Treatment of BPH
Ans: 1) Tamsulosin (flomax) (and other "osin" drugs like doxazosin and silodosin) -
first line
2) Tadalafil (cialis) - especially if they have comorbid ED
3) Finasteride (ONLY if there's evidence of significant prostate enlargement - on
physical exam or b/c of elevated PSA>1.5) (prevents progression)
4) Oxybutynin (or other anticholinergics) as an adjunct if they also have overactive
bladder
Quiz Someone has symptomatically low testosterone - what's the first step in
workup?
Ans: FSH and LH to distinguish primary hypogonadism (proceed to karyotype) vs
secondary hypogonadism (MRI head to check the pituitary)
Quiz Someone is on amiodarone cause they OLD. What do you check periodically?
,Ans: TSH - amiodarone can cause hypo or hyperthyroidism
Quiz What is "dysmenorrhea"? What is primary dysmenorrhea
Ans: Dysmenorrhea means painful periods
Primary dysmenorrhea is physiologic pain during the period. There is no
pathology. First line treatment in NSAIDs
Quiz What are the functions of the muscles of the rotator cuff?
Ans: Subscapularis - Internal rotation
Suprascapularis - Abduction
Infrascapularis (and teres minor) - External rotation
Quiz Screening of asymptomatic kids with sickle cell disease
Ans: 1) Hypertension - Screen frequently (every visit)
2) Stroke risk - Transcranial doppler annually from 2-16. If positive for high risk,
they'll need chronic transfusions
3) Retinopathy - Eye exam annually for 10 years and older
3) Asthma - Spirometry annually until adulthood
,4) Pulmonary hypertension - Measure tricuspid jet regurgitant velocity on ECHO
with doppler. Debated whether to do once in childhood (when the measurement
may be inaccurate) or whether to just start in late adolescence / early adulthood
Quiz When do you NOT give kids antibiotics for otitis media?
Ans: >2 yo, healthy kid, mild symptoms, unilateral
(In real life, it seems like outcomes are much better if you give antibiotics, but for
the exam and per strict guidelines, you shouldn't)
Quiz Treatment of low back pain
Ans: First line: NSAIDs (not tylenol, studies show it isn't very effective)
Second line: NSAIDs + flexeril
--> Steroids do NOT have proven efficacy
Quiz First line treatment for hypertrophic cardiomyopathy
Ans: Beta-blockers
Quiz Family wants to keep an aggressive demented loved one at home. What do
you prescribe him?
, Ans: Atypical antipsychotic (including aripiprazole)
Quiz If someone has subclinical (asymptomatic) hyperthyroidism, you should
check for the following 3 conditions, and treat if they have any of them
Ans: 1) Osteoporosis
2) Atrial fibrillation
3) Heart failure
Also treat if TSH<0.1 or the patient is >65
Quiz Someone with PTSD keeps waking up from nightmares despite SSRI therapy.
What can you add?
Ans: Prazosin. Blocks the sympathetic response to nightmares, so they don't wake
them up
Quiz Looks like she has a fungal infection under her breasts, but the antifungals
didn't work. What does she have, and how can you confirm? (or could if you had
all the gadgets)
Ans: Erythrasma (bacterial infection, specifically Corynebacterium minutissimum)
Ans: 1) Tamsulosin (flomax) (and other "osin" drugs like doxazosin and silodosin) -
first line
2) Tadalafil (cialis) - especially if they have comorbid ED
3) Finasteride (ONLY if there's evidence of significant prostate enlargement - on
physical exam or b/c of elevated PSA>1.5) (prevents progression)
4) Oxybutynin (or other anticholinergics) as an adjunct if they also have overactive
bladder
Quiz Someone has symptomatically low testosterone - what's the first step in
workup?
Ans: FSH and LH to distinguish primary hypogonadism (proceed to karyotype) vs
secondary hypogonadism (MRI head to check the pituitary)
Quiz Someone is on amiodarone cause they OLD. What do you check periodically?
,Ans: TSH - amiodarone can cause hypo or hyperthyroidism
Quiz What is "dysmenorrhea"? What is primary dysmenorrhea
Ans: Dysmenorrhea means painful periods
Primary dysmenorrhea is physiologic pain during the period. There is no
pathology. First line treatment in NSAIDs
Quiz What are the functions of the muscles of the rotator cuff?
Ans: Subscapularis - Internal rotation
Suprascapularis - Abduction
Infrascapularis (and teres minor) - External rotation
Quiz Screening of asymptomatic kids with sickle cell disease
Ans: 1) Hypertension - Screen frequently (every visit)
2) Stroke risk - Transcranial doppler annually from 2-16. If positive for high risk,
they'll need chronic transfusions
3) Retinopathy - Eye exam annually for 10 years and older
3) Asthma - Spirometry annually until adulthood
,4) Pulmonary hypertension - Measure tricuspid jet regurgitant velocity on ECHO
with doppler. Debated whether to do once in childhood (when the measurement
may be inaccurate) or whether to just start in late adolescence / early adulthood
Quiz When do you NOT give kids antibiotics for otitis media?
Ans: >2 yo, healthy kid, mild symptoms, unilateral
(In real life, it seems like outcomes are much better if you give antibiotics, but for
the exam and per strict guidelines, you shouldn't)
Quiz Treatment of low back pain
Ans: First line: NSAIDs (not tylenol, studies show it isn't very effective)
Second line: NSAIDs + flexeril
--> Steroids do NOT have proven efficacy
Quiz First line treatment for hypertrophic cardiomyopathy
Ans: Beta-blockers
Quiz Family wants to keep an aggressive demented loved one at home. What do
you prescribe him?
, Ans: Atypical antipsychotic (including aripiprazole)
Quiz If someone has subclinical (asymptomatic) hyperthyroidism, you should
check for the following 3 conditions, and treat if they have any of them
Ans: 1) Osteoporosis
2) Atrial fibrillation
3) Heart failure
Also treat if TSH<0.1 or the patient is >65
Quiz Someone with PTSD keeps waking up from nightmares despite SSRI therapy.
What can you add?
Ans: Prazosin. Blocks the sympathetic response to nightmares, so they don't wake
them up
Quiz Looks like she has a fungal infection under her breasts, but the antifungals
didn't work. What does she have, and how can you confirm? (or could if you had
all the gadgets)
Ans: Erythrasma (bacterial infection, specifically Corynebacterium minutissimum)
