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March 2023 Flashcards | StudBud
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March 2023
March 2023
34 terms
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Answers
1
PPI's should be discontinued for two weeks before urea breath testing, stool Ag testing, endoscopy, & biopsy.
False
True
2
Based on a cochrane review, the best postpartum topical treatment for melasma is...
tretinoin
corticosteroids
combination of all 3
hydroquinone
3
In a pregnant woman, an evolving nevus that raises concern for malignancy should not be biopsied until after delivery.
True
False
4
Pregnant women often have hyperpigmentation due to increases in which three hormones?
melanocyte-stimulating hormone
oxytocin
progesterone
estrogen
5
What are ways to reduce NSAID induced peptic ulcer disease in people who can't stop taking them? Select ALL that apply.
Prescribing Celecoxib
Test for H. Pylori
Prescribing gastroprotective medicing such as PPI/H2 blockers
Prescribing Opiates instead
6
What treatments show the best benefit for preventing striae gravidarum?
cocoa butter + vitamin E
Aloe vera
topical Centella asiatica or hyaluronic acid + daily massage
Pregnancy belts
7
Routine use of trigger pt injections is not supported by clinical trials.
True
False
8
Pt's w herpes simplex should be offered suppressive acyclovir or valacyclovir starting at 36 weeks thru delivery.
False
True
9
Pt p/w 6 mo ongoing diffuse burning pain, insomnia, fatigue, brain fog, mild depression. What labs would you order?
ANA
H&H
CMP
TSH
10
Rate the evidence! Topical antimicrobials are the 1st line tx for uncomplicated AOE.
B
C
A
11
What topical agent should be used for AOE with TM perforation?
neomycin/polymyxin B/hydrocortisone
Acetic acid 2%
Ofloxacin 0.3%
ciprofloxacin 0.2%/hydrocortisone 1%
12
Patient's younger than 60 years of age with PUD sx but no alarm symptoms should be tested for H. Pylori.
False
True
13
Which of the following are true regarding intrahepatic cholestasis of pregnancy?
Deliver at 36-37 wk
Treat with ursodiol and symptom management for pruritus
Symptoms often resolve within 6 weeks postpartum
Malabsorption may cause vit K deficiency and coagulopathy
14
Which of the following are risks to long term use of PPI's? Select ALL that apply.
Gastric Cancer
Fractures
CKD
C. Diff infection
15
Triple therapy is the recommended first line treatment for H. Pylori.
False
True
16
Which one of the following statements about antidepressant use in older adults is correct?
Fluoxetine is the preferred antidepressant in this age group
Have not been shown to be effective in patients >65 years of age
SSRIs/SNRIs have been associated with hyponatremia
Patients >65 y/o should be started at higher doses than younger adults
17
Vaginal delivery is contraindicated if condylomata acuminata are present.
True
False
18
Rate the evidence! CBT improves pain and disability in patients with fibromyalgia.
C
A
B
19
Fibromyalgia is a clinical diagnosis that includes...
poor sleep, fatigue, cognitive dysfunction, or "fibrofog"
> 3 months symptoms
>6 pain sites
mood disturbances
20
Nonpharmacologic treatment of fibromyalgia flares include...
complimentary & alternative medicine
Cognitive behavioral therapy
Patient education
Increase exercise
21
Rate that Evidence: Routine use of trigger pt injections is not supported by clinical trials.
No rating
B
A
C
22
Which patient would you refer for an endoscopy? Select ALL that apply.
Patients 40+ with new symptoms of dyspepsia
Patients 60+ with new symptoms of dyspepsia
Patients younger than 60 years without alarm symptoms
Adults of any age w/ alarm sx suggestive of malignancy or structural diseas
23
Pharmacologic treamtent of fibromyalgia includes...
Pregabalin
Duloxetine or amitriptyline
Opioids
NSAIDs
24
Among antidepressants, which medication has the highest risk of resulting in antidepressant discontinuation syndrome?
Fluoxetine
Sertraline
Mirtazapine
Paroxetine
25
Oral antibiotics should only be used if infection spreads beyond the ear canal OR for pt's at high risk for spread.
True
False
26
What tapering strategies can be used to decrease dose of antidepressants?
50% taper in 2 days
3-4 month taper
10% Reduction per week
Direct Switch
27
Acute otitis externa is most common at ages...
0-12 months
5-14 years
>15 years
1-5 years
28
What measures may help prevent AOE recurrence?
well-fitted earplugs while swimming
Acetic acid 2% prophylaxis
avoid irritating canal with fingernails or foreign objects
dry ear canal with hair dryer on low setting
29
What are safe options for treating acne vulgaris during pregnancy?
oral antibiotics eg erythromycin
pulsed light therapy
benzoyl peroxide or azelaic acid
oral prednisone
30
When to refer AOE to ENT?
Worsening symptoms despite adequate therapy
Malignant otitis externa spreading beyond the canal
Clinical need for enhanced debris removal from canal
31
When is a test of cure recommended for treated H. Pylori?
12 months after completion of Tx
4 weeks after completion of Tx
6 months after completion of Tx
12 weeks after completion of Tx
32
50 yo pt never had colon cancer screening. Which statement about FITs & gFOBTs for average-risk individuals is correct?
FITs are more sensitive than gFOBTs for detecting colorectal cancer
FITs require the same type of dietary alterations as gFOBTs
FITs are highly sensitive for detecting advanced neoplasia
FITs are more cumbersome than gFOBTs in obtaining a fecal sample
33
Which statements about trigger point injection is incorrect? Select ALL that apply.
Placebo effect appears to be part of the pain relief provided by injections
Has been shown to be superior to noninvasive management
Trigger point injection is first-line therapy
No single agent or mixture of active drugs has been proven superior.
34
Trigger point injections can include which of the following agents? Select ALL that apply.
Corticosteroids
Normal Saline
Lidocaine
Hyaluronidase
