Disorganized Sports
This is the most common cardiovascular abnormality in a sports preparticipation physical exam
What is elevated blood pressure?
This prokinetic can be used to treat functional dyspepsia
What is Metoclopramide (Reglan)?
these 2 classes of diabetic medications cause weight gain
what are insulin and sulfonylureas
men at this age range who have ever smoked should be screened for a AAA with an ultrasound
what is 65-75?
This is the treatment for mild croup
What is dexamethasone 0.6mg/kg?
Describe the hypertrophic cardiomyopathy murmur (type, location best auscultated, what technique to amplify murmur)
harsh crescendo-decrescendo murmur best heard at LLSB, increases with valsalva and standing up
These are 2 serological tests that can be used to diagnose celiacs
What are (2/3)
IgA Anti-Tissue Transglutaminase Assay
Endomysial Antibody
Deaminated Gliadin Peptide Antibody
At this GFR you would not initiate Metformin, and at this GFR you would discontinue chronic Metformin
<45: do not start
<30: discontinue
A 4.5 cm AAA was noted on US. You should order the follow up US at this duration
12 months
[3-3.9cm: 36mo, 4-4.9cm: 12mo, 5-5.4cm: 6 mo]
This is how you treat a clavicular fracture without serious complications
what is a sling
If performed within the first 3 minutes, this increases survival rate in commotio cordis
In a patient with IBD (Chron's or UC), colonoscopies to screen for CRC should start at this time and be continued at this duration
What is: 8 years after initial diagnosis of IBD, and subsequently at 1-3 year intervals
Name 3 things that falsely lower HbA1C
hemoglobin variants, splenomegaly, pregnancy, HIV drugs, blood loss, liver disease, Vit E ingestion
This is the range of a normal Ankle Brachial Index
What is 0.9-1.4?
At this age, full term breast fed infants should begin PO iron supplementation
what is 4 months
At this temperature, a child is considered to have a heat stroke rather than heat exhaustion
What is 104F (40C)?
These are the most common cause of viral gastroenteritis for children and adults in the US, respectively
What is
rotavirus (kids)
norovirus (adults)
A personal or family history of this type of thyroid cancer is a contraindication to GLP-1 medications
what is medullary thyroid cancer?
Other than hypersensitivity, this is a contraindication to cilostazol
what is heart failure
An infant born to a Hep B Surface Ag + mother should receive this treatment
Hep B immune globulin AND Hep B vaccine within 12 hours of birth
When can your patient with infectious mononucleosis return to aerobic activity?
What is 21 days post diagnosis?
21 days post diagnosis, may resume light aerobic activity; a full return to play 21 days post + test AND asymptomatic. Risk of splenic rupture is 0.1-0.5% in the first 21 days.
This is the Rome IV Criteria for IBS
Recurrent abdominal pain on average at least 1 day/week in the last 3 months, associated with two or more of the following criteria:
this class of medications reduces macular edema and occular vessel proliferation in diabetic retinopathy
what are antiVEGF meds
ie Ranibizumab (Lucentis) and Bevacizumab (Avastin)
name 4 of the 5 P's of acute arterial occlusion
pain, pallor, paresthesia, pulselessness, paralysis
This is the diagnostic criteria for Kawaskaki disease
Fever > 5 days duration and 4/5 of the following:
Bilateral bulbar conjunctival injection
Oropharyngeal erythema, strawberry tongue, fissuring
and crusting of the lips
Induration of hands and feet, erythema of palms and
soles; desquamation of fingertips and toes
Erythematous rash (scarlatiniform or morbilliform)
Enlarged lymph node mass (> 1.5 cm)