fitzgerald 1

8/8/2019 Fitzgerald 1

1/9

Greatest risk for invasive pneumo

infection?

- 68yo COPD

- 34yo splenectomy

- 50yo DM2

- 75yo RA c decreased mobility

34 yo splenectomy

Routine HBsAg screening recommended:

- hospital workers

- recipients of HepB vaccine series

- pregnant women

- college students

pregnant women

smallpox vaccine contains: live variola virus

varicella-zoster IG comes from?- pooled blood product with excellent

profile

18yo male with no primary immunization

series documented. For the tetanus vaccine,

he needs:

- Td vaccine now and repeat in 1 and 6

months (no need for pertussis?)

corneal reflex is what nerve? CN V and VII


2/9

kernigs and brudzinski's sign, which is

which?

kernigs: flexing knee and hip --> back pain

brudzinski: passive flexion of neck --> pain

how many grams for single application of

topical cream/ointment on HANDS?

ARMS? ENTIRE BODY

- 2 grams

- 3 grams

- 30-60 grams

Tx of impetigo, why can't we use

amoxicillin but can use dicloxacillin,

cephalexin, cefadroxil?

bc amoxicillin is not stable in presence of

beta-lactamses. Dicloxacillin and first-gen

cephalosporins are.

Tx for acne vulgaris with:

1) closed comedones

2) inflammatory lesions3) cystic lesions

closed: benzoyl peroxide

inflammatory: topical antibiotic

cystic: Accutane

Tx acne rosacea? metronidazole gel

Must monitor what things if pt on

Accutane?

- pregnancy

- depression/SI

- AST

- triglycerides


3/9

Tzanck smear + for giant multinucleated

cells is consistent with?- herpes virus

excoriated papules on interdigital area scabies

To be transmitted scabies, you must have

close, casual, or both with infected person

to contract disease?

- close only

Tx for recalcitrant psoriasis:cyclosporine, methotrexate, systemic

retinoid

Tx for acute and recurrent allergic

conjunctivitis

cromolyn ophthalmic drops, oral

antihistamines, ophthal. antihistimines

Pathogen in refractory otitis externa. p. aeruginosa


4/9

severe otitis externa Tx fluoroquinolones

incubation period for s. pyogenes 3-5 days

According to GLORIA guidelines, tx for

persistent allergic conjunctivitis?

- topical mast cell stabilizer with topical

antihistamine.

therapeutic effect of Atrovent? bronchodilation

A 50yo male smoker keeps clearing his

throat and spitting mucous out onto the

sidewalk. Your diagnosis?

- early COPD (one of the early signs is

excessive mucus production)

most likely causative organism in acute

bronchial suppuration a/w acute bacteria

COPD exacerbation.

pseudomonas aeruginosa


5/9

Tx of CAP in 69yo male with HF and

DM2.respiratory fluoroquinolone

HTN drug recommended for the condition:

heart failureall except CCB


DMall except spironolactone


chronic renal diseaseACE and ARBs


high coronary disease riskdiuretic, BB, CCB, ACEI


post-MIBB, ACEI, spironolactone


6/9


recurrent strokediuretic, ACEI

pectus excavatum a/w what heart

condition?MVP

detrusor overactivity a/w what

incontinence?urge incontinence

pelvic floor weakness a/w what

incontinence?stress incontinence

how does black cohosh affect female

hormones?

binds to E receptors (for relief of

menopausal Sx)

myocardial ischemia on EKG showsT wave inversion

ST depression


7/9

S4 sound is often a/w?unstable angina, stiffened ventricle due to

ischemia

ST segment deviation (>= 0.05 mV) a/w? pt with ACS (acute MI or unstable angina)

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

LDH elevation is NOT seen in acute

cholecystitis

Is there rebound tenderness in hepatitis? no.

where is urobilinogen found? large intestines --> feces

what can varicocele cause in men? decreased sperm count


8/9

how long does aura in migraine headache

LAST?less than 1 hr

when is corticosteroids not of any use in

Bell Palsy?10 days after onset of sx.

biggest side effects of neuroleptics

(seroquel, zyprexa, compazine, phenergan)

- sedating

- extrapyramidal effects

sequela of shingles (2)- scarring

- post-herpetic neuralgia

strep pathogens that are minimal risk for

rheumatic fever or glomerulonephritis?- Group C and G strep

Tx hordeolumdicloxacillin, Keflex PO, erythromycin

topical


9/9

NSAIDs + acute varicella infection risk for necrotizing fasciitis

difference between angle-closure glaucoma

vs. anterior uveitis?

angle-closure: pupil is slightly dilated

anterior uveitis: pupil is constricted and

irregular

- what chemical attaches to muscarinicreceptors?

- name some meds that block those

receptors for bronchodilation

- Ach

- atrovent, spiriva

fitzgerald 1

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