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Med Madness Round #2 APRIL 2024 Flashcards | StudBud
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Med Madness Round #2 APRIL 2024
Med Madness Round #2 APRIL 2024
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1
Which of the following have been shown to decrease risk of concussion?
Sport-specific rule changes
Helmets
Avoiding sport specialization in youth athletes
Mouthguards
2
Who drives a Porsche? Select all that apply
E. Johnson
D. Aanestad
B. Johnson
H. Wong
G. Kukreja
B. Brooks
3
Treatment of streptococcal pharyngitis helps prevent which of the following complications?
Rocky mountain spotted fever
Acute rheumatic fever
Multiple sclerosis (MS)
Post-strep glomerulonephritis
Post-strep reactive arthritis
4
Which of the following developmental milestones would be expected in a normal 9 month old child?
Separation anxiety
Walking with assistance
Sitting unsupported
Points to 1 body part
5
Which antidepressant can prolong QTc interval?
Paroxetine (Paxil)
Duloxetine (Cymbalta)
Sertraline (Zoloft)
Citalopram (Celexa)
6
Which is the premium brand of Nissan?
Mazda
Acura
Lexus
Infiniti
7
What is the preferred treatment regimen for an asthma exacerbation? (Select all that apply)
Inhaled epinephrine
SABA alone
SABA + SAMA
ICS + SABA
ICS + formoterol
8
What is the role of tocolysis in cord prolapse?
Stimulates the fetal heart rate
Relaxes the uterus to relieve pressure off the cord
Aids with swift delivery of the fetus
Decreases maternal blood pressure
9
Which of the following is least likely to resolve spontaneously with time?
Metatarsus adductus
Talipes equinovarus
Femoral anterversion
Internal tibial torsion
10
How many legs do insects have?
4
6
8
10
11
Which of the following is an absolute contraindication to TOLAC?
A2GDM
Pre-Eclampsia with Severe Features
Classical C-section
x2 Previous C-sections
12
Which of the following people drive a Tesla- Select all that apply
Cradick
Gimbel
Hussain
Harney
Sorensen
Wong
13
32YO G4P3 AT 22W WANTS TO QUIT SMOKING. HAS TRIED BEHAVIORAL TECHNIQUES W/O SUCCCESS. BEST NEXT STEP IS TO PRESCRIBE
SERTRALINE
VENLAFAXINE
NICOTINE REPLACEMENT
BUPPROPION
14
Select the correct answer from the scenario below
Art Therapy
Dialectical Behavior Therapy
Motivational Interviewing
Cognitive Behavioral Therapy
Hypnosis
15
Which of the following would be a contraindication to initiation of bisphosphonate therapy? (select all that apply)
CrCl <50ml/min
Pregnancy
Hypocalcemia
Esophageal Abnormalities
16
THE USPSTF RECOMMENDATION FOR CLINICAL BREAST EXAM IS...
START AT AGE 40
START AT AGE 30
START AT AGE 25
INSUFFICIENT EVIDENCE TO RECOMMEND FOR OR AGAINST
17
How long after passive exposure to cannabis smoke can an otherwise cannabis-naïve person test positive on a drug screen?
1 week
1 Month
Up to 24 hours
Never
18
Which of the following diabetic medications is the most useful for promoting weight loss?
Metformin
Semaglutide (Ozempic)
Empagliflozin (Jardiance)
Glipizide
19
Which one of the following medications has been shown to increase the risk of osteosarcoma
Teriparatide (Forteo)
Denosumab (Prolia)
Raloxifene (Evista)
Alendronate (Fosamax)
20
THE ACOG RECOMMENDATION FOR CLINICAL BREAST EXAM IS...
START AT AGE 30
START AT AGE 25
INSUFFICIENT EVIDENCE TO RECOMMEND FOR OR AGAINST
START AT AGE 40
21
Which one of the following is the primary treatment for MODY type diabetes (Maturity Onset Diabetes of the Youth)?
GLP-1 Receptor Agonist
Basal & Bolus insulin
Metformin
A ketogenic diet
Glipizide
22
What is the correct conversion rate for IV Morphine to IV Hydromorphone:
5 : 1
10 : 1
3 : 1
7 : 1
23
When starting oral bisphosphanate therapy it is important to counsel on which of the following? (select all that apply)
Take with a glass of milk
Take 30 minutes before food, drug, or drink in the morning
Do not lie down before for at least 30 minutes after taking
Store in the refridgerator before use
24
Select the correct answer from the scenario below
Major Depressive Disorder with Psychotic Features
Schizophrenia
Bipolar II Disorder
Bipolar I Disorder
25
Roxanol, a liquid morphine used frequently in Hospice, is typically dosed in what concentration:
5 mg / 5 mL
5 mg / 1 mL
20 mg / 5 mL
20 mg / 1 mL
26
Which of the following would you recommend for treatment of rigid metatarsus adductus?
Night splints
Physical therapy
Braces
Adjustable orthotic shoes
Surgical correction
27
What additional coverage do second generation cephalosporins offer over first generation?
Atypicals
MRSA
Anaerobes
Gram Negative
28
Which of the following is true regarding developmental dysplasia of the hip?
Less common if infant weight >4kg
More common w breech presentation but only if external version unsuccessful
More common in female infants
Family history has no impact on risk
29
Which of the following has been shown to increase the risk of hyperprolactinemia?
Haloperidol
Metoprolol
Metformin
Atorvastatin
30
What is the most common species of bird found in the world?
Duck
Swan
Goose
Chicken
31
How many episodes of strep pharyngitis within 1 year would warrant a referral for consideration of tonsillectomy?
9
7
5
3
32
Which of the following is the most common maternal complication after preterm PROM?
Chorioamnionitis
Maternal sepsis
Maternal death
Placental Abruption
33
At what gestational age does mean amnionic fluid volume (AFV) peak?
32 weeks
34 weeks
26 weeks
28 weeks
34
What is "Ventouse" in OB?
forceps delivery
repeat C-Section
TOLAC
vacuum delivery
35
A Category 1 FHR tracing must include accelerations
True
False
36
How many eyes do honeybees have?
8
5
2
6
37
The NICHD defines normal FHR as 110-170 BPM
True
False
38
Which of the following statements are TRUE regarding 2021 AAOS knee osteoarthritis tx guidelines?(select all that apply)
Oral narcotics, including tramadol are not recommended
Oral NSAIDs are recommended over topical NSAIDs
Joint injections of hyaluronic acid are recommended as a tx option for pain
Exercise is recommended vs not exercising to improve pain and function
39
Which tapering regimen would be most approriate for benzodiazipines?
Taper 25% every two weeks
Taper 50% every 2 weeks
Taper 12.5% every 3 months
Taper 25% every week
40
Above what level of triglycerides is LDL no longer able to be calculated in a standard lipid panel?
> 600
> 1200
> 400
> 200
41
Which of the following has been shown to reduce progression to late stage macular degeneration?
AREDS 2 vitamin supplement
Tumeric dietary supplement
L-Lysine supplement
Vitamin D supplement
42
What is the normal amnionic fluid volume at term?
300 mL
800 mL
1500 mL
1200 mL
43
Which of the following has been associated with increasing the risk of COPD exacerbation?
Gabapentin
Metoprolol
Aspirin
Diltiazem
44
WHAT IS THE BEST MONOTHERAPY FOR A PREGNANT PATIENT WITH BELLS PALSY?
AZITHROMYCIN
ACYCLOVIR
HYDROXYZINE
PREDNISONE
45
In the most common form of shoulder dystocia, the anterior shoulder becomes impacted against?
pubic tubercle
ischial spine
pubic symphysis
sacral promontory
46
Athletes with the female athletic triad are at increased risk of stress fractures due to which of the following?
Decreased body mass index
Decreased weight-bearing activity
Decreased bone mineral density
Deceased hemoglobin levels
47
Parasympathetic stimulation in the fetus...
decreases the intrinsic heart rate
is blocked by narcotics
causes marked variability
increases the intrinsic heart rate
48
Which of the following medications can cause cataracts?
Amlodipine
Gabapentin
Metformin
Methylprednisolone
49
What is the leading cause of septic shock in pregnancy?
Breast Abscess
Pyelonephritis
Pneumonia
Chorioamnionitis
50
TIAZAC is a brand name for...?
Diltiazem
Tizanadine
Triamcinolone
Triamterine
51
Which side effect is commonly seen in first generation antipsychotics?
Suicidal thoughts
Decreased libido
Weight loss
Extrapyramidal reactions
52
Your patient wants inpatient substance abuse treatment. Where can they receive this treatment?
Vera French
The Abbey
Rosecrance
Psychology Associates
53
What nicotine patch dose should you give to a patient who smokes > 10 cigarettes per day?
21 mg
14 mg
7 mg
10 mg
54
Which medications should you AVOID in a pregnant women? (select all that apply)
Tetracyclines
Warfarin
Sulfonamides
Cephalosporins
55
First line therapy for acute otitis media in children is:
Cefdinir 14mg/kg/day
Ceftriaxone 50mg/kg
Amoxicillin 50mg/kg divided BID
Amoxicillin 90mg/kg divided BID
56
Which of the following does NOT cross the blood brain barrier:
Naloxone
Sertraline
Methyl-Naltrexone
Morphine
57
Patients taking amiodarone are unlikely to have which nutritional deficiency?
Vitamin C
Iodine
Iron
Vitamin B-12
58
34YO G5P4 PRESENTS FOR TOLAC IOL. SHE IS 3/50/-3. WHAT IS THE MOST APPROPRIATE MANAGEMENT FOR INDUCTION?
VAGINAL CYTOTEC
COOKS CATHETER
OXYTOCIN
CERVIDIL
59
The preferred treatment modality for correction of radial head subluxation in children is:
Hyperextension at the elbow
Supination and flexion of the forearm
Hyperpronation of the forearm
Hypersupination of the forearm
60
What is the classic teratogenic period following the last menstrual period in which major organs are forming?
31-71 days
16-30 days
0-15 days
72-100 days
61
Which of the following medications should ALWAYS be considered as an add-on for patients on narcotics:
Fentanyl
Omeprazole
Diphenhydramine
Senna
62
The
minimum
amount of floor supervised tummy time daily for infants under 1 year of age is:
1 hour
2 hours
3 hours
30 minutes
63
The parents of your minor pt have brought her in for ADHD evaluation. What, if anything, is needed to help make the dx?
Nothing
PHQ-9
Watch a video of the child at recess
Referral to CDD in Iowa City
Vanderbilt Forms completed by each parent/guardian and at least 2 teachers
64
LOW DOSE ASPIRIN IS USED IN PREGNANCY TO PREVENT WHICH OF THE FOLLOWING?
GESTATIONAL HTN
A2GDM
ECLAMPSIA
PREECLAMPSIA
65
Which of the following children would immediate antibiotic therapy be recommended in the setting of acute otitis media?
10 month old with unilateral disease, Tmax 101F
3 year old with bilateral disease, Tmax 101F
18 month old with bilateral disease, Tmax 100.4F
6 month old with unilateral disease, Tmax 100.4F
66
Which of the following meds has been shown to reduce the risk of progression to vision threatening diabetic retinopathy?
Verapamil
Atorvastatin
Fenofibrate
Lisinopril
67
Which one of the following endocrine conditions is most commonly associated with long-term opioid therapy?
Hypothyroidism
Hyperprolactinemia
Hypogonadism
Hypoparathyroidism
Hypocortisolism
68
Which two medications should be started for patients in Hospice with a bowel obstruction:
Haloperidol and Esomeprazole
Gabapentin and Ondansetron
Omeprazole and Metoclopramide
Metoclopramide and Dexamethasone
69
Which of the following have been associated with increasing the risk of CHF exacerbation? (Select all that apply)
Morphine
Pioglitazone
Diltiazem
Gabapentin
Naproxen
70
At what time do vaginal misoprostol serum levels peak?
40-46 minutes
30-37 minutes
65-72 minutes
90-101 minutes
71
Which Automaker developed the 3-point seatbelt in 1959
Volvo
BMW
Ford
Chrysler
72
What strategies can you use to manage calcium channel blocker (CCB) induced peripheral edema (select all that apply)?
Tell the patient to drink less water
Add an ACEi/ARB
Change from DHP to non-DHP CCB
Decrease the dose
73
Which of the following medications can be used for prophylaxis of migraines (select all that apply)?
Topiramate
Lisinopril
Amitriptyline
Venlafaxine
74
ABSENT variability is defined as
less than 3-5 BPM
0-2 BPM
5-25 BPM
undetectable
75
Select the correct answer based on the scenario below
70
25
40
50
76
How many months between conceptions should there be to decrease the risk of preterm birth and low birth weight?
24 months
12 months
6 months
36 months
77
A pregnant person with known coagulopathy would be at which risk classification for PPH
Low Risk
Medium Risk
Marginal Risk
High Risk
78
35YO G1 AT 34W2D PRESENTS WITH ITCHY PALMS/SOLES, NO RASH, ALP 34, AST 43, BILE ACIDS 105. YOU MUST EVALUATE FOR...
PREGESTATIONAL DIABETES
PRE ECLAMPSIA
INTRAHEPATIC CHOLESTASIS OF PREGNANCY
MATERNAL PALMER DEMATITIS
79
According to AAP and the CDC, children should remain in the backseat of vehicles until age ___
15
11
13
17
80
What is the biological half-life of oxytocin?
30-40 minutes
3-4 minutes
3-4 days
3-4 hours