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57 Cards in this Set
- Front
- Back
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rash of erythema migrans |
An annular rash with a bright red outer border and partial central clearing (seen in lymes disease) |
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how to switch from dabigatran to warfarin |
Start warfarin now and stop dabigatran in 3 days |
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major mechanism of action of metformin |
decreases serum glucose results by inhibition |
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Sulfonylureas and meglitinides mechanism of action |
stimulate insulin release from the pancreas |
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thiazolidinediones mech of action |
sensitize peripheral tissues to insulin. |
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alpha-glucosidase inhibitors mech of action |
Carbohydrate absorption in the small intestine |
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asthma FEV1 and FEV1/FVC |
Reduced FEV1 and a decreased FEV1/FVC ratio |
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aki +/- a maculopapular rash, fever, and |
acute interstitial nephritis |
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Infantile gonococcal infection tx |
Intramuscular injection of ceftriaxone (Rocephin) Topical antibiotics are appropriate for prophylaxis, but not for treatment. |
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what nasal med is beneficial effect for symptoms of the common cold in an adult? |
Ipratropium (Atrovent) nasal spray |
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what HTN med may slow the demineralization of bone |
thiazide diuretic |
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recommendations for malasma |
sunscreen |
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metabolic abnormalities is most likely to be seen in patients with stage 4 kidney disease? |
Hyperparathyroidism |
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picture in 33 |
Erythema multiforme (EM) is an acute, often recurrent, inflammatory condition. While it is associated with many different causes such as drugs, infections, and physical agents, it is most commonly associated with acute upper respiratory infections, herpes simplex virus, and Mycoplasma pneumoniae |
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negative predictive value |
true negatives/(true negatives+false negatives) |
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In women with polycystic ovary syndrome, the risk is increased the most for carcinoma of the |
endometrium |
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Which one of the following cardiac rhythm abnormalities is most common in patients with |
sinus brady |
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The recommended treatment regimen for gonorrhea is |
ceftriaxone, 250 mg intramuscularly+ azithro 1g orally |
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Regional analgesia in laboring patients increases the risk of |
vacuum- or forceps-assisted delivery In a meta-analysis, no statistically significant |
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sevelamer to lower his serum calcium. The |
blocking intestinal absorption of phosphate, which lowers parathyroid hormone secretion |
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For which type of renal calculus is acidification of the urine indicated? |
Calcium phosphate and styruvate.
Cranberry juice or betaine can lower urine pH
Uric acid, cystine, and calcium oxalate |
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initial treatment in graves |
BB and methimazole severe hepatocellular damage has been reported w/ PTU |
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recommended duration of thromboprophylaxis following total |
35 days |
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rhonchi |
coarse rattling respiratory sound somewhat like snoring, usually caused by secretion in bronchial airways |
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headache that is severe unilateral pain that lasts from 15 minutes to 3 hours. The pain is generally extremely sharp, continuous, and incapacitating. In addition to the pain, the headaches are associated with at least |
Cluster headache |
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headaches tend to be diffuse, bilateral, almost daily headaches. Pt takes headache medication daily. Tend get worse with physical or mental exertion. Temporal |
overuse headache |
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often unilateral but they are usually pulsatile, and are associated with nausea and vomiting or |
migraine |
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midsystolic ejection-type murmur, heard loudest at the right second intercostal space parasternally |
aortic stenosis |
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a diastolic descrescendo blowing-type murmur best heard at the left fourth intercostal space at the lower left sternal border |
aortic regurgitation |
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Which pain med is CONTRAINDICATED in patients w/ cirrhosis |
NSAIDS- due to the risk of precipitating hepatorenal syndrome
Acetaminophen, while toxic in high doses, can be used safely in dosages of 2–3 g/day. |
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well-demarcated, dark red patches in the inguinal region bilaterally. When examined with a Wood’s light the area fluoresces coral-red. dx? tx? |
Corynebacterium minutissimum, a condition known as erythrasma. This organism commonly complicates intertrigo, often in the groin or interdigital spaces. Erythromycin is the most effective treatment for this bacterial infection. |
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Traumatic event in past 4 weeks, now suffers dissociative symptoms including amnesia, a reduction in awareness of his or her surroundings, numbness, and detachment. Dx? tx? at risk for? |
Acute stress disorder (ASD) CBT PTSD |
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An ABI >? indicates noncompressible arteries (calcified vessels). next step |
1.4 D) MR or CT angiography of the lower extremities |
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verapamil effect on CHF |
due to its negative inotropic effect, is associated with worsening heart failure and |
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which is more likely to cause hypoglycemia? glyburide or glipizide |
glyburide is more likely to cause hypoglycemia than glipizide |
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female w/ low libido and no mental reasons for it. (1) recurrent deficiency or absence of sexual desire or receptivity to sexual activity, and (2) distress about such a deficiency. Tx? |
hypoactive sexual desire disorder (HSDD) Topical testosterone |
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thrombosed hemorrhoid presenting within 72 hours of the onset of symptoms. tx |
Elliptical excision of the thrombosed hemorrhoid |
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irritable bowel syndrome (IBS). tx? A) Fiber supplements |
SSRI or tricyclics fiber shows no benefit neomycin used in constipation-predominant IBS Lubiprostone - chronic constipation Alosetron - approved to treat severe diarrhea-predominant IBS only in women who have not improved with conventional therapy. |
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According to the American Diabetes Association, screening for diabetes mellitus in the |
45 |
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long-term use of tamoxifen assoc w/ |
endometrial cancer |
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Which one of the following is more likely to occur with an aromatase inhibitor such as letrozole (Femara |
myalgias |
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asthma: Symptoms less than or equal to twice weekly, nighttime awakenings 2 times/month, |
intermittent |
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Symptoms >2 days/week but not daily, nighttime awakenings 3–4 times/month, short-acting -agonist usage >2 days/week but not more than once daily, minor limitation to daily |
Mild Persistent: |
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Daily symptoms, nighttime awakenings greater than once weekly but not nightly, |
Moderate Persistent: |
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Symptoms throughout the day, nighttime awakenings nightly, short-acting -agonist |
Severe Persistent: |
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Which vesiculobullous diseases is associated with gluten sensitivity? |
Dermatitis herpetiformis |
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Depression. what works the fastest |
Methylphenidate (Ritalin) |
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preparticipation physical. Marfans. test? |
Echocardiography |
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CAP, tx w/ azithro, still has cough. CXR a single A) doxycycline |
clinda has the best aerobic coverage |
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which one of the following would be a contraindication |
E) A seizure disorder lower the seizure threshold and should not be used in patients who have a history of a |
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Wheezing associated with feeding is most |
gastroesophageal reflux disease |
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Which one of the following activities is most likely to be impaired in early dementia? |
cooking |
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Which one of the following opioid medications would NOT be detected by this drug screen? |
B) Fentanyl |
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the most common cause of secondary hypertension in the middle-aged |
Primary hyperaldosteronism A plasma aldosterone/renin ratio |
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the most common cause of secondary hypertension in the Elderly population, and can be diagnosed from |
Renal MRA may demonstrate renal artery stenosis |
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Which one of the following medications used to treat psychiatric disorders is associated with an |
A) Carbamazepine (Tegretol) |
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Which one of the following studies is important to obtain prior to treatment with testosterone replacement? |
Testosterone replacement can induce polycythemia, so baseline hematocrit/hemoglobin levels should be |
