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Quit playing games with my heart (Cardiovascular)
Suga Suga how you get so high?
(Endocrine)
Get in my belly
(GI)
Bad to the bone
(MSK)
I want crazy
(psych)
100
Of the following cardiovascular parameters, which increases with normal aging?--- Maximum HR, HR variability, Ejection fraction, Arterial wall elasticity, Blood pressure
What is blood pressure
100
Which one of the following is more likely to occur with glipizide (Glucotrol) than with metformin (Glucophage)? --- Weight loss, Hypoglycemia, Lactic acidosis, GI distress
What is hypoglycemia
100
Which of the following is a risk factor for acute pancreatitis?--- GERD, IV drug abuse, ARB use, Pyelonephritis, Gallstones
What is gallstones
100
Which one of the following is a risk factor for osteoarthritis of the hip? --- Low bone mass, Young age, Participation in swimming, Hyperthyroidism, Obesity
What is obesity
100
Which one of the following is a major advantage of second-generation (atypical) antipsychotics compared with first-generation antipsychotics?--- Less tardive dyskinesia, Less monitoring for major side effects, The availability of depot (intramuscular) formulations Lower cost, Simpler dosing schedules
What is less tardive dyskinesia
200
You would recommend surgical repair of an abdominal aortic aneurysm as it approaches this size
What is 5.5 cm
200
In a patient with a solitary thyroid nodule, which one of the following is associated with a higher incidence of malignancy?--- Hoarseness, Hyperthyroidism, Nodule size of 2 cm, Female gender, Freely moveable nodule
What is hoarseness (sign of local invasion)
200
Which of the following is true about Barrett's Esophagus?--- It will regress after antireflux surgery, It will regress following esophageal dilation, It will regress after Helicobacter pylori treatment, It is associated with an increased risk of adenocarcinoma
What is, it is associated with an increased risk of adenocarcinoma
200
Which one of the following drugs used to treat rheumatoid arthritis can delay the progression of the disease?--- Aspirin, Ibuprofen, Indomethacin (Indocin), Capsaicin (Zostrix), Hydroxychloroquine (Plaquenil)
What is Plaquenil
200
Which one of the following benzodiazepines has the shortest half-life?--- Flurazepam (Dalmane), Alprazolam (Xanax), Clorazepate (Tranxene), Diazepam (Valium), Clonazepam (Klonopin)
What is alprazolam (Xanax)
300
Should be screened for aortic aneurysm
Who is males between the ages of 75-85 who have ever smoked
300
Which one of the following most increases insulin sensitivity in an overweight patient with diabetes mellitus? --- Metformin, Glyburide, Acarbose, NPH insulin
What is Metformin
300
Hepatitis C screening is routinely recommended in which one of the following?--- Pregnant women, Nonsexual household contacts of hepatitis C–positive persons, Health care workers, Persons with a history of illicit intravenous drug use
What is persons with a history of illicit IV drug use (other reasons:receiving clotting factor produced before 1987, persistent alanine aminotransferase elevations, or recent needle stick with HCV-positive blood)
300
This is the most serious complication of a slipped capital femoral epiphysis
What is avascular necrosis
300
Which one of the following antipsychotic medications is most likely to cause agranulocytosis? --- Clozapine (Clozaril), Aripiprazole (Abilify), Risperidone (Risperdal), Olanzapine (Zyprexa)
What is Clozapine
400
Which one of the following procedures carries the highest risk for postoperative deep venous thrombosis? --- Total abdominal hysterectomy, CABG, Transurethral protatectomy, Lumbar laminectomy, Total knee replacement
What is total knee replacement
400
A 67-year-old female presents with progressive weakness, dry skin, lethargy, slow speech, and eyelid edema. Of the following medications currently taken by this patient, which one is most likely to be causing her symptoms?--- Donepezil, Lithium, Lisinopril, Alendronate, Glyburide
What is Lithium (can cause hypothyroidism)
400
Which one of the following is associated with ulcerative colitis rather than Crohn’s disease?--- The absence of rectal involvement, Transmural involvement of the colon, Segmental noncontinuous distribution of inflammation, Fistula formation, An increased risk of carcinoma of the colon
What is an increased risk of carcinoma of the colon
400
A 3-year-old female is brought to your office for evaluation of mild intoeing. The child’s patellae face forward, and her feet point slightly inward. Which one of the following would be most appropriate?--- Reassurance, Foot stretching exercises, Use of orthotics, Use of night splints, Surgery
What is reassurance. (believed to be caused by sleeping in the prone position, and sitting on the feet. In 90% of cases, internal tibial torsion gradually resolves without intervention by the age of 8)
400
Which one of the following antidepressants is LEAST likely to cause sexual dysfunction?--- Bupropion (Wellbutrin), Sertraline (Zoloft), Fluoxetine (Prozac), Imipramine (Tofranil), Trazodone (Desyrel)
What is buproprion (Wellbutrin)
500
The most common cause of hypertension in children under 6 years of age
What is renal parenchymal disease
500
A 35-year-old male with a previous history of kidney stones presents with symptoms consistent with a recurrence of this problem. The initial workup reveals elevated serum calcium. This test would be most appropriate at this point.
What is parathyroid hormone
500
This is the most common cause of bacterial diarrhea.
What is Campylobacter jejuni
500
A 62-year-old white male complains of fatigue and proximal extremity discomfort without any localized joint pain. Which one of the following conditions is associated with a consistently normal creatine kinase enzyme level at all phases of disease? --- Polymyalgia rheumatica, Polymyositis, Dermatomyositis, Drug-induced myopathy, Hypothyroid endocrinopathy
What is polymyalgia rheumatica. (elevated CRP, ESR, sometimes LFTs, but no CK)
500
The only antidepressant approved by the Food and Drug Administration for the treatment of depression in children 8-17 years of age
What is fluoxetine (prozac)