Family Medicine

• What are the 4 markers of the SIRS criteria?

  Fever, tachycardia, tachypnea, abnormal white blood cell count.
• What is CURB-65 Stand for?

  CURB-65 stands for Confusion, Urea, Respiratory rate, Blood pressure, and age 65 or older. It is a scoring system used to assess the severity of pneumonia.
• What is the SIRS criteria used for?

  To identify and diagnose systemic inflammatory response syndrome (SIRS) in patients.
• What bacterias causes atypical pneumonia?

  Mycoplasma pneumoniae, Legionella pneumophila, and Chlamydophila pneumoniae.
• When high blood cholesterol is identified, an investigation should be performed to evaluate for secondary causes of dyslipidemia. Included among these causes are diabetes, hypothyroidism, obstructive liver disease, and chronic renal failure.
• When high blood cholesterol is identified, a reasonable laboratory workup includes fasting blood glucose, TSH, liver enzymes, and a creatinine level.
• Ezetimibe is recommended as the second therapy for patients who cannot tolerate any level statin or have contraindications.
• • Goal BP for patients greater than age 60 is < 150/90 mm Hg if they do not have diabetes or kidney disease. Patients under the age of 60 or patients of any age with diabetes and/or chronic kidney disease have a BP goal of < 140/90 mm Hg.
• Acute DVT requires prompt treatment with anticoagulation. Treatment options include low-molecular-weight heparin, warfarin, and direct Xa inhibitors to prevent clot progression.
• The therapeutic goal for warfarin therapy should be a target international normalized ratio (INR) of 2 to 3
• An otherwise healthy 35-year-old woman gives a history of frequent palpitations without associated dizziness, syncope, or chest pain. There is caffeine consumption, use of diet pills, and job-related stress and midsystolic click. What is the diagnosis?

  Mitral valve prolapse
• An otherwise healthy 35-year-old woman gives a history of frequent palpitations without associated dizziness, syncope, or chest pain. There is caffeine consumption, use of diet pills, and job-related stress and midsystolic click. What is the treatment?

  Restrict caffeine and alcohol; eliminate any amphetamine based stimulants and/or diuretics
• Viral hepatitis should be considered in pregnant patients with elevated aminotransferases
• Pregnant patient with elevated aminotransferases and negative prenatal screening may have?

  viral hepatitis
• osteoarthritis develops within 10 years of ACL injury, whether of not its surgically corrected
• Patient presents with exercises intolerance, exertional dyspnea and angina, and exertional presyncope/ syncope should be considered to have?

  Aortic stenosis
• Patient presents with exercises intolerance, exertional dyspnea and angina, and exertional presyncope/ syncope, what is the next step?

  Echocardiogram
• Lyme disease has target shaped spreading lesion, and what two symptoms rarely occur together?

  arthritis and rash
• Patient presents with pain in multiple joints, history of fever and and malaise, and nontender pustules. Synovial fluid culture is negative, what is the most likely diagnosis in a young patient?

  Neisseria gonorrhoeae
• Amyotropic lateral sclerosis leads to degeneration of cells in the anterior horn of the spinal cord. It is characterized by asymmetric weakness with upper and lower motor neuron signs
• Weakness with hyperreflexia is an upper motor neuron sign and atrophy is a lower motor neuron sign
• Prolonged Traveler's diarrhea

  Entamoeba Histolytica - Blood/mucoid diarrhea and liver abscess

  Giardia - watery, foul smelling stools with bloating, fat malabsorption, weight loss

  Cyclospora - water w/wo blood, waxing and waning symptoms
• Patient with T2D, obesity, elevated aminotransferases most likely has?

  Non alcoholic fatty liver disease
• In NAFLD, AST/ALT ratio is <1 and ultrasound will show a hyperechoic liver, hepatic fatty infiltration
• Treatment for NAFLD is weightloss
• What antibiotic is good for pseudomonas coverage?

  Ciprofloxacin, pip/tazo
• What antibiotic is used for MRSA?

  Vancomycin
• What type if coverage do you need for HAP?

  MRSA and pseudomonas
• For CAP, what medications do you need?

  3rd generation cephalosporin + Macrolide or Moxifloxacin
• What antibiotics do you use for lung abcess?

  Clindamycin, amoxicillin clavulanate, metronidazole or 3rd generation cephalosporin.
• what antibiotics do you use for bacterial bronchitis?

  Macrolide, doxycycline, or moxifloxacin
• Patient presents with illness, jaundice, increased indirect bilirubin anemia and normal retic count, and normal other results, whats the diagnosis?

  Gilbert syndrome
• hemolytic anemia would present with increased indirect bilirubin, low hemoglobin level, and increased reticulocyte count
• The risk of osteoporotic fractures is greatest in postmenopausal women of advanced age, low BMI, Increased alcohol use, long term steroids, and history of previous fracture
• What disease causes verrucous, papilliform lesions?

  HPV

  
• HPV is associated with increased risk of squamous cell carcinoma of the anus, genital organs, and throat
• SSRIs

  Citalopram

  Fluoxetine

  Paroxetine

  Sertraline
• Side effects of SSRI: Sexual dysfunction, decreased libido, and prolonged ejaculation
• SNRIs

  Venlafaxine

  Duloxetine
• What is a atypical antidepressant?

  Bupropion