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Exam (elaborations)

ABFM ITE 2018 EXAM

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ABFM ITE 2018 EXAM ABFM ITE 2018 EXAM ABFM ITE 2018 EXAM

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  • September 10, 2024
  • 56
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ABFM
  • ABFM
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lectjoseph
ABFM ITE 2018 EXAM
pt who had recently been on CRUISE SHIP



NOW HAS

productive COUGH- sometime bloody

HA

MUSCLE ACHE - LEGIONELLA PNEUMONIA



DIAG= URINE LEGIONELLA ANTIGEN



WHAT increases the risk of developmental dysplasia of the hip in infants - BREECH PRESENTATION

-

REGARDLESS OF DELIVERY BEING C/S OR NSVD



CARPET LAYER PT HAS LEFT KNEE SWELLING,

MINIMAL TTP



NO ERYTHEMA, WARMTH

NO TRAUMA



DIAGNOSE

TXQ - PRE-PATELLAR BURSITIS

=

TX= REST ICE COMPRESSION



equiv of olecrenon aseptic bursitis



what is ABSOLUTE CONTRAINDICATION TO

USE OF TPA/FIBRINOLYTIC THERAPY - RECENT ISCHEMIC STROKE IN 3 MONTHS

,OTHERS:

ANY HISTORY OF INTRACRANIAL HEMMORHAGE



IF SUSPECT ACUTE Acute intracranial hemorrhage



Persistent elevated blood pressure (systolic >185 mm Hg or diastolic >110 mm Hg



Symptoms of subarachnoid hemorrhage



ANY SORTS OF CONCERNS FOR BLEEDS



Use of anticoagulant drug



Aortic dissection



PT HAS SUDDEN LEFT HEARING LOSS

NO TRAUMA

NO PAIN, NO BLEEDING, DRAINAIGE, , FEVER

EAR EXAM COMPLETELY NORMAL



DIAGNOSE

TX - IDIOPATHIC

sudden sensorineural hearing loss

=

(SSNHL)



TX= PREDNISONE= ORAL



PT TWISTED ANKLE



Able to bear weight but with significant pain.

,She reports pain across her right midfoot



.An examination reveals edema over the lateral malleolus and diffuse tenderness,



but she does not have any pain OVER posterior distal lateral and medial malleoli



SHOULD U DO XRAY OR NOT? - NO XRAY



ALTHOUGH LATERAL MALLEOLUS TTP,

DISTAL PART OF LATERAL/MEDIAL MELLEOLUS IS NOT TTP OR PAINFUL



AND ALTHOUGH PT HAS PAIN,

SHE IS ABLE TO BEAR WEIGHT (4 STEPS)

=

CONSERVATIVE MANAGEMENT

D) Lace-up ankle support, ice, compression, and clinical follow-up



ACCORDING TO OTTAWA ANKLE RULES

WHEN SHOULD U DO

ANKLE XRAY

VS FOOT XRAY - 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

+

PAIN OVER "DISTAL MOST" PART OF LATERAL/MEDIAL MELLEOLUS --back of medial/lateral melloli

, =====

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, Zestril)

C) Treatment with pioglitazone (Actos)

D) Use of a continuous positive airway pressure (CPAP) device

E) Physical stress3 - ALCHOL USE



best way to assess the patient's response to oral iron? - RETICULOCYTE COUNT IN

JUST

1-2 WEEKS



PT WITH CHRONIC URTICARIA

ON LORATADINE= CLARITIN

STILL HAS HIVES



TX? - ADD ON H1 BLOCKER

=

RANITIDINE/CIMETIDINE

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