CARDS
USPSTF recommendations for AAA screening
One time for men 65-75 who have ever smoked
This medication indicated for asthma inhibits mast cell degranulation
Montelukast - Singulair
Primary muscle in the arm for flexion
Brachialis
What medication must be avoided in patients with bulimia nervosa?
Bupropion
A 15-year-old female developed sudden low back pain after a tennis injury. She experiences pain radiating to her buttocks that worsens with strenuous activity. Physical examination reveals hypertonicity of the lumbar paraspinal muscles, and imaging shows a stress fracture below the superior facet joint of L4. What is the most likely diagnosis?
Spondylolysis
Which (3) beta blockers have been shown to decrease mortality, HF sx, and increase LVEF in HFrEF patients?
Metoprolol succinate, carvedilol, bisoprolol
Patients with this subtype of COPD are referred to as "Pink Puffers"
Emphysema
Name 2 out of 3 special tests for the subscapularis
Lift off --- bear hug --- belly press
What condition describes a 13 year old who constantly violates the rights of others, is impulsive and lacks remorse?
Conduct disorder
A 48-year-old male with an unremarkable past medical history presents with neck pain after a minor automobile accident. Osteopathic examination reveals OA Flexed, sidebent left, and rotated right. What is the initial set-up to perform a muscle energy technique?
Sidebend right, rotate left, and extend the OA joint.
Trial which demonstrated lower CV events and mortality for adults with CV risk with intensive BP treatment (SBP target < 120 vs 140)
SPRINT (Systolic blood Pressure INTervention) Trial
this breathing is found in a pt with DKA and has increased respiratory rate and long respirations
Kussmaul respirations
Name the large joints of the body
Shoulder --- Hip ---- Knee
What condition is characterized by unstable mood/relationships and feelings of emptiness with high risk of suicidal ideations?
Borderline personality disorder
A 62-year-old female presents to the emergency department for evaluation of a productive cough and chills. Her symptoms started several days ago after caring for her father who was recently transferred to a long-term acute-care facility. She currently experiences shortness of breath, a productive cough, and malaise. Upon presentation, her initial vital signs are within normal limits except for a temperature of 38.6°C (101.5°F). A limited physical examination is unremarkable for any acute findings. A chest radiograph reveals lower lobe pneumonia. Which of the following areas are most likely to exhibit somatic changes related to this patient's problem?
T3-T6
95% of patients with this subtype of cardiomyopathy have resolution of symptoms and recovery of LV function within 7 days
Takotsubo -- Broken heart syndrome
Restrictive airway disease associated with mining/masonry
Silicosis
Numbness and burning of the 3rd inter-metatarsal space is caused by
Morton's neuroma
What is the leading preventable cause of intellectual disability in children?
Fetal alcohol syndrome
A 32-year-old female presents with complaint of right neck and shoulder pain that began after a fall from her horse three weeks ago. The patient was evaluated in the emergency department at the time of the accident and her work-up was unremarkable. Osteopathic examination reveals an exhalation somatic dysfunction of the second, third, fourth, and fifth ribs on the right. The patient is treated with muscle energy and her somatic dysfunction resolves. The most likely mechanism involved is
use of the posterior scalene to raise the depressed rib
Name the med: A1 receptor agonist, slows SA/AV nodal conduction
Adenosine
Medications (2) used for smoking cessation
Buproprion (Zyban/Wellbutrin) and varenicline (Chantix)
Name the most common cause of a posterior shoulder dislocation and its biggest complication
Seizures
Radial nerve and/or artery injury
Condition in which people act out their dreams
REM sleep disorder
A 68-year-old male with COPD presents with increased dyspnea on exertion. Physical examination reveals T3 is extended, rotated, and sidebent right, while T6 is extended, rotated, and sidebent left. Rib 6 on the right feels slightly depressed anteriorly and has a protruded rib angle posteriorly. What is the diagnosis of rib 6 on the right?
Posterior subluxation of rib 6