Heart and Brain
Respiratory
Bones and Joints
Women/Mom and babies
Mental care
100
Antihypertensive agent that has no benefit for prevention of stroke recurrence
Beta blockers
100
Antibiotic of choice for Pertussis
Azithromycin
100
Fracture of the metaphyseal-diaphyseal junction (Zone 2) of the 5th metatarsal shaft is known as..
Jones fracture
100
47 y/o G2P2, new onset of spotting between periods for 6 months, pregnancy test negative, BMI 26. PMH unremarkable. Pelvic exam normal, labs normal
most appropriate next step..
EMB (endometrial biopsy)
100
Has the best evidence for treatment of adults with Bulimia
CBT (Cognitive Behavioral Therapy)
200
What is resistant hypertension
persistent BP elevations despite optimal doses of 3 antihypertensive medications
200
Low DLCO and normal spirometry results etiology
Chronic PE
200
Name at least 2 drugs that can increase likelihood of gout flares..
ACE
B Blockers
Thiazides
200
World Health organization recommended daily calcium supplement dosage (maximum) particularly in pregnant women with low dietary calcium intake.
2000 mg
200
First line pharmacotherapy option for depression among adolescents after trial of psychotherapy.
Fluoxetine
Sertraline and Citalopram as alternative (if Fluoxetine ineffective)
300
rate controlling medications for atrial fibrillation. Name at least 2.
Verapamil/ Diltiazem
B blockers
300
66F with SOB
PFT result:
FEV1/FVC 76%
FVC below normal
DLCO low
Dx?
idiopathic pulmonary fibrosis
300
Golfer elbow is mostly frequently associated with
Microtears of the common flexor tendon origin at the elbow
300
Menstrual cycle phase characterized by high progesterone and low FSH/LH levels
Luteal-secretory
300
Pharmacotherapy for decreasing nightmares in PTSD
Prazosin (Minipress)
400
Name at least 2 contraindications to Exercise stress testing?
ACS
unstable angina
resting HTN greater than 200/110
acute MI within the past 2 days
HFrEF
inability to safely exercise to 5 metabolic equivalents
400
4-week-old M with 2-week h/o increasing dyspnea, cough, poor feeding. Appears nontoxic, afebrile, conjunctivitis, tachypnea and crackles. CXR- hyperinflation and diffuse interstitial infiltrates
Most likely etiology?
Chlamydia trachomatis
400
A 75 y/o Diabetic male with Pacemaker has 2 months history of right shoulder pain and weakness when reaching overhead. PE revealed weakness of supraspinatus muscle and suspect a rotator cuff tear.
Best imaging modality of choice is..
Ultrasonography
400
A 9-month-old boy is found to be anemic on screening required by the Special Supplemental Nutrition Program for Women, Infants, and Children, with a hemoglobin level of 10.2 g/dL (102 g/L) and a mean corpuscular volume of 76 fL (normal for age = 70-86 fL). Which one of the following tests should be obtained first for this patient
retic ct
400
Mostly studied TCA with greater likelihood of success compared to SSRI in managing somatic disorders.
Amitriptyline
500
drug associated with a higher risk of death due to stroke or sudden cardiac death in patients with dementia
2nd generation antipsychotics, including Quetiapine (Seroquel)
similar risks with first generation antipsychotics
500
26 y/o had severe anaphylactic reaction to eggs in the past. Which Flu vaccine would be the safest for her?
Recombinant trivalent Flu vaccine
500
According to Salter Harris classification of fractures involving growth plates, which type of injury is shown
Type II
500
Your patient presents to labor and delivery at 35 and 5/7 weeks’ gestation for intermittent contractions. Evaluation reveals that her membranes are ruptured and that the amniotic fluid is meconium stained. Which one of the following interventions is most likely to prevent respiratory complications in the neonate at birth?
Maternal corticosteroid administration
500
Name at least 3 interventions that you can order while on in patient rotation on elderly patients to decrease symptoms of delirium.
early and recurrent mobilization
frequent reorientation
improving sensory perceptions (hearing aids)
continuous observation
removal of unnecessary tubes and lines