EXAM QUESTIONS AND
VERIFIED CORRECT
ANSWERS GRADED A+
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What finding is expected in a 13 YO male with Cushing's Disease? - CORRECT ANSWER-Delayed
Puberty
Bowen's Disease (Intraepidermal squamous cell carcinoma - CORRECT ANSWER-SCC that has
not invaded the dermis yet-
Curettage and electrodessication is the preferred tx
Treatment for non-gonococcal uretthritis - CORRECT ANSWER-Azithromycin 1 gm, one dose
Syphilis - CORRECT ANSWER-Penicillin G 1 g IM once is gold
RPR is gold standard test
Sinusitis - CORRECT ANSWER-Augmentin or PCNs
Doxycycline if PCN allergy
C-Diff TX - CORRECT ANSWER-Vancomycin 125 mg PO qid x 10 days
,Can still use flagyl, but no longer first line
Vanco AE- Ototoxicity, Red man syndrome, Hard on kidneys
Metronidazole - CORRECT ANSWER-S/E GI upset, metallic taste
Teach patients to avoid alcohol before starting and a few days after to avoid disulfiram-like
reaction
Tx=BV and Trich
Gonorrhea test - CORRECT ANSWER-NAAT
Culture
U/A in men
Gonorrhea TX - CORRECT ANSWER-Ceftriaxone IM
500 mg < 150 kg
1 g > 150 kg
Chlamydia treatment - CORRECT ANSWER-doxycycline or azithromycin
doxy 100 mg BID x 7 days
azithromycin 1 g PO, single dose
Test- NAAT
,Trichomoniasis symptoms - CORRECT ANSWER-foamy, whitish-green vaginal discharge with foul
odor
Trichomoniasis Testing - CORRECT ANSWER-NAAT
flagellated protozoa on slide
Trichomoniasis Treatment - CORRECT ANSWER-Flagyl 500 mg PO bid x 7 days
Alternative: Tinidazole
Bacterial Vaginosis - CORRECT ANSWER-Positive whiff test
Clue cells
pH > 4.5
BV Treatment - CORRECT ANSWER-flagyl 500 mg PO BID x 7 days
Alternative: Tinidazole
Atypical pathogen - CORRECT ANSWER-Mycoplasma pneumonaie
Treat w/ macrolide- azithromycin, clarithromycin
or tetracycline
-doxycycline or minocycline
COPD characteristics - CORRECT ANSWER-Progressive, persistent airflow obstruction
Chronic
Altered anatomy/pathology
, --airway abnormalities --> chronic bronchitis
--alveoli abnormalities --> emphysema
morbidity and mortality increased in females
Alpha 1 antitrypsin deficiency can be a genetic cause.
--consider in younger patient with no smoking hx or exposure
Clindamycin - CORRECT ANSWER-Used for more serious infections; risk for super infection
2nd line option for mastitis
What allergy contradicts the use of thiazide diuretics? - CORRECT ANSWER-Sulfa
Why should ACE-Is be avoided with renal stenosis? - CORRECT ANSWER-Leads to ARF
Adverse effects of aldosterone antagonists (Aldactone) - CORRECT ANSWER-Galactorrhea and
hyperkalemia
What are beta blocker indications? - CORRECT ANSWER-HTN, post-MI< angina, arrhythmias,
migraine prophylaxis, hyperthyroidism
1st line BP med for DM? - CORRECT ANSWER-ACE or ARB
Grapefruit juice should be avoided in what 1st line antihypertensive medication? - CORRECT
ANSWER-CCB- it increases the level of medicine in your blood