MCN 538 UPDATED EVALUATION EXAM QUESTIONS AND
ANSWERS GRADED A+
✔✔Criteria for Diagnosis of Metabolic Syndrome- B/P ? - ✔✔>+130/85
✔✔Criteria for Diagnosis of Metabolic Syndrome- Fasting Glucose - ✔✔>= 100mg/dL
✔✔Dyslipidemia - ✔✔abnormal blood lipid levels, including high total, low-density
lipoprotein, and triglyceride levels as well as low high-density lipoprotein levels
✔✔What are the 4 tx options for Dyslipidemia? - ✔✔1. Statin
2. Fibrate
3. Niacin
4. Ezetimibe
✔✔What are the adverse effects of Statins (e.g., atorvastatin): - ✔✔Adverse effect -
muscle pain, liver dysfunction.
✔✔What are the adverse effects of Fibrates (e.g., fenofibrate): - ✔✔Adverse effect -
gallstones, myopathy.
✔✔What are the adverse effects of Niacin? - ✔✔Adverse effect - flushing,
hyperglycemia.
✔✔What are the adverse effects of Ezetimibe? - ✔✔Adverse effect - GI upset, liver
enzyme elevation.
✔✔What are the recommended lipid screening intervals? - ✔✔For women aged 40-75,
every 4-6 years if risk is low.
✔✔Normal lipid levels
Total Chol = <?
LDL = <?
HDL = >?
Triglycerides= <? - ✔✔Total Chol = less than 200
LDL = less than 100
HDL = >50
Triglycerides: <150
✔✔Types of anemia - ✔✔Iron deficiency (IDA)
Thalassemia
, Folate Deficiency
Vitamin B12 Deficiency
Anemia of Chronic Disease
✔✔Thalassemia - ✔✔Inherited defect in ability to produce hemoglobin (South Asian,
Italian, Greek, Middle Eastern, and African descent)
✔✔McBurney's point - ✔✔A point on the right side of the abdomen, about two-thirds of
the distance between the umbilicus and the anterior bony prominence of the hip
✔✔how to test for appendicitis - ✔✔- Check for involuntary guarding and rebound
tenderness in the RLQ
- Consider rectal exam in both sexes and a pelvic exam in women
- Check for Rovsing's sign
- McBurney's point
✔✔Rovsing's sign - ✔✔Pain in RLQ with palpation of LLQ indicative of appendicitis
✔✔How do you treat h. pylori? - ✔✔Triple therapy
-Clarithromycin
-Amoxicillin
-PPI (proton pump inh.)
D/C ASA and NSAIDs
✔✔What antispasmodic would you give to someone with IBS? - ✔✔dicyclomine
✔✔Dicyclomine - ✔✔Bentyl
✔✔Classification of drugs for constipation? - ✔✔Bulk-forming agents (e.g., psyllium).
Osmotic agents (e.g., polyethylene glycol).
Stimulant laxatives (e.g., bisacodyl).
✔✔Pharmacological Management of Acne - ✔✔comedolytic agents: benzoyl peroxice,
salicylic acid, topical antibiotics (clindamycin, erythromycin, tetracycline and
metronidazole for rosacea). May consider oral antibiotics and oral contraceptives
✔✔actinic keratosis - ✔✔a precancerous skin growth that occurs on sun-damaged skin
✔✔What is a Pearly nodule with telangiectasia? - ✔✔Basal cell carcinoma
✔✔Scaly, red patch, or ulcer. - ✔✔Squamous cell carcinoma
ANSWERS GRADED A+
✔✔Criteria for Diagnosis of Metabolic Syndrome- B/P ? - ✔✔>+130/85
✔✔Criteria for Diagnosis of Metabolic Syndrome- Fasting Glucose - ✔✔>= 100mg/dL
✔✔Dyslipidemia - ✔✔abnormal blood lipid levels, including high total, low-density
lipoprotein, and triglyceride levels as well as low high-density lipoprotein levels
✔✔What are the 4 tx options for Dyslipidemia? - ✔✔1. Statin
2. Fibrate
3. Niacin
4. Ezetimibe
✔✔What are the adverse effects of Statins (e.g., atorvastatin): - ✔✔Adverse effect -
muscle pain, liver dysfunction.
✔✔What are the adverse effects of Fibrates (e.g., fenofibrate): - ✔✔Adverse effect -
gallstones, myopathy.
✔✔What are the adverse effects of Niacin? - ✔✔Adverse effect - flushing,
hyperglycemia.
✔✔What are the adverse effects of Ezetimibe? - ✔✔Adverse effect - GI upset, liver
enzyme elevation.
✔✔What are the recommended lipid screening intervals? - ✔✔For women aged 40-75,
every 4-6 years if risk is low.
✔✔Normal lipid levels
Total Chol = <?
LDL = <?
HDL = >?
Triglycerides= <? - ✔✔Total Chol = less than 200
LDL = less than 100
HDL = >50
Triglycerides: <150
✔✔Types of anemia - ✔✔Iron deficiency (IDA)
Thalassemia
, Folate Deficiency
Vitamin B12 Deficiency
Anemia of Chronic Disease
✔✔Thalassemia - ✔✔Inherited defect in ability to produce hemoglobin (South Asian,
Italian, Greek, Middle Eastern, and African descent)
✔✔McBurney's point - ✔✔A point on the right side of the abdomen, about two-thirds of
the distance between the umbilicus and the anterior bony prominence of the hip
✔✔how to test for appendicitis - ✔✔- Check for involuntary guarding and rebound
tenderness in the RLQ
- Consider rectal exam in both sexes and a pelvic exam in women
- Check for Rovsing's sign
- McBurney's point
✔✔Rovsing's sign - ✔✔Pain in RLQ with palpation of LLQ indicative of appendicitis
✔✔How do you treat h. pylori? - ✔✔Triple therapy
-Clarithromycin
-Amoxicillin
-PPI (proton pump inh.)
D/C ASA and NSAIDs
✔✔What antispasmodic would you give to someone with IBS? - ✔✔dicyclomine
✔✔Dicyclomine - ✔✔Bentyl
✔✔Classification of drugs for constipation? - ✔✔Bulk-forming agents (e.g., psyllium).
Osmotic agents (e.g., polyethylene glycol).
Stimulant laxatives (e.g., bisacodyl).
✔✔Pharmacological Management of Acne - ✔✔comedolytic agents: benzoyl peroxice,
salicylic acid, topical antibiotics (clindamycin, erythromycin, tetracycline and
metronidazole for rosacea). May consider oral antibiotics and oral contraceptives
✔✔actinic keratosis - ✔✔a precancerous skin growth that occurs on sun-damaged skin
✔✔What is a Pearly nodule with telangiectasia? - ✔✔Basal cell carcinoma
✔✔Scaly, red patch, or ulcer. - ✔✔Squamous cell carcinoma
