ABFM ITE 2018
Study online at https://quizlet.com/_8y2q8a
pt who had recently been on CRUISE
SHIP
LEGIONELLA PNEUMONIA
NOW HAS
productive COUGH- sometime bloody DIAG= URINE LEGIONELLA ANTIGEN
HA
MUSCLE ACHE
BREECH PRESENTATION
WHAT increases the risk of developmen- -
tal dysplasia of the hip in infants REGARDLESS OF DELIVERY BEING
C/S OR NSVD
CARPET LAYER PT HAS LEFT KNEE
SWELLING,
MINIMAL TTP PRE-PATELLAR BURSITIS
=
NO ERYTHEMA, WARMTH TX= REST ICE COMPRESSION
NO TRAUMA
equiv of olecrenon aseptic bursitis
DIAGNOSE
TXQ
RECENT ISCHEMIC STROKE IN 3
MONTHS
OTHERS:
ANY HISTORY OF INTRACRANIAL
HEMMORHAGE
IF SUSPECT ACUTE Acute intracranial
what is ABSOLUTE CONTRAINDICA-
hemorrhage
TION TO
USE OF TPA/FIBRINOLYTIC THERAPY
Persistent elevated blood pressure (sys-
tolic >185 mm Hg or diastolic >110 mm
Hg
Symptoms of subarachnoid hemorrhage
ANY SORTS OF CONCERNS FOR
BLEEDS
, ABFM ITE 2018
Study online at https://quizlet.com/_8y2q8a
Use of anticoagulant drug
Aortic dissection
PT HAS SUDDEN LEFT HEARING
LOSS
IDIOPATHIC
NO TRAUMA
sudden sensorineural hearing loss
NO PAIN, NO BLEEDING, DRAINAIGE,
=
, FEVER
(SSNHL)
EAR EXAM COMPLETELY NORMAL
TX= PREDNISONE= ORAL
DIAGNOSE
TX
PT TWISTED ANKLE
NO XRAY
Able to bear weight but with significant
ALTHOUGH LATERAL MALLEOLUS
pain.
TTP,
DISTAL PART OF LATERAL/MEDIAL
She reports pain across her right midfoot
MELLEOLUS IS NOT TTP OR PAINFUL
.An examination reveals edema over the
AND ALTHOUGH PT HAS PAIN,
lateral malleolus and diffuse tenderness,
SHE IS ABLE TO BEAR WEIGHT (4
STEPS)
but she does not have any pain OVER
=
posterior distal lateral and medial malle-
CONSERVATIVE MANAGEMENT
oli
D) Lace-up ankle support, ice, compres-
sion, and clinical follow-up
SHOULD U DO XRAY OR NOT?
, ABFM ITE 2018
Study online at https://quizlet.com/_8y2q8a
DO BOTH ANKLE AND FOOT XRAY IF
=
COMPLETE INABILITY (not just pain)
TO BEAR WEIGHT (4 STEPS
====
ANKLE XRAY
=
COMPLETE INABILITY (not just pain)
TO BEAR WEIGHT (4 STEPS
+
ACCORDING TO OTTAWA ANKLE PAIN OVER "DISTAL MOST" PART OF
RULES LATERAL/MEDIAL MELLEOLUS --back
WHEN SHOULD U DO of medial/lateral melloli
ANKLE XRAY
VS FOOT XRAY =====
FOOT XRAY
=
PAIN/TTP OVER MIDFOOT REGION
=
OVER 2 REGIONS:
NAVICULAR BONE
AND/OR
BASE OF 5TH MTP JOINT
+
COMPLETE INABILITY (not just pain)
TO BEAR WEIGHT (4 STEPS
Which one of the following factors would
increase the risk of atrial fibrillation in
thispatient?
A) Alcohol use
B) Treatment with lisinopril (Prinivil,
ALCHOL USE
Zestril)
C) Treatment with pioglitazone (Actos)
D) Use of a continuous positive airway
pressure (CPAP) device
E) Physical stress3
, ABFM ITE 2018
Study online at https://quizlet.com/_8y2q8a
RETICULOCYTE COUNT IN
best way to assess the patient's re-
JUST
sponse to oral iron?
1-2 WEEKS
ADD ON H1 BLOCKER
=
PT WITH CHRONIC URTICARIA
RANITIDINE/CIMETIDINE
ON LORATADINE= CLARITIN
STILL HAS HIVES
First- and second-generation H1 antihist-
amine receptor antagonists are generally
TX?
considered first-linetreatment for chronic
urticaria
PT WHOSE BRO HAS ACTIVE TB YES TX DUE TO CLOSE CONTACT TO
HIS PPD TEST= 8MM ACTIVE TB PT
AND
NO SX, PE NORMAL >5MM INDURATION
CXR NORMAL
TX FOR LATENT TX
SHOULD U TREAT THIS KID =
IF SO WITH WHAT INH FOR 9 MONTHS
An induration of 5 or more millimeters is
considered positive in
-HIV-infected persons
-A recent contact of a person with AC-
TB TEST POSITIVE IF >5MM FOR
TIVE TB disease
WHICH POPULATION
-Persons with fibrotic changes on chest
radiograph consistent with prior TB
-Patients with organ transplants
-Persons who are immunosuppressed
An induration of 10 or more millimeters is
considered positive in
-Recent immigrants (< 5 years) from
high-prevalence countries
An induration of 10 or more millimeters is -Injection drug users
considered positive in -Residents and employees of high-risk
congregate settings
===>
HEALTH CARE WORKERS
PRISONER/ JAIL
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