KEY QUESTIONS AND ANSWERS
rx for PT with degenerative tear of meniscus
A) Referral for meniscectomy
B) Corticosteroid injection
C) Hylan GF 20 (Synvisc) injection
D) Continued physical therapy
E) A knee brace
PT
what is true about antioxidants?
A) Decreased mortality with vitamin A supplementation
B) Decreased mortality with $-carotene supplementation
C) Decreased mortality with vitamin E supplementation
D) Increased mortality with some antioxidant supplements
D) Increased mortality with some antioxidant supplements
male pt with hypogonadism
what labs to order?
Early morning total serum testosterone
what meds should preg women be given if they have hx of pre-ecalampsia
baby aspirin daily
4 major groups of people that need statin therapy
(1) individuals with clinical atherosclerotic cardiovascular disease (ASCVD)
- high statin
(2) those with primary
elevations of LDL-C >190 mg/dL
- high statin
(3) patients age 40-75 with diabetes mellitus, an LDL-C level of
70-189 mg/dL, and no clinical ASCVD,
- moderate tstain
,(4) patients age 40-75 without clinical ASCVD or diabetes, an
LDL-C level of 70-189 mg/dL, and an estimated 10-year ASCVD risk >7.5%
- high statin
which pain med can be used in pt with renal failure
fentanyl
methadone
- hepatic metabolism
rx aseptic olecranon bursitis vs septic olecranon bursitis
both present with swelling at elbow
septic bursitis
- swelling, redness and warmth, fever
- aspiration and antibiotics
aseptic bursitis
- swelling oNLY
- compression rx
cut off for ankle=brachial index
<0.90 more severe PAD
0.91 - 0.99 borderline PAD
1 - 1.40 normal
>1.5 imcompressible vessels assoc with DM, elderly
ppx drug for lyme disease
A) Amoxicillin
B) Ceftriaxone (Rocephin)
C) Cefuroxime axetil (Ceftin)
D) Doxycycline
E) Clarithromycin (Biaxin)
doxycycline
rx superficial burn (painful patches of erythema and dry skin, no blisters)
A) Cleaning the wound with povidone iodine (Betadine)
B) Covering the wound with an occlusive dressing
C) Applying aloe
, D) Applying hydrocortisone 1% cream
E) Starting broad-spectrum antibiotics
apply aloe, honey, lotion
initial screening for hemochromatosis
A) Serum transaminases
B) A CBC and a serum iron level
C) Testing for the HFE gene
D) Ferritin and transferrin saturation
E) Total iron binding capacity
Ferritin and transferrin saturation
- will be elevated
then check HFE
complication of hypoparathyroidism
A) somnolence
B) low vitamin D
C) muscle flaccidity
D) hyperkalemia
E) refractory heart failure
hypocalcemia
- refractory heart failure
- muscle twitch
- muscle spasm/ tetany
- seizures
- altered mental status
- stridor
rx options for narrow complex SVTs
adenosine
vagal maneuvers
which psychosis drug are assoc with high risk of death due to stroke and cardiac arrest in elderly
2nd generation anti-psychotics
eg quietapine
The most common source of chest pain in children is
A) pulmonary
B) cardiac
C) musculoskeletal