Quit playing games with my heart (Cardiovascular)
Of the following cardiovascular parameters, which increases with normal aging?
Maximum HR
HR variability
Ejection fraction
Arterial wall elasticity
Blood pressure
What is blood pressure
Which one of the following is more likely to occur with glipizide than with metformin ?
Weight loss
Hypoglycemia
Lactic acidosis
GI distress
What is hypoglycemia
Which of the following is a risk factor for acute pancreatitis?
GERD
IV drug abuse
ARB use
Pyelonephritis
Gallstones
What is gallstones
Which one of the following is a risk factor for osteoarthritis of the hip?
Low bone mass
Young age
Participation in swimming
Hyperthyroidism
Obesity
What is obesity
Which one of the following is a major advantage of second-generation (atypical) antipsychotics compared with first-generation antipsychotics?
Less tardive dyskinesia
Less monitoring for major side effect
The availability of depot (intramuscular) formulations
Lower cost
Simpler dosing schedules
What is less tardive dyskinesia
In a patient with a solitary thyroid nodule, which one of the following is associated with a higher incidence of malignancy?
Hoarseness
Hyperthyroidism
Nodule size of 2 cm
Female gender
Freely moveable nodule
What is hoarseness (sign of local invasion)
Which of the following is true about Barrett's Esophagus?
It will regress after a course of protonix
It will regress following esophageal dilation
It will regress after Helicobacter pylori treatment
Associated with an increased risk of adenocarcinoma
What is, it is associated with an increased risk of adenocarcinoma
Which one of the following drugs used to treat rheumatoid arthritis can delay the progression of the disease?
Aspirin
Ibuprofen
Indomethacin
Capsaicin
Hydroxychloroquine
What is Plaquenil
Which one of the following benzodiazepines has the shortest half-life?
Flurazepam (Dalmane
Alprazolam (Xanax)
Clorazepate (Tranxene)
Diazepam (Valium)
Clonazepam (Klonopin)
What is Alprazolam (Xanax)
Should be screened for aortic aneurysm
Who is males between the ages of 65 -75 who have ever smoked
Which one of the following most increases insulin sensitivity in an overweight patient with diabetes mellitus?
Metformin
Glyburide
Acarbose
NPH insulin
What is Metformin
Hepatitis C screening is routinely recommended in which one of the following?
Pregnant women,
Health care workers
Persons with a history of IVDA
Everyone
What is persons with a history of illicit IV drug use (other reasons:receiving clotting factor produced before 1987, persistent alanine aminotransferase elevations, or recent needle stick with HCV-positive blood)
This is the most serious complication of a slipped capital femoral epiphysis
What is avascular necrosis
Which one of the following anti-psychotic medications is most likely to cause agranulocytosis?
Clozapine (Clozaril)
Aripiprazole (Abilify)
Risperidone (Risperdal)
Olanzapine (Zyprexa)
What is Clozapine
Which one of the following procedures carries the highest risk for postoperative deep venous thrombosis?
Total abdominal hysterectomy
CABG
Lumbar laminectomy
Total knee replacement
What is total knee replacement
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
Lithium
Lisinopril
Alendronate
Glyburide
What is Lithium (can cause hypothyroidism)
Which one of the following is associated with Ulcerative colitis rather than Crohn’s disease?
The absence of rectal involvement
Transmural involvement of the colon
Segmental noncontinuous distribution of inflammation
Fistula formation
An increased risk of carcinoma of the colon
What is an increased risk of carcinoma of the colon
A 3-year-old female is brought to your office for evaluation of mild in-toeing. The child’s patellae face forward, and her feet point slightly inward. Which one of the following would be most appropriate?
Reassurance
Foot stretching exercises
Use of orthotics
Use of night splints
Surgery
What is reassurance. (believed to be caused by sleeping in the prone position, and sitting on the feet. In 90% of cases, internal tibial torsion gradually resolves without intervention by the age of 8)
Which one of the following antidepressants is LEAST likely to cause sexual dysfunction?
Bupropion (Wellbutrin)
Sertraline (Zoloft)
Fluoxetine (Prozac)
Imipramine (Tofranil)
Trazodone (Desyrel)
What is buproprion (Wellbutrin)
A 35-year-old male with a previous history of kidney stones presents with symptoms consistent with a recurrence of this problem. The initial workup reveals elevated serum calcium. This test would be most appropriate at this point.
What is parathyroid hormone
A 62-year-old male complains of fatigue and proximal extremity discomfort without any localized joint pain. Which one of the following conditions is associated with a consistently normal creatine kinase enzyme level at all phases of disease?
Polymyalgia rheumatica
Polymyositis
Dermatomyositis
Drug-induced myopathy
Hypothyroid endocrinopathy
What is polymyalgia rheumatica(elevated CRP, ESR, sometimes LFTs, but no CK)
The only antidepressant approved by the Food and Drug Administration for the treatment of depression in children 8-17 years of age.
What is fluoxetine (prozac)