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UWMF anticoagulation guidelines
UW Cardiology Stress testing guidelines
Integumentary
Endocrinology
Special Sensory
100
What labs should be obtained prior to intiating warfarin? (3 of 6)
Baseline INR CBC with platelets ALT Total bili Creatinine Pregnancy test
100
An 67-year-old female presents to your office as a new patient. She recently moved to the area to be closer to her family. A history reveals that she has been in excellent health, has no complaints, and is on no medications except occasional acetaminophen for knee pain. She has never been in the hospital and has not had any operations. She says that she feels well. The examination is normal, with expected age-related changes, except that her blood pressure on three different readings averages 175/70 mm Hg. These readings are confirmed on a subsequent follow-up visit. In addition to lifestyle changes, which one of the following would be most appropriate for the initial management of this patient’s hypertension?
Alpha blocker ACE i Beta blocker ARB Thiazide diuretic
100
What is the first line treatment for common acne?
Topical benzoyl peroxide (or topical antibiotic)
100
Which oral antihyperglycemic medication should be avoided in renal failure?
Metformin
100
You are the team physician for the local high-school swim team. Over the past week, seven members of the team have developed both folliculitis and outer ear infections. You suspect bacterial contamination of the swimming pool. Which one of the following is the most likely cause?
Pseudomonas aeruginosa
200
A stable warfarin patient is defined as a patient maintained on the same warfarin dose for ____ months.
6 months (pts may reduce frequency of INR monitoring to every 6-8 weeks)
200
In a 50-59 yo man who presents to the ED with symptoms of typical angina, what is the likelihood of obstructive coronary artery disease?
77.3% (within 10% is an ok answer)
200
True or false: screening for melanoma reduces mortality.
False
200
Which one of the following medications should be discontinued in a patient with diabetic gastroparesis?
Exenatide Benazepril Metformin HCTZ Prochlorperazine
200
Which one of the following is a risk factor for retinal detachment?
Posterior detachment of vitreous Glaucoma Hyphema Cataract surgery Diabetic retinopathy
300
What is the suggested initial dose of warfarin in a typical patient (goal INR 2-3)?
5 mg
300
What are the 3 criteria for typical angina as described by the ACC/AHA?
Midsternal discomfort Provoked by exertion/emotional distress Relieved by rest/nitroglycerin
300
What is first line treatment for scabies?
5% permethrin
300
An asymptomatic 55-year-old male visits a health fair, where he has a panel of blood tests done. He brings the results to you because he is concerned about the TSH level of 12.0 µU/mL (N 0.45-4.5). His free T4 level is normal. Which one of the following is most likely to be associated with this finding?
A fib Reduced bone density Systolic heart failure Elevated LDL Type 2 DM
300
The earliest presenting symptom in most older patients with open-angle glaucoma is:
Tunnel vision
400
If a patient's routine INR monitoring reveals an INR between 4.1-5: -How many doses of warfarin should be held? -By how much should you reduce the weekly dose?
-Hold 1 dose -Reduce weekly dose by 10%
400
In a 50-59 yo woman who presents to the ED with symptoms of typical chest pain, what is the probability of obstructive coronary artery disease?
47% (+/- 10% ok answer)
400
Iraq vet presents with several non healing erythematous ulercerating lesions on arm which failed treatment with oral cephalosporin. Likely diagnosis?
Cutaneous leischmeniasis
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 Glyburide Lithium Lisinopril Alendronate
400
A 4-year-old Hispanic female has been discovered to have a congenital hearing loss. Her mother is an 18-year-old migrant farm worker who is currently at 8 weeks' gestation with her second pregnancy. The mother has been found to have cervical dysplasia on her current Papanicolaou (Pap) smear and has also tested positive for Chlamydia. The most likely cause of this child’s hearing loss is:
a. parvovirus b varicella zoster virus c. herpes simplex d. toxoplasmosis e. CMV
500
If no urgent invasive procedures planned and stable pt with no signs of bleed, at what INR level should you administer vitamin K? What dose?
Above INR 10 2.5-5 mg PO vitamin K
500
A 32 yo man with no specific PMH presents to your clinic with non-specific chest pain (not even atypical angina sx). What is his estimated risk of obstructive CAD? Should you order a stress test? What kind of stress test?
-17.7% (intermediate probability) -Yes, based on UW Cardiology guidelines -ECG stress test
500
25 year old man took a vacation to Florida and now has constant sensation of something "poking" in his toe. Which material is most likely to show up on radiograph?
Wooden splinter Plastic splinter Glass splinter Sea urchin spine
500
A 49-year-old female who takes multiple medications has a chemistry profile as part of her routine monitoring. She is found to have an elevated calcium level. All other values on the profile are normal, and the patient is not currently symptomatic. Follow-up testing reveals a serum calcium level of 11.2 mg/dL (N 8.4-10.2) and an intact parathyroid hormone level of 80 pg/mL (N 10-65). Which one of the following should be discontinued for 3 months before repeat laboratory evaluation and treatment?
Raloxifene Furosemide Calcium carbonate Vitamin D Lithium
500
A 25-year-old male has a dental infection associated with facial swelling and lymphadenopathy. What is the most appropriate antibiotic?
Penicillin (clindamycin)