General

Question 1

What is the classic triad for asthma?

Answer 1

• intermittent dyspnea
• cough
• wheezing

Question 2

What is the most commonly used lung function screening study for asthma?

Answer 2

spirometry

Question 3

What is the treatment for the following:

a. intermittent asthma
b. mild persistent asthma
c. mod persistent asthma
d. severe persistent asthma

Answer 3

a. intermittent asthma = Albuterol (SABA) PRN
b. mild persistent asthma = Fluticasone + SABA PRN
c. mod persistent asthma = either increase ICS OR add LABA to ICS + SABA PRN
d. severe persistent asthma = refer to specialist

Question 4

What is the major complication of influenza?

Answer 4

pneumonia

Question 5

What is the treatment for uncomplicated pneumonia?

Answer 5

• Amoxicillin + Macrolide OR Doxycycline

Question 6

What is the treatment for complicated pneumonia?

Answer 6

• Augmentin + Macrolide OR Doxycycline

Question 7

What is the treatment for bacterial pharyngitis?

Answer 7

Penicillin

Question 8

What is the treatment for pertussis (whooping cough)?

Answer 8

Azithromycin

Question 9

What is the screening recommendation for colon cancer?

Answer 9

colonoscopy every 10 years starting at 45

Question 10

What is the most common blood-borne pathogen in the U.S.?

Answer 10

Hep C

Question 11

What are the 4 rotator cuff muscles?

Answer 11

• supraspinatus
• infraspinatus
• subscapularis
• teres minor

Question 12

Lateral epicondylitis is inflammation of what muscle?

Answer 12

extensor carpi radialis brevis

Question 13

What ligament is injured in a lateral ankle sprain?

Answer 13

ATFL

Question 14

How do you measure motor and reflex of L4?

Answer 14

• motor = resist ankle dorsiflexion

- reflex = patella

Question 15

How do you measure motor innervation of L5?

Answer 15

• great toe extension

* no reflex for this one*

Question 16

How do you measure motor and reflex of S1?

Answer 16

• motor = resisted eversion and heel raise

- reflex = achilles

Question 17

Chronic pain as characterized as lasting > ___ months.

Answer 17

3

Question 18

How is gastroenteritis defined?

Answer 18

The passage of loose or watery stools at least 3 times within 24 hour period

Question 19

What is the mainstay of treatment for chronic constipation?

Answer 19

fiber and bulk forming laxatives (e.g. Metamuci)

Question 20

What are the 4 red flags in patient with IBS?

Answer 20

• weight loss
• FMHx of CRC
• iron deficiency anemia
• FMHx of IBD/celiac

Question 21

What is the first line of treatment for IBS?

Answer 21

lifestyle adjustment

Question 22

How is small intestinal bacterial overgrowth (SIBO) diagnosed and treated?

Answer 22

• diagnosed = breath test

- treated = rifaximin

Question 23

Colon cancer screening should start at what age?

Answer 23

45

Question 24

What are the 2 neoplastic colonic polyps?

Answer 24

• adenomas

- serrated

Question 25

What is the first line therapy for uncomplicated UTI?

Answer 25

nitrofurantoin (macrobid) 100 mg BID x 5-7 days

Question 26

If UTI recurs within 1-2 weeks of treatment what is the next medication to give?

Answer 26

FQLN (broad spectrum)

Question 27

What 2 medications have the highest incidence in the development of ED?

Answer 27

- beta blockers | - SSRIs

Question 28

What is the mainstay of treatment for ED?

Answer 28

PDE-5 inhibitors

Question 29

What is the first line treatment for ejaculatory disorders?

Answer 29

SSRIs

Question 30

What drug can significantly worsen symptoms of underlying anxiety disorders and bipolar disorder, as well as cardiac disorders

Answer 30

caffeine

Question 31

How long do the euphoric effects of cannabis last? How long do the motor/cognitive effects last?

Answer 31

- euphoric effects = 2-4 hours | - motor/cognitive effects =5-12 hours

Question 32

what medication is good for smoking related to depression or anxiety?

Answer 32

buproprion

Question 33

what is the most successful drug used for smoking cessation?

Answer 33

chantix (varenicline)

Question 34

What are the 3 states of sleep architecture?

Answer 34

- awake - NREM - REM

Question 35

Your circadian rhythm is effected by what?

Answer 35

light signals

Question 36

What drug is great for short term insomnia?

Answer 36

benzodiazepines

Question 37

What mineral deficiency do you need to evaluate for in restless leg syndrome?

Answer 37

iron

Question 38

An overnight sleep study is able to do a __________

Answer 38

polysomnogram

Question 39

What is the threshold for CPAP use in treating OSA?

Answer 39

- Apnea-Hypopnea Index (AHI) >30 events/hour

Question 40

Narcolepsy is caused by the absence of what neuropeptide?

Answer 40

hypocretin