FAMILY MEDICINE EOR EXAM | QUESTIONS WITH CORRECT ANSWERS GRADED A+ 2024

FAMILY MEDICINE EOR EXAM | QUESTIONS WITH CORRECT ANSWERS GRADED A+ 2024 Most common cause of infective endocarditis Correct Answer: staph epidermis Risk factors for MRSA infection Correct Answer: hospitilization in last 60 days, sugery in last 60 days, residence in long term care facility, hemodialysis, HIV infection Treatment for septic arthritis without concern for MRSA Correct Answer: Cephalexin or Dicloxacillin Treatment for septic arthritis with concerns for MRSA Correct Answer: Bactrim Treatment for hospitalized patients with MRSA infection Correct Answer: IV vancomycin or cefazolin Are anal fissures or hemorrhoids more painful Correct Answer: anal fissues Multiple lesions with three concentric zones of color change Correct Answer: erythema multiforme Raised, purpuric target like lesions with two zones of color change Correct Answer: stevens johnson syndrome Menieres disease presentation Correct Answer: tinnitus, low frequency sensorineural hearing loss, vertigo Treatment vertigo Correct Answer: low sodium diet and a diuretic How is Prinzmetal angina different from typical angina? Correct Answer: There is no association with exertion Prinzmetal is vasospasm at rest Chest pain at rest is what? Correct Answer: unstable angina -- 90% occlusion likely What findings would you see on an exercise stress test in someone with unstable angina? Correct Answer: ST depression of 1mm is a positive test Dobutamine mechanism of action Correct Answer: agonist of beta-1 receptors in heart which increase contractility and dilates blood vessels (mostly renal and mesenteric vessels) Dobutamine increases heart contractility more than heart rate. How is Dobutamine used in exercise stress tests? Correct Answer: increases myocardial demand which invokes ischemia - echo is used to look at areas of ischemia Who is pharmological stress test contraindicated in? Correct Answer: asthmatic patients Pharm stress test medications Correct Answer: adenosine and dipyridamole Definitive diagnostic procedure angina Correct Answer: coronary angiography (cath)