COMPREHENSIVE EXAM REVIEW 2026
FULL SOLUTION STUDY GUIDE
⩥ When to d/c an ACE I based on creatinine. Answer: 2.0
⩥ Predisposing factors of hyperthyroidism. Answer: Fam hx of hyperthy
or other autoimmune, RA, vitiligo, pernicious anemia, trisomy 21,
pregnancy/mothers with grave's, puberty, myasthenia gravis, addison,
amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE,
smoking, neck radiation
⩥ hypothyroidism prevalence. Answer: More prevalent in women than
men at a ratio of 5- 10:1
More common in older: >60 yrs increases to 6-10% of women and 2-3%
of men with 13.7% with subclinical presentation
⩥ DM diagnosis. Answer: A1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
, ⩥ DM 2 symptoms. Answer: fatigue, recurrent infections, recurrent
vaginal yeast infections, prolonged wound healing, visual changes, may
have classic sx of type 1 (polys)
⩥ When is Niacin used?. Answer: In combo with other meds to tx
triglycerides
⩥ Common sign associated with parkinsons?. Answer: pill rolling
tremor
⩥ First line tx for OA?. Answer: Acetaminophen
⩥ MOA of metformin?. Answer: Pulls glucose into muscle cells to be
utilized
-enhances insulin sensitivity at tissues
-Reduces glucose production by liver
⩥ When is MRI indicated in low back pain?. Answer: neuro defects
⩥ Test for tenosynovitis?. Answer: Finkelstein
⩥ Tests for Carpal tunnel?. Answer: Phalen's and Tinnel's