Screening
Women's Health
Pediatrics
Chronic care
Potpourri
100
USPSTF guideline for vision screening in all children
The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors.
100
The screening guideline for gestational diabetes in asymptomatic pregnant persons is
The USPSTF recommends screening for gestational diabetes in asymptomatic pregnant persons at 24 weeks of gestation or after.
100
4 day old infant is brought by mother for a rash, patient's VS stable, patient is not fussy, has appropriate feeding and diaper changes.
Erythema toxicum
100
46 year old female, pmhx of obesity, BMI of 38 presents to discuss weight loss options, which of the following is most appropriate drug of choice?
A) ozempic
B) wegovy
C) mounjaro
D) Orlistat
Wegovy
100
The recommended age to stop screening for prostate cancer for men with no risk factors
70
200
The drug recommended by USPSTF as a preventative medication for patient at risk for preeclampsia
The USPSTF recommends the use of low-dose aspirin (81 mg/day) as preventive medication after 12 weeks of gestation in persons who are at high risk for preeclampsia.
200
25, F, comes to the clinic due to concerns of PCOS.
The diagnostic criteria is
2 of the following 3 (Rotterdam criteria):
Hyperandrogenism: excessive acne, androgenic alopecia, hirsutism, elevated serum levels testosterone or DEAS
Ovulatory dysfunction: oligomenorrhea or amenorrhea
Polycystic ovary: US evidence of ovary containing 12 or more follicles (or 25 or more follicles using new ultrasound technology) measuring 2 to 9 mm in diameter or an ovary that has a volume of greater than 10 mL.
200
A new born has just been delivered, APGAR score is 9.
The vaccine required at birth is
1st dose of Hep B
200
55 year old M, pmhx of CAD, HTN, ESRD comes to the clinic with complains of constipation, you discuss various laxatives and stool softeners, including colace, senna, metamucil, lactulose and milk of magnesia. It is best for the patient to avoid
milk of magnesia
mag citrate
200
64 year old M comes to clinic with dizziness, fatigue and chest pain. VS are stable, following is the EKG.
The next step is
mobitz type 2, send to the ER
300
66, F, was diagnosed with osteoporosis last year, currently on alendronate comes for yearly physical. Mammogram, PAP and dexa done at 65, colonoscopy done at 60. All screenings wnl except dexa which was positive for osteoporosis. The screenings required at this visit
Depression
Fall risk/prevention
300
32 F, was found to have LSIL on her PAP smear with HPV co-testing, she undergoes colposcopy which is negative for any CIN. Her screening guideline in this scenario
cytology at 6 and 12 months
or
HPV DNA testing at 12 months
300
A 14 year old comes to the clinic for a sports physical, on physical exam, a systolic murmur is found. Patient currently plays in a soccer team, denies any chest pain, fatigue, dizziness or any family history of SCD. You recommend
monitor, reassurance
300
43 year old female, pmhx of HLD, hyperthyroidism, PCOS has recently been diagnosed with new onset hypertension. The class of anti-hypertensive appropriate in this scenario is
beta-blocker
300
Asymptomatic patients with sarcoidosis need yearly screening for
ocular manifestations
400
55 year old male, recently underwent EGD and was found to have Barretts esophagus without dysplasia. His next screening should be in....
12 months
400
what are the diagnostic criteria for preeclampsia?
Blood pressure: 140 mm Hg > SBP or 90 mm Hg >DBP, after 20 weeks of gestation in a woman with previously normal blood pressure
Proteinuria: > 0.3 g in a 24-hour urine collection
400
8 year old boy, 2 weeks away from his 9th birthday, comes in for influenza vaccine, patient has never received influenza vaccine before. What is his influenza vaccine schedule?
2 doses, 4 weeks apart:
- Age 6 months–8 years who have received fewer than 2 influenza vaccine doses,or whose influenza vaccination history is unknown: 2 doses, separated by at least 4 weeks. Administer dose 2 even if the child turns 9 years between receipt of dose 1 and dose 2.
- Age 6 months–8 years who have received at least 2 influenza vaccine doses: 1 dose.
- Age 9 years or older: 1 dose
400
62 year old male, pmhx of systolic heart failure, HTN, DM comes for a follow up, he is found to have A1C of 8.0. He is currently on Farxiga, you decide to add a 2nd anti-diabetic. The anti-diabetic drug to avoid
Pioglitazone (Thiazolidinedione)
400
73 year old female, pmhx of HTN, CAD and mild dementia comes to urgent care after accidentally overdosing on her metoprolol, she is found to be hypotensive, altered and bradycardic. The drug of choice is
Glucagon
500
63 year old M, history of extensive smoking, undergoes low dose CT scan which shows a solid 7mm nodule. He should repeat his CT in
6-12 months
500
28 year old female who recently gave birth, would like to breast feed her baby, which of the following is absolute contraindication for breast feeding?
A) Active varicella
B) HIV
C) cancer on chemotherapy
D) Currently undergoing active Tb treatment
E) C.diff colitis
Cancer on chemotherapy
(chemo drugs are passed through breast milk)
500
1 week old new born is brought to an inexperienced moonlighter at urgent care for non specific concerns. The parent convinces the provider to get a CXR which shows. The next step is
reassurance
500
34 F, hx of complex migraine, currently on nsaid and sumatriptan, has not been resolving her symptoms. You discuss starting Nurtec, a newer class of migraine medication, its mechanism of action is..
calcitonin gene-related peptide inhibitor/antibody
500
25 year old female is in a new relationship, and has been diagnosed with primary syphilis, patient has a penicillin allergy and her pregnancy test is negative, The most appropriate antibiotic is
Doxycycline/tetracycline