Fitzgerald Book - Mixed Batch 1

Front 1

Greatest risk for invasive pneumo infection?

- 68yo COPD
- 34yo splenectomy
- 50yo DM2
- 75yo RA c decreased mobility

Back 1

34 yo splenectomy

Front 2

Routine HBsAg screening recommended:
- hospital workers
- recipients of HepB vaccine series
- pregnant women
- college students

Back 2

pregnant women

Front 3

smallpox vaccine contains:

Back 3

live variola virus

Front 4

varicella-zoster IG comes from?

Back 4

- pooled blood product with excellent profile

Front 5

18yo male with no primary immunization series documented. For the tetanus vaccine, he needs:

Back 5

- Td vaccine now and repeat in 1 and 6 months (no need for pertussis?)

Front 6

corneal reflex is what nerve?

Back 6

CN V and VII

Front 7

kernigs and brudzinski's sign, which is which?

Back 7

kernigs: flexing knee and hip --> back pain
brudzinski: passive flexion of neck --> pain

Front 8

how many grams for single application of topical cream/ointment on HANDS? ARMS? ENTIRE BODY

Back 8

- 2 grams
- 3 grams
- 30-60 grams

Front 9

Tx of impetigo, why can't we use amoxicillin but can use dicloxacillin, cephalexin, cefadroxil?

Back 9

bc amoxicillin is not stable in presence of beta-lactamses. Dicloxacillin and first-gen cephalosporins are.

Front 10

Tx for acne vulgaris with:
1) closed comedones
2) inflammatory lesions
3) cystic lesions

Back 10

closed: benzoyl peroxide
inflammatory: topical antibiotic
cystic: Accutane

Front 11

Tx acne rosacea?

Back 11

metronidazole gel

Front 12

Must monitor what things if pt on Accutane?

Back 12

- pregnancy
- depression/SI
- AST
- triglycerides

Front 13

Tzanck smear + for giant multinucleated cells is consistent with?

Back 13

- herpes virus

Front 14

excoriated papules on interdigital area

Back 14

scabies

Front 15

To be transmitted scabies, you must have close, casual, or both with infected person to contract disease?

Back 15

- close only

Front 16

Tx for recalcitrant psoriasis:

Back 16

cyclosporine, methotrexate, systemic retinoid

Front 17

Tx for acute and recurrent allergic conjunctivitis

Back 17

cromolyn ophthalmic drops, oral antihistamines, ophthal. antihistimines

Front 18

Pathogen in refractory otitis externa.

Back 18

p. aeruginosa

Front 19

severe otitis externa Tx

Back 19

fluoroquinolones

Front 20

incubation period for s. pyogenes

Back 20

3-5 days

Front 21

According to GLORIA guidelines, tx for persistent allergic conjunctivitis?

Back 21

- topical mast cell stabilizer with topical antihistamine.

Front 22

therapeutic effect of Atrovent?

Back 22

bronchodilation

Front 23

A 50yo male smoker keeps clearing his throat and spitting mucous out onto the sidewalk. Your diagnosis?

Back 23

- early COPD (one of the early signs is excessive mucus production)

Front 24

most likely causative organism in acute bronchial suppuration a/w acute bacteria COPD exacerbation.

Back 24

pseudomonas aeruginosa

Front 25

Tx of CAP in 69yo male with HF and DM2.

Back 25

respiratory fluoroquinolone

Front 26

HTN drug recommended for the condition:
heart failure

Back 26

all except CCB

Front 27

HTN drug recommended for the condition:
DM

Back 27

all except spironolactone

Front 28

HTN drug recommended for the condition:
chronic renal disease

Back 28

ACE and ARBs

Front 29

HTN drug recommended for the condition:
high coronary disease risk

Back 29

diuretic, BB, CCB, ACEI

Front 30

HTN drug recommended for the condition:
post-MI

Back 30

BB, ACEI, spironolactone

Front 31

HTN drug recommended for the condition:
recurrent stroke

Back 31

diuretic, ACEI

Front 32

pectus excavatum a/w what heart condition?

Back 32

MVP

Front 33

detrusor overactivity a/w what incontinence?

Back 33

urge incontinence

Front 34

pelvic floor weakness a/w what incontinence?

Back 34

stress incontinence

Front 35

how does black cohosh affect female hormones?

Back 35

binds to E receptors (for relief of menopausal Sx)

Front 36

myocardial ischemia on EKG shows

Back 36

T wave inversion
ST depression

Front 37

S4 sound is often a/w?

Back 37

unstable angina, stiffened ventricle due to ischemia

Front 38

ST segment deviation (>= 0.05 mV) a/w?

Back 38

pt with ACS (acute MI or unstable angina)

Front 39

Which of the following is not seen in the dx of acute cholecystitis?
a) elevated lactic dehydrogenase
b) increased alkaline phosphatase level
c) leukocytosis
d) elevated AST

Back 39

LDH elevation is NOT seen in acute cholecystitis

Front 40

Is there rebound tenderness in hepatitis?

Back 40

no.

Front 41

where is urobilinogen found?

Back 41

large intestines --> feces

Front 42

what can varicocele cause in men?

Back 42

decreased sperm count

Front 43

how long does aura in migraine headache LAST?

Back 43

less than 1 hr

Front 44

when is corticosteroids not of any use in Bell Palsy?

Back 44

10 days after onset of sx.

Front 45

biggest side effects of neuroleptics (seroquel, zyprexa, compazine, phenergan)

Back 45

- sedating
- extrapyramidal effects

Front 46

sequela of shingles (2)

Back 46

- scarring
- post-herpetic neuralgia

Front 47

strep pathogens that are minimal risk for rheumatic fever or glomerulonephritis?

Back 47

- Group C and G strep

Front 48

Tx hordeolum

Back 48

dicloxacillin, Keflex PO, erythromycin topical

Front 49

NSAIDs + acute varicella infection

Back 49

risk for necrotizing fasciitis

Front 50

difference between angle-closure glaucoma vs. anterior uveitis?

Back 50

angle-closure: pupil is slightly dilated
anterior uveitis: pupil is constricted and irregular

Front 51

- what chemical attaches to muscarinic receptors?
- name some meds that block those receptors for bronchodilation

Back 51

- Ach
- atrovent, spiriva