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Family Medicine
Preparation for Family Medicine Shelf
| Question | Answer |
|---|---|
| What are red flags for cancer in patients with solitary thyroid nodules? | male Age <20 or >65 rapid growth dysphagia, hoarseness, neck pain (symptoms of local invasion) h/o head or neck radiation family h/o thyroid Ca hard, fixed nodule >4 cm cervical LAD |
| At what induration is a PPD considered positive in a patient with HIV? | Greater than or equal to 5 mm |
| What common medical condition disqualifies drivers from commercial interstate driving? | Insulin-dependant DM |
| How do thiazides affect serum Ca? | Exacerbate hypercalcemia by increasing distal tubular Ca reabsorption. |
| How does furosemide affect serum Ca? | Lowers serum Ca |
| In a small child a marked decrease in bone age relative to height age and chronological age is likely due to? | Hypothyroidism |
| What are two causes of delayed height age relative to chronological and bone age in a small child? | Down Syndrome & Fetal Alcohol Syndrome |
| What is the relationship between bone age, height age and chronological age in a child with CF? | Both bone age and height age lag behind chronological age. |
| A woman over 65 years with low TSH is at increased risk for what? | Osteoporosis (hip and vertebral fractures) |
| How can you differentiate iron deficiency anemia from anemia of chronic disease? | Iron deficiency anemia: high TIBC and low Ferritin Anemia of Chronic Disease: low TIBC and normal/high Ferritin (acute phase reactant) |
| An asymptomatic pregnant female with no h/o DM should be screened for gestational diabetes at what gestational age? | 24-28 weeks |
| How do you screen for gestational diabetes? | Oral glucose challenge (OGC) of 50 g. Serum glucose at 1 hour should be less than 130. If greater than 130: Oral glucose tolerance test (OGTT) 100 g oral glucose, check blood glucose at 3 hours. should be less than 140. |
| What are causes of thyrotoxicosis with increased 24-hour radioactive iodine uptake (RAIU)? | Graves' Disease Toxic Multinodular Goiter Solitary hot nodule TSH secreting pituitary tumor |
| What are causes of thyrotoxicosis with decreased 24-hour radioactive iodine uptake (RAIU)? | Subacute thyroiditis Thyrotoxicosis facititia |
| What is an absolute contraindication to ACE inhibitor use? | h/o angioneurotic edema (life-threatening) Relative contraindication: increased serum creatinine (renal insufficiency) Indications: recent MI & low ejection fraction |
| What are the signs of barbiturate withdrawal? | Early withdrawal signs include anxiety, insomnia, orthostatic hypotension and gastrointestinal complaints. Grand mal seizures may occur. |
| How should barbiturate withdrawal be managed? | 200 mg of Pentobarbital PO & assess over the next hour. Pt becomes very drowsy or exhibits coarse nystagmus→ ≤600 mg daily. Pt mildly drowsy with fine nystagmus→ ≃ 800 mg daily in divided dose no response → > 1,200 mg daily. |
| What is DOC for penicillin resistant gonorrhea? | Tetracyclines for 10 days. Also cures non-gonococcal urethritis |
| What are the classes of acute pancreatitis? | Acute pancreatitis Relapsing acute pancreatitis Relapsing chronic pancreatitis Chronic pancreatitis |
| How does acute pancreatitis present? | Abdominal pain ranging from mild-severe. Lying in fetal position relieves pain. Low grade fever, tachycardia, hypotension, leukocytosis |
| How is acute pancreatitis diagnosed? | Serum amylase > 200 |
Created by:
bunnywithscalpel
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