OB/Gyn
Pap smear starts at ____ age, done every ___ years
Bonus: stops at ___ age
What is Pap Smears at 21, done every 3 years and you can stop at 65?
Increased bilirubin 3 days after birth, with no other signs and symptoms. What is the most appropriate next step of management?
What is re-assurance?
Note: This is physiologic jaundice and will self resolve.
What is the current Diagnostic and Statistical Manual of Mental Disorders that we use?
What is DSM-5?
Lesson here is that sometimes, the test may not use the vocabulary you are used to. Don't panic, see if you can match any acronym you know and if not, take your best guess and move on.
The best resource to use on ortho service?
What is orthobullet?
Patient presents with fever of 101.0° F, weight loss of 12 lbs over past 2 months. On physical examination you note scleral icterus. Social history is significant for 26 pack-year smoking history and chronic alcohol abuse. What is the most likely diagnosis?
What is Pancreatic Cancer?
Any one who is chronic alcoholic, smoker or of Asian descent has increased risk of pancreatic cancer.
HPV vaccine age for males and females
What is HPV vaccine for females 13-26 and for males 12-21
You will have have at least one vaccine question on Obgyn, Peds and Family shelf and your Comlex Level 2. I will let you decide if its worth your time.
A 7 days old male infant presents with total bilirubin of 12 and direct bili of 0.5. Physical exam revealed dry mucous membranes and weight loss. What is next best step of management?
What is Feed the infant more?
This is breast feeding jaundice which is caused due to insufficient feeding.
Class of drug used for Major Depression Disorder:
What is SSRI?
Ejection fraction of ____ is contraindication for elective surgery
What is ejection fraction of 35%?
Diagnose the disease with triad of splenomegaly, neutropenia and rheumatoid arthritis.
What is felty syndrome?
28 year old female has painful menses, dyspareunia and dyschezia. In addition, she also has fixed, immobile uterus. What is the most likely diagnosis?
What is Endometriosis?
This is a classic presentation of Endometriosis.
Patient is 8 year old male coming in for routine visit. The family recently immigrated from Afghanistan. The mother ask what pre-cautuion can be taken for the child if his height is 4'8" in case of a car accident?
What is a booster seat?
A booster seat is used foe the child until they are 4’9” at 8-12 years old. (If this has changed, please share with your classmates and let them know)
42 month old toddler is brought to the clinic by mother with complain of inability to sit still. She says that even in school he fails to follow direction and is always disturbing the class. Audiometry testing was negative for hearing loss. What is the most appropriate next step in management?
As per the books, what is reassurance?
Note: AAP guidelines says that children as young as 4 can be diagnosed with ADHD. This may or may not be different from clinical practice.
Patient presents with scapular fracture. Name at least one more diagnosis you would want to rule out.
What is cardiac tamponade, pneumothorax, pulmonary contussion or aortic dissection?
Patient presents with thrombocytopenia, hemolytic anemia, confusion and azotemia. How would you manage this patient if he had a fever of 103.0°F?
What is plasma exchange, glucocorticoid or Rituximab?
What is the most common benign germ cell tumor in young girls(<20) which can also secrete Thyroid hormone?
What is teratoma/dermoid cyst?
A new born presents with her arm rotated medially, forearm is extended and pronated. What is the treatment for this patient?
What is observe for 6 months and then surgery?
An 18 month old females presents to the clinic with regression of cognitive/motor skills. On her growth chart you see deceleration of head growth. Physical examination reveals ataxia and repetitive hand movements. What is most likely diagnosis?
What is Rett Syndrome?
Patient presents to ER with periorbital edema, post-auricular ecchymosis and otorrhea. What is the most likely diagnosis?
Bonus: what is the first step in management if patient is clinically stable?
What is Basilar Skull Fracture?
If the patient is stable, you want to get CT of the head and cervical spine.
42 year old male presents to the clinic with his wife due to bounding pulses and constant head bobbing. You note diastolic heart murmur. What is the most likely diagnosis?
What is aortic regurgitation?
22 year old primigrivida at 8 week gestation presents to the primary care for routine prenatal visit. She has no complaints at this time but her UA reveals that she has UTI. What is the next best step in management?
What is nitrofurantoin, sulfisoxazole or cephalexin?
Usually we do not treat asymptomatic UTI but we always treat UTI in pregnant patient due to increased risk of preterm birth.
A new born presents with respiratory distress and excessive drooling. Whenever the baby tries to feed, he becomes cyanotic. What is the most appropriate diagnostic test?
What is feeding tube with X-ray?
A 9 year old male has poor attention, he sometimes blurts out answers in class. On play ground, he is often reckless. He often hurts himself and other kids around him when playing. What is the treatment for the most likely diagnosis?
What is methylphenidate or dextroamphetamine or other stimulant?
73 year old male presents to the ER after a fall. Patient complains of severe chest pain that is worse with deep inspiration. CT shows fractured rib 8, but no other obvious trauma is noted. What is the most appropriate management of this patient?
What is analgesics (NSAIDs, Opiates) ?
For rib fracture, especially in the elderly, can cause atelectasis and pneumonia (which may kill them) due to pain from the fractured rib. Treat the pain, but don’t go overboard with opiates because they also cause respiratory depression.
A family of immigrants from Brazil, who recently moved to USA, present to the clinic with fever, jaundice and Oliguria. What could they have done to prevent these symptoms?
What is drinking filtered water or terminating rodents?
This is Weils disease transmitted by mice urine in water.