute thrombosis B. Acute embolic event C. Acute intracerebral hemorrhage D. Acute subarachnoid hemorrhage
A. Acute thrombosis
200
Infertility in a woman under 35 is defined as an inability to conceive in what time period of attempted conception? A. 6 months B. 12 months C. 18 months D. 24 months
B. 12 months
200
In patients with AKI, urgent dialysis is NOT indicated in which of the following situations? A. Hyperkalemia refractory to medical therapy B. Volume overload unresponsive to diuretics C. Metabolic acidosis with pH = 7.25 D. Uremic pericarditis
C. Metabolic acidosis with pH = 7.25
200
The largest portion of the Medicare budget is spent on: A. Surgical procedures and post op care B. Hospital costs in the last month of life C. Overhead for intermediaries D. The 20% of the Medicare recipients with five or more chronic diseases
D. The 20% of the Medicare recipients with five or more chronic diseases
300
Which of the following is the greatest risk factor for preterm labor? A. Concurrent STD B. Low socioeconomic status C. Uterine anomaly D. History of mid-second-trimester spontaneous loss of pregnancy
A. Concurrent STD
300
A 65 y/o male patient cries out, falls, stiffens and starts to shake all over, you diagnose him with a generalized tonic-clonic seizure. Which is the most likely cause? A. Cerebrovascular disease/stroke B. Idiopathic C. Metabolic derangement D. Brain tumor
A. Cerebrovascular disease/stroke
300
A 59 y/o postmenopausal female presents with recent onset of painless vaginal bleeding. She has no history of abnormal pap. A pelvic exam today is normal. Which is the preferred next diagnostic step? A. Colposcopy with endocervical curettage B. Transvaginal ultrasonography C. Saline infusion sonohysteropraphy D. Hysteroscopy
B. Transvaginal ultrasonography
300
The most common cause of AKI is which of the following? A. Ureteral calculus with hydronephrosis B. Diuretic induced volume depletion C. Acute tubular necrosis D. Acute interstitial nephritis
C. Acute tubular necrosis
300
The most common cause of irreversible loss of visual acuity >70 years is: A. Macular degeneration B. Cataracts C. Glaucoma D. Diabetic retinopathy
A. Macular degeneration
400
Which one of the following is contraindicated in the treatment of post partum hemorrhage in a patient with HTN? A. Oxytocin B. Carboprost tromethamine (Hemabate) C. Misoprostil (Cytotec) D. Methylerogonovine
D. Methylerogonovine
400
A 36 y/o female with unchanged HA that occurs 8-10 times a year comes to you for management. Her HA presents with flashing lights followed by left sided throbbing and N/V. OTC medications have not been helpful. The best initial therapy would be? A. Ergotamine B. Sumatriptan C. Propranolol D. Verapamil
B. Sumatriptan
400
Onset of heavy menses at menarche is often the first sign of what disorder of hemostasis? A. Hemophilia A B. von Willebrand disease C. Christmas Disease D. Immune thrombocytopenia
B. von Willebrand disease
400
Which of the following drugs is commonly associated with allergic interstitial nephritis? A. Carbamazepine B. Allopurinol C. Omeprazole D. Fluoxetine
B. Allopurinol
400
Normal aging may be associated with which of the following? A. Short-term memory loss B. Difficulty with calculations C. Word-finding difficulties D. Difficulty remembering names
D. Difficulty remembering names
500
An afebrile G1P0 who had SROM at home 18 hours ago presents to the hospital, FHT is reassuring. In addition to inducing her labor which is appropriate? A. No abx ppx for fetus B. Ampicillin, 2 g IV initially, then 1g q4h until delivery C. Clindamycin, 900 mg dIV q8h until delivery D. Vancomycin, 1g q12h until delivery
A. No abx ppx for fetus
500
Your work up for a patient with a generalized tonic-clonic seizure is negative. You diagnose an unprovoked seizure. Your first step in treatment would be: A. IV phenytoin B. Oral phenytoin C. Oral valproic acid D. No medications at this time
D. No medications at this time
500
A 62 y/o female is experiencing vaginal sx including painful intercourse, vaginal itching and dysuria of 3 months duration. She is using an OTC vaginal moisturizer and lubricant with little relief. What is the preferred hormonal form of treatment for these sx? A. Vaginal Estrogen Ring (Estring) B. Vaginal Estrogen Tablet (Vagifem) C. Vaginal Estrogen Cream (Premarin) D. Vaginal Estrogen suppository (neuEve)
A. Vagnial Estrogen Ring (Estring)
500
Nephrogenic systemic fibrosis most often occurs as the result of which of the following? A. Chemotherapy with an alkylating agent B. Hemodialysis C. Peritoneal dialysis D. MRI with gadolinium contrast
D. MRI with gadolinium contrast
500
An 82 y/o woman admitted to your nursing home ahas a urine culture that grew >100,000 e. coli. You should prescribe abx if: A. She has >50 WBCs per high-powered field on UA B. She has a poor appetite C. She has frequency, urgency, dysuria, or suprapubic pain D. She seems more confused
C. She has frequency, urgency, dysuria, or suprapubic pain