KEY QUESTIONS AND ANSWERS
Which annual screening labs are recommended for patients with Down syndrome?
CBC w/ diff
Iron studies
TSH
When can children with HFMD return to school?
When afebrile and not drooling d/t mouth sores
The American Academy of Orthopaedic Surgeons' clinical practice guideline recommends operative
management of a hip fracture within ___ hours of injury unless a delay is needed to stabilize
comorbidities.
24-48 hours
Fluoxetine is approved for treatment in children age ___ while escitalopram is only approved for use
in children age ___.
Fluoxetine = age 8
Lexapro = age 12
Echocardiography should be performed to assess for cardiac target end-organ damage, such as left
ventricular hypertrophy, when medication is being considered in children with hypertension.
Evaluation for secondary causes of hypertension is not needed in children ___ of age with stage 1
hypertension if they are overweight or have a positive family history of hypertension and there are no
physical examination findings indicative of a secondary cause.
6+
In obese patients with a medical history of ___, a Roux-en-Y gastric bypass is preferred over sleeve
gastrectomy
GERD
Pts with lichen planus have a sixfold increase in infection with ___.
Hepatitis C
___ is most commonly an overuse injury of the foot and results in tenderness along the path of the
peroneal tendon from the lateral heel to the midfoot.
Peroneal tendinopathy
The most effective forms of emergency contraception in order.
1. Copper IUD
2. Oral Uripristal
3. Oral levonorgestrel
, Randomized, controlled studies demonstrate that ___is effective in smoking cessation, even when
patients are not ready to quit
Varencicline
___ governent has the ultimate power to enforce isolation and treatment of patients in order to
protect public health and safety.
State
In males, elective surgical repair may be considered in patients with an aneurysm of ___. However,
surgical repair is required in men for asymptomatic aneurysms ___ and for rapidly expanding
aneurysms.
5.0 - 5.4 cm
surgical repair at 5.5 cm
Potential option for in-office tx of acute migraine?
IV antiemetics such as metoclopramide or prochlorerazine or promethazine
According to the 2014 guidelines for the primaryprevention of stroke issued by the American Heart
Association/American Stroke Association, prophylacticcarotid artery stenting might be considered in
highly selected asymptomatic patients with ___ carotid stenosis
>70%
Treatment of choice for eosinophilic esophagitis.
Oral corticosteroids such as budesonide or inhaled corticosteroids
1st line medications for PTSD
SSRIs or venlafaxine
Characteristics that are more commonly associated with malignant lesions of a SPN on CXR
Size > 6mm
Nonsolid "ground glass" appearance
Noncalcified lesions
Size or volume doubling between 1 month and 1 year
Irregular or spiculated borders
Z-drug with quick onset and long half-life well suited for patients with trouble falling asleep and
staying asleep.
Eszopiclone (Lunesta)
The CDC's Advisory Committee on Immunization Practices updated its recommendations in 2022 to
include which vaccine for all adults age 19 and older with HIV?
two-dose series of Shingrix