AMCB Exam Questions with All Correct A nswers Hyperlipidemia - Answer -LDL >/= 190 mg/dL Anemia - Answer -Hgb<11 (1st tri), 10.5 (2nd tri), 11 (3rd tri), or <12 (non -pregnant) Iron deficiency anemia - Answer -Hgb<12 and serum ferritin<100 -150mg/dL Iron RDA - Answer -15mg (teen), 18mg (adult), 8mg (postmenopausal), 27mg (pregnant), 9mg (lactation) Rhinosinusitis treatment - Answer -Augmentin or Doxycycline, if bacterial origin Pharyngitis treatment - Answer -Penicillin and amoxicillin, if bacterial origin (first -ten cephalosporins if PCN allergic) Pertussis treatment - Answer -Erythromycin, Azithromycin, Clarithromycin, or Bactrim; including close contacts and exposed individuals at risk for severe disease (3rd tri) Intermittent Asthma - Answer -Symptoms <2d/wk, nighttime symptoms <2x/mo, no ADL interference, and </= 1 exacerbation/yr Tx with SABA (Albuterol) PRN Intermittent Asthma Treatment - Answer -SABA PRN (Albuterol) Symptoms <2x/wk and nighttime <2x/mo Persistent Mild Asthma - Answer -Symptoms >2x/wk and >2nights/mo, and minor ADL interference Tx with low dose ICS (Fluticasone, Budesonide) and SABA (Albuterol) PRN Persistent Mild Asthma Treatment - Answer -Low-dose ICS (Fluticasone, Budesonide), and SABA (Albuterol) PRN Persistent Moderate Asthma - Answer -Daily symptoms, and >1x/wk but not nightly, some ADL interference Tx with Low -dose ICS (Fluticasone, Budesonide) and LABA (Formoterol, Salmeterol) --
Combos: Symbicort, Advair (and PRN SABA -Albuterol) Persistent Moderate Asthma Treatment - Answer -Low-dose ICS (Fluticasone, Budesonide) -and- LABA (Formoterol, Salmeterol) -and- PRN SABA (Albuterol) Combo options: Symbicort, Advair GERD Treatment - Answer -Omeprazole (Prilosec), Esomeprazole (Nexium), or Lansoprazole (Prevacid) before qAM meal, and again at night PRN Murphy's Sign - Answer -Pain with deep palpation of the RUQ during inspiration, indicative of cholecystitis Appendicitis Classic Symptoms - Answer -Anorexia and general abd. pain, resolving into acute RLQ abd. pain, vomiting, and fever McBurney's Point - Answer -Pain from deep palpation of RLQ; seen with appendicitis Rosvig's Sign - Answer -Rebound pain from LLQ deep palpation; seen with appendicitis IBS vs IBD - Answer -IBS: chronic (x12wks) intermittent GI symptoms without known cause, but often with known triggers (irritability) IBD: inflammatory (Crohn's or UC), often genetic, often unpredictable triggers (Med mgmt) Hepatitis transmission - Answer -Vowels are bowels! Hep A and E are fecal -oral route (self -limiting) Hep B, C, and D are bodily fluid route (MD mgmt) UTI bacteria count - Answer ->100,000 (or 10^5) UTI treatment (non -pregnant) - Answer -Nitrofurantoin (Macrobid), or Bactrim Diabetes Screening (Non -pregnant) - Answer ->45yo, BMI>25, cardiac risk factors HbA1c > 6.5% is diagnostic, <7% is tx goal Fasting BG >/= 126 mg/dL, 80 -130 is tx goal 2hr GTT >/= 200mg/dL, <180 is tx goal Hypothyroid Labs - Answer -TSH: High with primary hypothyroid, but low with secondary
