Family Med COMAT (COMBANK)
Most sensitive diagnostic modality to initially look for H. Pylori? - CORRECT ANSWER - serologic testing test to see if eradication of H. pylori? - CORRECT ANSWER -urea breath test Best first test to see if have fungal toe infection? - CORRECT ANSWER -KOH scrapings from toe can take up to 12 weeks for turbinafen to take effect most common lobe of aspiration in alcoholics? - CORRECT ANSWER -right superior lobe b/c they are choking on their vomit while lying on their back.why are NSAIDS contraindicated in heart failure?what to give them for osteoarthritic pain instead? - CORRECT ANSWER -NSAIDS cause intake of Na+ as well as inc vascular resistance.-Tramadol/opiates fasting lipid profile requires how much time between Alcoholic beverages? - CORRECT ANSWER-24 hrs tests for diabetics to ensure no complications? - CORRECT ANSWER --urinary spot microalbumin/creatinine ratio: diabetic glomerulonephropathy--> put on ACE/ARB to preserve kidney function The rest are annually...-Opthalmic Fundoscopic Exam -peripheral neuropathy (lightly touching skin to see if feeling) -foot exam to check for ulcerations bronchiectasis - CORRECT ANSWER -when bronchioles inflame and mucus builds up inside--> productive cough like white sputum Honeycombing on CT Acute Otitis Media Tx Plan: - CORRECT ANSWER -1) don't give if kid healthy btw. 6mo- 2y/o 1 / 2
2) give amoxacillin if complicated 3)amoxacillin-clavinic acid if recurrent test to see if have mono - CORRECT ANSWER --CBC w/ Heterophile Ab test (monospot)
dog/cat bites: - CORRECT ANSWER --gram negative bugs (pasteurella)
-Abx: amoxacillin-clavulanate (augmentin) 3-5 days
what age to start giving flouride? - CORRECT ANSWER -6 mo vaccinations if you have HIV? - CORRECT ANSWER --pneumococcal -Hepatitis B -tetanus -pertusus -influenza Alpha-1 Antitrypsin Deficiency causes buildup in what organ?Dx for AAT? - CORRECT ANSWER -liver-->cirrhosis -genetic testing how to prevent bacterial pnemonia? - CORRECT ANSWER -flu vaccination when to give aspirin for preventative measures? - CORRECT ANSWER -men 50-60 y/o when benefits of dec. cardiovascular risk, outweight risk of GI bleed HbA1c goals - CORRECT ANSWER -<7% for normal ppl w/ DM <8% for older people w/ comorbid conditions ezetimibe MOA - CORRECT ANSWER -inhibits neiman pick C1 protein inhibiting absorption of Cholesterol in intestinal lining most likely complication of nephrotic syndrome - CORRECT ANSWER -venous thrombosis -throbosis of L. Renal Vein-->varicocele Routine screening for old males that smoked/smoke - CORRECT ANSWER --abdominal US for AAA -colonoscopy (w/in last 10 years) -FLP's morton's neuroma - CORRECT ANSWER -pain btw. the toes often from wearing tight toed shoes for a long time which SSRI is linked with birth defects during first trimester? - CORRECT ANSWER - paroxetine
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