Women's Health
How many arteries and veins are normally found in the umbilical cord on a newborn?
2 arteries and 1 vein
For all infants born before 29 weeks gestation, what vaccine is recommended for the first year of life during RSV season?
Synagis (Pavilizumab)
Palivizumab is a monoclonal antibody that must be injected once each month during the RSV season; Palivizumab has been found to be effective in reducing hospitalizations and preventing serious lower respiratory tract infections in high-risk infants.
Which screening test lab value has the greatest potential for overdiagnosis?
PSA
Which nerve is affiliated with "winged scapula"?
Long thoracic nerve
Elevation of which lab study would suggest recurrent pancreatic cancer?
CA 19-9
A pregnant woman has a DVT. What is the treatment?
Lovenox (LMWH)
What is recommended in all patients with croup, even mild?
oral dexamethasone (single dose)
Which of the following is true regarding need for post-exposure prophylaxis for pertussis?
A) All members of a pertussis patient's household should receive PEP, regardless of immunization status
B)Only Immunocompromised persons or children younger than 2 years require PEP
c)Pertussis is not contagious more than 10 days after one of symptoms
A) All members of a pertussis patient's household should receive PEP, regardless of immunization status
What is a common sacral dysfunction in a postpartum patient?
Sacral flexion
Besides hyperglycemia, which other lab value is a cause of pseudohyponatremia?
Hypertriglyceridemia
24 year old G4P3 with history of prior C-section presents with contractions. There is difficulty removing the placenta as there are pieces that are removed after gentle traction and the patient begins to hemorrhage profusely. What is the diagnosis and risk factor associated with diagnosis?
Placenta Acreta and prior c-section
Parovirus B19
In patient's with type 2 diabetes they have a significantly higher risk of cardiovascular disease. What class of anti-diabetic medications has been proven to have a significant improvement in CV outcomes?
SGLT2 inhibitors (Jardiance)
What is the most common brachial plexus injury?
Erb Duchenne's palsy
Patients being treated with amiodarone should be monitored with serum levels of and how often?
TSH and every 6 months
Patients with prolonged labor and prolonged rupture of membranes who present with fever ,maternal and fetal tachycardia, uterine tenderness and foul smell and discolored amniotic fluid are often diagnosed with what?
Chorioamionitis
infection of the chorion and the amnion
Which of the following is true regarding proper use of car safety seats for infants?
A) Safety seats should always be forward facing when placed in back seat of car
B) Rear facing safety seats should be placed behind an airbag for added protection
C) The back of a safety seat should be kept perpendicular to vehicle floor for airway protection
D) Safety seats should not be reused after being involved in a car crash
D) Safety seats should not be reused after being involved in a car crash
A) 2 years
B) 4 years
C) 6 years
D) 8 years
E) 10 years
D) 10 years
On the other hand The USPSTF states regardless of life expectancy no women 75 years or older should receive mammograms
What is the "scotty dog" sign on a vertebral x-ray?
Spondylolysis
Treatment with what antibiotic decreases duration of lymphadenopathy in Cat-scratch disease caused by Bartonella Henselae?
Azithromycin
The most common cause of secondary amenorrhea is pregnancy. Once pregnancy is excluded the next most common cause of sundry amenorrhea is functional hypothalamic amenorrhea caused by a deficiency in _____
GnRH
The preferred treatment for a pediatric patient with clinically mild depression is
A) psychotherapy
B) SSRI
C)SNRI
D) psychotherapy+ SSRI
E) psychotherapy+SNRI
A)Psychotherapy
Medications are indicated in moderate to severe depression
How many stool samples does a patient need to collect for the fecal immunochemical test (FIT)? How about for the guac -based fecal occult blood test (gFOBT)?
FIT>one sample and should be done yearly
gFOBt> 3 samples and should be done yearly
What is the best initial treatment for tenosynovitis of the abductor policies longs and extensor pollicis brevis (de Quervains diseae)
Thumb spica splint
immobilize the thumb with this splint for 1-2 week. PT/other types of splints do not immobilize thumb which is key to initial treatment.
In patient with proximal DVT provoked by a nonsurgical transient risk factor i.e. long trips how long is anticoagulation recommended?