Term
| when to tx osteoporosis based on national osteoporosis foundation |
|
Definition
1. personal hx of hip or vert fx
2. t score less than -2.5
3. osteopenia and 10 yr risk of hip fx over 3% OR any fx over 20% by the frax calculator |
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Term
| function of values stress test |
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Definition
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|
Term
| best test for meniscus tear |
|
Definition
|
|
Term
| type of trauma with meniscus tear |
|
Definition
| twist at knee with foot planted |
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|
Term
| when would an adolescent need a dexa |
|
Definition
|
|
Term
| meningococcal vaccine time for kids |
|
Definition
|
|
Term
| what are the 11-12 yo vaccine |
|
Definition
| tdap, hpv, meningococcal, flu |
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|
Term
| what vasculitis can cause orchitis |
|
Definition
|
|
Term
| criteria for acute bacterial sinusitis |
|
Definition
-double sickening
-7-10days
-severe onset with fever and purulent drainage x 3 day |
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|
Term
| 1st line anti hen in lack w/ and w/o dm |
|
Definition
| regardless of dm status, give thiazide or ccb, per jnc8 |
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|
Term
| temporal features of ankylosing spondy |
|
Definition
| improves with moving, worse at night and in morning, loosens up during the day |
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|
Term
| how much more rad do you get from CT vs XR |
|
Definition
|
|
Term
| RF for altitude sickeness |
|
Definition
-fast ascent
-female
-hx of altitude sick
-under 46 yo |
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Term
|
Definition
|
|
Term
| 65 yo healthy person pneumonia vaccine schedule |
|
Definition
|
|
Term
| when do you do colonoscopy in person with a 1st deg relative with colon cancer |
|
Definition
| 10yr before dx of relative |
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|
Term
| #1 cause of hearing loss in kids |
|
Definition
|
|
Term
| does tx genital wards prevent transmission during L&D |
|
Definition
|
|
Term
| whats more effective for tx genital warts, cryo or meds |
|
Definition
|
|
Term
| post partum thyroididtis vs subacute thyroididits |
|
Definition
| subacute is painful and s/p uri |
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|
Term
|
Definition
|
|
Term
| labs in subacute thyroiditis |
|
Definition
|
|
Term
| typical pathogenesis for retinal detachment |
|
Definition
-usually starts with posterior vitreous detachment--floaters
-then a week later light flashes as the retina tears |
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|
Term
| visual defect in retinal detachement |
|
Definition
|
|
Term
|
Definition
-occular trauma
-cataract surg
-50-75 yo |
|
|
Term
| central retinal artery occlusion |
|
Definition
| painless and complete LOV |
|
|
Term
| do you always need to doppler a teste suspicious for torsion in order to dx it? |
|
Definition
| no, DO NOT delay surg for a doppler |
|
|
Term
| teste location in torsion |
|
Definition
|
|
Term
| howcan you manually untwist a torsioned teste? |
|
Definition
|
|
Term
| what do employers of greater than 50ppl have to provide for breast feeding moms |
|
Definition
| reasonable unpaid break time and a non-bathroom place to do it, do not need to provide fridge |
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Term
|
Definition
| hypertrophic actinic keratosis |
|
|
Term
| manage hypertrophic actinic keratosis |
|
Definition
| remove to prevent SCC or ca in situ |
|
|
Term
| ddx hypertrophic actinic keratosis |
|
Definition
| keratoacnthoma, this is usally on face and ore nodular with a pit |
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|
Term
| low vit D and hi Alk Phos |
|
Definition
| secondary hyperparathyroidism 2/2 low vit D |
|
|
Term
|
Definition
|
|
Term
| who would get vit D replacement with 1-25 vit D |
|
Definition
| renal failure pts, this is aka calcitriol |
|
|
Term
| physiology of tx vit D in seconday hyperparathyroidism |
|
Definition
| vit d causes dec in pth which decareses bone turnover which decreases alk phos |
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|
Term
| GERD tx that inc risk of osteoporosis and fx |
|
Definition
|
|
Term
| when do you use raloxifene for osteoporosis |
|
Definition
|
|
Term
| what is the down side to raloxifene |
|
Definition
| no evidence to support the idea that it decreases risks for any NON vertebral fx |
|
|
Term
| in a pt with blood tinged sputum and no rf for lung canger, ,what is your mgmt |
|
Definition
|
|
Term
|
Definition
| IDA, trigly, bilrubinemia, splenectomy, renal failure, aplastic anemia |
|
|
Term
|
Definition
| antiviral tx for HIV, liver dz, pregnancy, vit C and E, acute blood loss |
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|
Term
| when do you start asa in women |
|
Definition
|
|
Term
| what doe s + tuberculin skin test and IGRA (quant gold) show |
|
Definition
|
|
Term
| how long before igra and tuberculin skin test turn positive |
|
Definition
|
|
Term
|
Definition
| no need for f/u for test results, less false + in vaccinate individuals |
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|
Term
|
Definition
| tb test that also checks rifampin resistance |
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|
Term
| benefit of bariatric surg |
|
Definition
| dec all cause mortatlity, mostly by dec mortality from MI in morbidly obese ppl |
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|
Term
|
Definition
|
|
Term
| acute IV tx for intractable migrains |
|
Definition
|
|
Term
| what peds get hypertonic saline neb |
|
Definition
| bronchiolitis kids who are in the hospital |
|
|
Term
| american uro assocaition def of micro hematruia |
|
Definition
|
|
Term
|
Definition
| UA, Cr, CT uro, Cystoscopy |
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|
Term
|
Definition
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|
Term
|
Definition
| a-adenosyl L methionine, but need to use 2 mo for effect |
|
|
Term
|
Definition
conusion, bun over 19, rr over 30, sbp less than 90 or dbp less than 60, age over 65
2+consider inpt
3+ consider icu |
|
|
Term
| aap rec on peanut intro in peds |
|
Definition
|
|
Term
| antidepressant that can prolong qt |
|
Definition
|
|
Term
| abx for traverlers diarrhea depending on geography |
|
Definition
|
|
Term
| skin manifestation of sarcoid |
|
Definition
|
|
Term
|
Definition
|
|
Term
| hen to supplement iron in breast feeding baby |
|
Definition
|
|
Term
|
Definition
|
|
Term
| psych meds for somatization d/o |
|
Definition
|
|
Term
|
Definition
| metonidazole, azelic, sulfa, ivermectin, brimodine |
|
|
Term
| bacteria to consider in puncture wound |
|
Definition
|
|
Term
| ear deformities in newborn |
|
Definition
cupear, periauricular skin tag, ear pits
all seen with GDM, make sure to screen for renal issues with renal u/s |
|
|
Term
|
Definition
| flow cytometry andimmunophenotyping of peripheral blood |
|
|
Term
| what lymph count with cll |
|
Definition
| absoluate lymphocytosis over 5000 cells |
|
|
Term
|
Definition
|
|
Term
| benign appearing lung nodule |
|
Definition
less than 5mm
central calc
smooth border
solid appearance |
|
|
Term
| malignant appearing lung nodule |
|
Definition
over 10mm
uppper lobe
irrec/spic borders
no calc
ground glass |
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|
Term
| tx of acute hyperkalemia to dec K |
|
Definition
|
|
Term
| tx of acute hyperkalemia to prevent arrythmia |
|
Definition
|
|
Term
| antiplatelet 1st line after DES |
|
Definition
| asa 81mg and plavix for 6mo to 1yr |
|
|
Term
| what class of drug is plavix |
|
Definition
|
|
Term
| 2nd line antiplatelet if DES |
|
Definition
|
|
Term
| what is asa/dipyrdamole for? aka |
|
Definition
| secondary stroke prevent, aggrenox |
|
|
Term
| 1st line tx for adhd based on age |
|
Definition
| over 6 meds, under 6 therapy |
|
|
Term
|
Definition
| 3mo if provoked, any anticoagulant |
|
|
Term
| function of procalcitonin level |
|
Definition
|
|
Term
| type of splint used in carpal tunnel |
|
Definition
|
|
Term
| sx of porphyria cutanea tarda |
|
Definition
| blisters, non painful, over sun exposed skin |
|
|
Term
| rf for prophyria cutanea tarda |
|
Definition
-etoh
-hepc
-smoke
-estrogen
-hiv
-hfe |
|
|
Term
| necrobiosis lipoidica diabetica |
|
Definition
| red brown plaque wiht central yellow deposits in the pretibial area |
|
|
Term
|
Definition
| cephalexin, strep pyo mSSA |
|
|
Term
|
Definition
proximal humeral epiphysitis
pitchers 11-16 yo |
|
|
Term
|
Definition
| all kids at 6mo if not present in drinking water |
|
|
Term
|
Definition
prevents rsv
rec for newborn premies born at less than 29 wk |
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|
Term
|
Definition
|
|
Term
| stepwise tx narrow complex tachy |
|
Definition
| vagal, adenosin, verapamil//diltiazem, dc conversion if unstable |
|
|
Term
| meds for wide complex tachy |
|
Definition
|
|
Term
| age of osteonecrosis, aka |
|
Definition
|
|
Term
| onset of legg calve perth vs transient synovitis |
|
Definition
| LCP is insidious, TS is acute |
|
|
Term
|
Definition
|
|
Term
| sudden onset w/in hours of bad food with vomit/diarrhea |
|
Definition
|
|
Term
| 1st line med for fxnal constip |
|
Definition
|
|
Term
|
Definition
less than 2400mg/day salt or less than 1500mg (stricter
home bp monitor
fruit/veg/whole grain
less than 2 drink/day men, 1 women |
|
|
Term
| generalized anxiety d/o vs panic d/o |
|
Definition
GAD is more vauge, constant (fatigue, worriers)
PD is acute bursts with more adrenergic sx |
|
|
Term
| mgmt of molluscum if lesions are very bothersome |
|
Definition
|
|
Term
|
Definition
| over35 yo & over 15 cig/day |
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