NBME 9, Answered-Kid with bed wetting problems + constipation
tx? - administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells - monoclonal
In patients with bipolar disor
...
NBME 9, Answered-Kid with bed wetting problems + constipation
tx? - administration of an osmotic laxative
Multiple myeloma is marked by proliferation of ______ B cells - monoclonal
In patients with bipolar disorder that are suffering from acute depression + stopped taking meds, what do you give them? - bipolar medication like lithium, lamotrigine, quetiapine, and lurasidone
SSRIs in bipolar patients can be bad because? - it can precipitate mania or convert depression to mania
Patient with afib with a history of TIA or stroke
Tx? - warfarin
Patient without afib with history of TIA or stroke
Tx? - aspirin
T/F: Aspirin and clopidogrel are anticoagulants - false
1st line therapy for mild to moderate acne vulgaris
Tx? - topical retinoids
Patient with juvenile idiopathic arthritis may present with what extraarticular manifestation? - uveitis (screen with slit-lamp exam)
In adults, the presence of a destructive bone lesion is more commonly caused by ______ disease rather than primary bone malignancy - metastatic
T/F: Osteosarcoma is most common in patients ____ years of age - <30
Patients with severe AS with symptoms or systolic dysfunction (EF <50%) should receive what tx? - aortic valve replacement
Patients with HF (EF < 50%) who have AS + asymptomatic in terms of SOB on exertion, should receive what treatment? - Afterload reduction
32 yo woman with bcg vaccine as a child + emigrated from China + PPD skin test of 12 mm
risk status and next step? - High risk; isoniazid
92 yr old with left mandibular mass that has enlarged + x ray is normal + smoker + normal VS
next step? - biopsy
77 yr old woman with 1 day hx of nausea + vomiting + confusion + has HTN + on diltiazem + BP 160/70 + ox 84% + JVD borderline high + crackles in lungs + S3 + edema + signs of kidney injury
Dx and next step? - fluid overload; hemodialysis
In diabetic patients, foot injuries can be prevented with? - wearing shoes when standing or walking
In diabetic patients, worsening of foot injuries can be prevented with? - daily foot checks
37 yr old woman with no hx of abnormal pap smears + current visit shows pap smear with atypical glandular cells
potential dx and next step? - endometrial malignancy; colposcopy with endocervical curettage
[Show More]
