Family Medicine Shelf (USPSTF + Blueprints + AAFP

Questions)
Study online at quizlet.com/_16rc40

1. 2 Month HepB-2 10. Acute Tx for Acetazolamide and Topical pilocarpine

Vaccines RV-1 Glaucoma ophthalmic solution
DTaP-1
11. AD and Vaccine Smallpox --> can cause life-threatening
Hib-1
reaction severe reactions
PCV-1
IPV-1 12. Adenocarcinoma Peripheral
of Lung More common in Women
2. 4 Month RV-2
Most common in nonsmokers and
Vaccines DTap-2
overall
Hib-2
Bronchioalveolar subtype = lepidic, with
PCV-2
hazy infiltrates similar to pneumonia
IPV-2
13. Allergic Itching
3. 4 Year Old DTaP-4
Conjunctivitis Allergic shiners
Vaccines IPV-4
Rhinorrhea
Influenza
MMR 14. Alpha Glucosidase Inhibit intestinal brush-border enzymes
Varicella Inhibitors Acarbose and Miglitol
Can cause GI disturbances
4. 6 Month HepB (3rd dose by 18 months)
Vaccines RV (3rd dose before 8 months) 15. AMA Abs Primary Biliary Cirrhosis
DTaP-3 Middle aged women
Hib-3 Tx with Ursodiol
PCV-3 16. Amsel Criteria Need 3/4:
IPV (3rd dose by 18 months) 1. Fishy odor with addition of KOH
Annual Influenza 2. Vaginal pH >4.7
5. 12 Month Hib-4 3. Clue cells on wet mount
Vaccines PCV-4 4. Thin, homogenous discharge
MMR-1 17. Anemia of Chronic TIBC is decreased
Varicella-1 Disease Iron Decreased serum iron
HepA-1 Studies Decreased Ferritin
6. Acne Rosacea Affects adults in 30-50 years range 18. Ankylosing HLA-B27
Vascular component with eruptive Spondylitis
component Morning spinal stiffness, IBD, sacroiliitis,
Sensitive to extreme heat or cold, excessive bamboo spine on XR
sunlight, ingesting highly seasoned or spicy
19. Anti-SM Abs Autoimmune Hepatitis
foods
20. Atopic Dermatitis Pruritus
7. Acute Angle Pain
Symptoms Papules and vesicles (acute)
Closure Dilated pupil
Scaling plaques and lichenification
Glaucoma Shallow anterior chamber
(chronic)
Halos around lights
Flexural creases

Most common in adults >50 21. B12 is Absorbed Terminal Ileum --> Crohn's disease can
Where lead to deficiency
8. Acute Oral CS for 2 weeks, tapering off
Exacerbation Abx (Doxy, Augmentin, Levofloxacin) 22. Bacterial Vaginosis The USPSTF DOES NOT recommend
of COPD Tx O2 supplementation Screening in this due to lack of evidence that it
SABA or Anticholinergic Pregnant Women reduces mortality or morbidity

9. Acute HIV Fever 23. Barium Studies Reveals anatomic abnormalities, such as
infection Fatigue esophageal spasm and possibly reflux
Rash 24. Basophilic Lead Poisoning or Thalassemia
Headache Stippling
LAD
Pharyngitis
25. Beck's Triad Jugular Venous distension, muffled 38. Causes of HTN Sleep Apnea
heart sounds, decreased BP -----> Drug-induced (diuretics, cyclosporine,
Cardiac Tamponade glucocorticoids, amiodarone)
Chronic kidney disease
26. Behavioral Do intensive behavioral counseling for
Primary Aldosteronism (Conn's Syndrome)
Counseling for all sexually active adolescents and
Cushing's Syndrome
STDs adults at increased risk for STDs
Pheochromocytoma (MEN II and III)
27. Bicipital Tendonitis Often accompanies rotator cuff Coarctation of aorta (Turner's)
tendonitis Thyroid/Parathyroid disease
Pain can be sever and radiates down
39. Caution in Using Can cause hypercarbia due to decreased
anterior aspect of humerus
O2 with COPD respiratory drive
28. Bilious Vomitus Open Pylorus Patients
29. Blepharitis Infection, inflammation and scaling of Just keep O2 sats >90%
eyelid margins 40. C. difficile Pseudomembranous colitis
30. B/L Leg Edema Chronic Venous Insufficiency or Diarrhea Abx usage recently
That Doesn't Lymphedema Tx: Metronidazole or oral Vancomycin
Respond to 41. Celiac Sprue Gluten-sensitive enteropathy
Diuretics Diarrhea, malabsorption, weight loss
31. BRCA-Related All women with family members who Test for Tissue Transglutimase antibody
Cancer Screening had breast, ovarian, tubal, and/or and Endymysial antibody
peritoneal cancers Gluten restriction

32. Breastfeeding Interventions to educate and 42. Centor Criteria Exudative pharyngitis
recommendations encourage women during pregnancy Fever
and postnatal period to breastfeed Tender anterior cervical LAD
Absence of cough
33. Bronchial Central
Carcinoid Tumor Mass effect symptoms
Modifier: <15 years old --> add 1 point
Carcinoid syndrome with right-sided
>44 years old --> subtract 1 point
heart problems
34. CAGE Test Felt the need to Cut down on drinking? Abx at 4-5, culture 2-3 and symptomatic
Annoyed by people criticizing your tx -1-1
drinking?
43. Central Vertigo Damage to brainstem = usually other CN
Felt Guilty about your drinking?
DDx findings as well
Need an Eye-opener in the morning?
Migraine = vasospasm of Vertebrobasilar
35. Campylobacter Seagull-shaped organisms, grown at artery
Diarrhea 42* C MS
Common with poultry Phenytoin and other meds
Bloody stools
44. Cervical Cancer Women 21-65 Pap smear with cytology
Tx: Erythromycin or Fluoroquinolone
Screening Q3 years
36. Carotid Artery USPSTF DOES NOT recommend Women 30-65 Pap smear with HPV
Stenosis screening for the general population testing Q5 years
Screening for asymptomatic carotid stenosis
45. Cervical Cancer Women >65 years with previously normal
37. Categories of BP Normal = <120/<80 Screening screenings
PreHTN = 120-129/80-89 Exemptions Women who had a hysterectomy with
Stage 1 HTN = 140-159/90-99 removal of the cervix and no history of
Stage 2 HTN = 160+/100+ precancerous lesion
46. Chalazion Sterile inflammation of the Meibomian
gland
47. Charcot Triad High Fever
RUQ pain
Jaundice

***R/O Cholangitis***
48. Chlamydia and Women <24 who are sexually active 58. Cross-arm Test Raise arm and adduct across chest,
Gonorrhea Women >24 with risk factors identified assess for pain
Screening for
Women Positive = AC joint pathology
49. Chronic Bronchitis Productive cough that occurs >3 59. CT Findings of Pericolic fat infiltration
months/year for 2 consecutive years --> Diverticulitis Thickened fascia
dirty-chest appearance on CXR Muscular hypertrophy
Arrowhead sign
Typically are "blue bloaters" (overweight
60. CXR with Interstitial Lung Disease
and cyanotic)
Honeycomb
Appearance
**Clinical Diagnosis**
61. Dacryocystitis Occlusion of the nasolacrimal duct with
50. Chronic Venous Stasis Dermatitis
secondary infxn
Insufficiency Venous varicosities
62. Dental Carries USPSTF recommends that fluoride should
**Most common cause of B/L LE Prevention in be prescribed for children 6 months to 5
edema** Children Under 5 years old if water is deficient in fluoride
years
51. Ciliary Flush Violaceous hyperemia of vessels
surrounding the cornea 63. Diabetic + Check eyes --> Diabetic retinopathy
Proteinuria
Photophobia, ciliary flush and sluggishly 64. Diabetic Suspect DKA
reactive pupil --> Iritis Individual with
52. Cluster Severe, unilateral, periorbital or N/V
Headaches temporal area 65. Diabetic or Suspect MI
Lacrimation, rhinorrhea, ptosis, miosis, Elderly
eyelid edema Individual with
Occur in clusters with 1-8xper day for 4- N/V
6 weeks
66. Diagnosing Fluorescein dye test
8:1 men predominance
Corneal Slit lamp with cobalt-blue light
53. Colorectal Cancer Start screening at 50 years and continue Abrasions
Screening until the age of 75 years
67. Diagnosis of FEV1:FVC ratio of <70% with less than 12%
54. Constricted Pupils Opiates COPD reversibility
= _______ Drugs
68. Diagnosis of HTN >140 systolic or >90 diastolic
55. Contraindications Active internal bleeding Must have 2 different BP readings that
to Thrombolytics Hx of cerebrovascular disease are elevated over a period of 1-several
Recent surgery weeks
Intracranial neoplasms
69. Diagnostic Fasting BG >126 mg/dL
AVM
Criteria of DM Two hour OGTT >200 mg/dL
Aneurysms
Random FSBG >200 mg/dL with
Bleeding Diathesis
symptoms
Severe Uncontrolled HTN
HgbA1C >6.5%
56. Contraindication Vasoconstrictive properties -->CAD,
70. Diagnostic Steps 2 separate, positive dipstick tests
to Using Triptans PVD, and uncontrolled hypertension
in Evaluating 24 hour urine collection
or Ergotamine
Proteinuria UA, CMP, Lipids, ESR, ASO titer, C3-C4
57. Counseling About Counsel all adults and pregnant women level
Tobacco Use about tobacco use and provide U/S to rule out PCKD, masses or
interventions obstructive nephropathy
71. Diagnostic Test Ultrasonography of Carotid Artery with
Counsel all school age children and
for Carotid Doppler flow
adolescents about tobacco use and
Artery Stenosis
provide interventions
72. Diastolic CHF Inability of the LV to relax properly --> 84. Dyspnea + HSM, Ascites, Cirrhosis with likely pleural
increased filling pressure, pulmonary and Spider Angiomas effusion
congestion and decreased cardiac
85. Dyspnea + Hx of Melena Anemia
return
or Menometorrhagia

Hypertrophic cardiomyopathy 86. Dyspnea + Normal CV and GERD with secondary

Pulmonary Evaluation bronchospasm
73. Differentiating Methylmalonic acid and homocysteine
Between B12 and levels are elevated in B12 87. Dyspnea + Perioral Anxiety
Folate Deficiency Only homocysteine levels are elevated Numbness and
in Folate Paresthesias

74. Dilated Pupils = Stimulants 88. Dyspnea + S3 CHF

______ Drugs 89. Dyspnea + Substernal Angina
75. Diphtheria Adherent, gray membrane Chest Pain
Low grade fever 90. Dyspnea + Swollen Leg PE
Tonsillitis
91. Dyspnea in Pediatric Foreign body aspiration or
Tender cervical LAD
Patient upper airway obstruction
**Tx with Antitoxin and 92. Early Morning Sore Throat GERD
Penicillin/Erythromycin** without Fever
76. Direct Blow to Knee Sprains of medial and lateral collateral 93. Early Stage Cervical Surgery or chemoradiation
While Foot is ligaments Cancer Treatment
Planted 94. EBV Infection Pharyngitis
77. DM + Bronzing of Hemachromatosis Posterior cervical LAD
the Skin, Testicular Malaise
Atrophy, and Fever
Cirrhosis Axillary and inguinal LAD
78. Drawer Test Knee Flexed 90* and move tibia 95. EGD Detects: esophagitis, erosions,
forward ulcerations, malignancies, webs,
Tests anterior-to-posterior laxity diverticuli, and strictures
**Indicated in anyone >45
79. Drop Off Test Passive abduction of shoulder and
years with new onset
observing for a sudden drop of the
heartburn**
arm
96. EHEC O157:H7
Positive = rotator cuff tear May present with HUS
Bloody diarrhea
80. Drugs that Cause Thiazides
Tx: Fluoroquinolone or
Interstitial Nephritis Penicillin Derivatives
TMP/SMX
Sulfonamides
Rifampin 97. Elevated Alk Phos and Obstructive dysfunction
INH Gamma Glutyl
NSAIDs Transpeptidase out of
Proportion to
81. Drugs Used to Beta Blockers
Transaminases
Treat Acute MI Heparin
Nitrates 98. Emphysema Abnormal dilatation of terminal
ACE-Inhibitors airspaces with destruction of
Thrombolytics alveolar septa --> hyperinflation
ASA of lungs on CXR

82. D-Xylose Test Tests for reducing sugars in stool to

Typically are "pink puffers" (thin
determine if pancreatic enzymes are
and barrel-chested)
functionally intact
83. Dyspnea + Barrel- COPD **Pathologic Diagnosis**
chest
99. Emphysema in Alpha1 Antitrypsin Deficiency 110. Exceptions to the Ottawa Inebriation/uncooperative
Patients <45 Rules patient
years Often have hepatitis or cirrhosis as well Other distracting painful
injuries that cloud the
100. Empiric Previously healthy, no Abx use in past 3
perception of pain in the
Therapy for months: Doxycycline or Macrolide (-
regions listed in rules
Pneumonia thromycins)
Diminished sensation in legs
Gross swelling which
Previously healthy, Abx use recently:
prevents palpating of medial
Fluoroquinolone
malleolus
101. Empiric Tx for Macrolide (Azithromycin) **Patient is under 18 years
HCAP 3rd generation Cephalosporin (Cefepime) old***
Vancomycin
111. Exenatide GLP-1 analog --> increases
102. Empty Can Pain and weakness when arms are insulin and decreases
Sign abducted and extended with thumbs glucagon release and its
pointing down effect is inversely related to
103. End-Stage Cirrhosis the blood sugar level
Liver Disease Ascites Can cause N/V and
Signs Edema pancreatitis
Palmar erythema 112. Exertion Does What to PACs Makes them disappear
Testicular atrophy or PVCs?
Rosacea
113. Facial Edema, Especially ACE-Inhibitor -->
Cardiomegaly
Tongue angioedema
Peripheral Neuropathy
114. Fall Prevention in Older Exercise or physical therapy
104. Enfuvirtide Binds gp41, inhibiting viral entry
Adults and Vit D supplementation
105. Enlarged Suggests malignancy to prevent falls in adults >65
Supraclavicular years
LN
115. Fat Globules on Bone fracture
106. Entamoeba Dysentery, bloody stools Arthrocentesis
histolytica Liver abscess
116. Feculent Vomitus Lower GI obstruction or
diarrhea Flask-shaped ulcer on histo
gastrocolic fistula
Tx: Metronidazole and Iodoquinol(for
cysts) 117. Focal Necrotizing Vasculitis, Wegener's Vasculitis
Necrotizing Granulomas in PR3-ANCA/c-ANCA
107. Esophageal pH Used for patients with GERD and normal
Paranasal Sinuses and Lungs,
monitoring EGD, patients with atypical symptoms, or
and Necrotizing
patients refractory to treatment
Glomerulonephritis
Correlates % of time pH<4 with sxs
118. Folate Deficiency Causes Alcoholism
108. Etanercept Fusion protein of receptor for TNF-alpha
Phenytoin
and IgG Fc
TMP-SMX
Decoy receptor
Sulfasalazine
109. ETEC diarrhea Traveler's diarrhea
119. Folic Acid Supplementation Take supplements with 0.4 to
Tx: short course of fluoroquinolone or
in Pregnant Women 0.8 mg of folic acid to
TMP/SMX
reduce risk of NTDs
***Tx with Azithromycin in children and
4.0 mg in women with a Hx
pregnant women***
of NTDs in prior pregnancies

**All women who are

capable of pregnancy
should take it**
120. Folliculitis Infection of hair follicles with S. 136. Goal BPs for Treatment <130/80 for Diabetics
aureus (JNC7) <140/90 for everyone else
Usually associated with shaving
137. Goal BPs for Treatment <140/90 for adults <60 years
121. Food Poisoning: C. Canned foods, honey for infants (JNC8) without CKD
Botulinum <150/90 for adults >60 years
without CKD
122. Food Poisoning: E. coli Undercooked meat
<140/90 for all ages with DM,
123. Food Poisoning: Eggs, Salmonella but no CKD
Poultry, Meat <140/90 for all ages with CKD
124. Food Poisoning: B. cereus +/- DM
Reheated Rice 138. Gout Treatment Allopurinol
125. Food Poisoning: S. Mayonnaise (potato salad), Probenecid
aureus Custard dishes Colchicine
139. Gout Treatment ...
Occurs within 1-2 hours of eating
140. Hematuria with Fever, Interstitial Nephritis --> often
126. Food Poisoning: V. parahaemolyticus or V. CVA Tenderness and Skin have eosinophiluria
Seafood vulnificus Rash
127. Food Poisoning: Steam C. perfringens 141. Hematuria with Goodpasture Syndrome (Anti-
Table (Reheated Meat Hemoptysis GBM)
Dishes)
142. Hematuria with Hx of URI IgA Nephropathy (Berger
128. Foul-smelling Stools Suspect Celiac Sprue Disease)
with Weight Loss, Test for Tissue Transglutimase Abs Can lead to HSP
Diarrhea and Bloating and Endomysial Abs
143. Hemochromatosis Increased Total Iron, Transferrin
129. Four Muscles of Supraspinatus, Infraspinatus, Teres Saturation, and Ferritin
Rotator Cuff Minor, and Subscapularis Decreased TIBC (iron is taking
130. Frozen Shoulder Chronic pain and stiffness with up all the available spots)
(Adhesive Capsulitis) limited motion
Middle age, often women Cirrhosis, Diabetes mellitus, skin
Usually after a period of pigmentation, CHF and
immobilization testicular atrophy

131. GDM Screening Test 50 g oral glucose challenge test

Tx with Deferoxamine
(OGCT)
144. Hemorrhagic Cystitis Cyclophosphamide
132. GERD Burning pain in epigastric, sternal,
or throat regions 145. High Grade Intraepithelial Cryotherapy, laser therapy,
Sour taste in mouth Lesion Treatments loop excision and cold knife
Aggravated by laying down or excision
bending over 146. High Intensity Statin Lowers LDL-C by >/=50%
Relieved with food, but returns 1-2
hours later Atorvostatin 40-80 mg
Worsened by smoking Rosuvostatin 20-40 mg
133. Gestational Diabetes Screen all pregnant women after 147. Histologic Staining for H. Silver stain (Warthin-Starry) for
Mellitus Screening 24 weeks of gestation pylori H. pylori
134. Get-Up-and-Go Test Time it takes for a person to rise Expensive and more time-
from an armchair, walk 10 feet, consuming
turn, walk back and sit down 148. HIV + Pneumonia PCP
(Average healthy adult >60 years CMV
can do it in 10 seconds) Aspergillosis or other fungus
135. Giardia diarrhea Seen in hikers, day cares, travel Mycobacterium tuberculae
Foul-smelling, fatty diarrhea 149. HTN + Daytime Sleep Apnea
Tumbling, owl-eye cysts in water Drowsiness, Nighttime
Tx: Metronidazole Awakenings, Snoring
150. HTN + Family/personal Renal Artery Stenosis 163. Intermittent Asthma Symptoms less than 2 times/week
Hx of Renal Disease and <2 nighttime symptoms/month
151. HTN + Hirsutism and Cushing's Syndrome
Tx with SABA
Easy Bruising
164. Interventions for Behavioral counseling, with
152. HTN + Paroxysmal Pheochromocytoma
Overweight/Obese intense focus on healthful diet
Tachycardia, Sweating,
Patients With and physical activity, over an
Flushing
Additional CVD Risk extended period of time
153. Hyperacute Bacterial May be sight-threatening Factors
Conjunctivitis Usually has copious purulent **Refer at a BMI of 30 + CVD risk
drainage and associated with factors**
STDs in newborns
165. Iron Deficiency Anemia TIBC is elevated
154. Hyperbilirubinemia USPSTF has insufficient evidence Iron Studies Decreased serum iron
Screening in Infants to recommend screening for Decreased Ferritin
hyperbilirubinemia
166. Iron Deficiency in Ask about excessive cow's milk
155. Hypercalcemia, Renal Multiple Myeloma Children intake
Insufficiency, Anemia, Serum and urine electrophoresis Assess for thalassemia
and Bone Lytic Lesions
167. Iron is Absorbed Where Duodenum
or Back Pain
168. Iron Supplementation Routine iron supplementation for
156. Ig Light Chains in Urine Multiple Myeloma
Recommendations children aged 6-12 months at
Can cause proteinuria that is
increased risk of developing Iron
negative on dipstick
Deficiency Anemia
**Test with Sulfosalicylic Acid**
Routine supplementation for
157. Impingement of L3-L4 Impinges L4 pregnant women with Iron
Level Deficiency Anemia
Deficits: Patellar jerk reflex,
169. Jaundice Due to Drugs Acetaminophen, INH,
dorsiflexion of foot, and sensory
Nitrofurantoin, MTX, Sulfa, OCP,
of medial aspect of tibia
Chlorpromazine, and Phenytoin
158. Impingement of L4-L5 Impinges L5
170. Joint Pain + Diarrhea, IBD
Level
Conjunctivitis and
Deficits: Extensor of great toe,
Uveitis
sensory of dorsum of foot/base
of first toe 171. Joint Pain + Dry Sjögren Syndrome
Mouth/Eyes
159. Impingement of L5-S1 Impinges S1
Level 172. Joint Pain + Erythema Lyme Disease
Deficits: Ankle jerk reflex, plantar Migrans Usually after going camping in
flexion, sensory of buttocks, New England
posterior thigh, calf, lateral ankle
173. Joint Pain + Heliotropic Polymyositis or Dermatomyositis
and foot
Rash
160. Inflammatory Diskitis Young age
174. Joint Pain + Nail Pitting Psoriatic Arthritis

Caused by S. aureus, with refusal 175. Joint Pain + Tophi Gout

to walk, fever, signs of sepsis, disk 176. Jones Criteria for One major:
space narrowing and sclerosis on Rheumatic Heart Polyarthritis, Carditis, Erythema
radiograph Disease Marginatum, Subcutaneous
161. Infliximab Monoclonal Ab to TNF-alpha Nodules, Syndenham's Chorea
Predisposes to infection --> can
reactivate latent TB Two minor:
Fever <102.1, Arthralgia, Elevated
162. Inguinal Adenopathy In Prostatic Mass
CRP or ESR, Leukocytosis, EKG
Elderly Male
showing heart block, previous
RHD
177. JVD + Peripheral Edema + Pulmonary HTN 192. Low Intensity Statin Lowers LDL-C by </=30%
Rales Right-sided CHF
Pravastatin 10-20 mg
178. Kawasaki Disease B/L conjunctivitis
Lovastatin 20 mg
Unilateral cervical LAD
Strawberry tongue 193. Lupus-like Sulfonamides
Rash of hands and feet Syndrome Hydralazine
INH
**Tx with ASA** Procainamide
Phenytoin
179. Kayser-Fleischer Rings Wilson disease
Decreased ceruloplasmin 194. Major CV Risk HTN
and increased urine copper Factors Obesity
Dyslipidemia
180. Lachman Test Knee flexed 20-30* and
DM
move tibia forward
Cigarette smoking
Tests anterior-to-posterior
Inactivity
laxity
Age >55 (men) or >65 (women
181. LAD With California Coccidioidomycosis Family History of premature CVD: <55
Exposure, Especially After (men) and <65 (women)
Earthquake
195. Malar Rash, SLE
182. LAD With Cat Scratches B. henselae Fatigue, Joint Pain Decreased complement levels
183. LAD With Cave Exposure Histoplasmosis and Hematuria

184. LAD With Dog or Cat Bite Pasteurella multocida 196. Mammography Women 50-74: biennial (every other
Screening year)
185. LAD With Rabbits, Ticks, or Tularemia
Women under 50: Take the patient's
Deer Fly
factors into context and weigh
186. LAD With Sheep Exposure Brucellosis benefits and risks
187. Large Cell Carcinoma Peripheral Women >75: not recommended to get
Pleomorphic giant and highly screening
anaplastic undifferentiated 197. Maraviroc Binds CCR-5 and inhibits interaction
cells with gp120
Diagnosis of exclusion
198. McMurray Test Evaluates meniscus
188. Legionella Pneumonia Hyponatremia, GI symptoms,
199. Meclizine Antihistamine used for vestibular
fever, and myalgias
symptoms
Usually from environmental
water source habitat 200. Medications for Offer tamoxifen or raloxifene to
Breast Cancer Risk women at high risk with low risk for
**Test for antigen in urine, Reduction adverse side effects
silver stain ** 201. Medications That Theophylline
189. Locking of knee Torn meniscus or loose body Can Cause Digoxin
that becomes trapped Palpitation Beta Agonists
Anti-arrhythmics
190. Long Term Complications of Retinopathy
Pseudoephedrine
DM Nephropathy
Alcohol
Neuropathy
Cocaine
TCAs
Atherosclerosis
202. Medications That CS
191. Long Term Tx for GERD is Severe esophagitis
Contribute to Acne Androgens
Required if: Barrett Esophagus
Anticonvulsants
Stricture
Lithium
Atypical symptoms
203. Medium Intensity Lowers LDL-C by 30-50% 213. Nephrotic Massive proteinuria (>3.5 g/day)
Statin Syndrome Hypoalbuminemia
Atorvostatin 10-20 mg Hyperlipidemia
Rosuvostatin 5-10 mg Lipiduria
Simvastatin 20-40 mg Edema
Provastatin 40-80 mg
Lovastatin 40 mg ***Susceptible to encapsulated
Fluvastatin 40 mg BID bacterial infection***
204. Menopausal USPSTF DOES NOT recommend using 214. Nocturnal Joint Suspect a bone tumor
Hormone Therapy combined estrogen and progestin in Pain in Younger
Recommendation postmenopausal women Patient
NOR
215. Non-nucleoside Bind at a different site of Reverse
recommend the use of estrogen in
Reverse Transcriptase from NRTIs
postmenopausal women who have had
Transcriptase Efavirenz, Nevirapine, Delaviridine
a hysterectomy
Inhibitors (NNRTIs) SE: Rash and hepatotoxicity
205. Metformin Decreases gluconeogenesis, increases
216. Nonpitting Leg Suspect Hypothyroidism (Myxedema)
glycolysis, and increases peripheral
Edema
glucose uptake
First line in DM II 217. Nonulcer Dx of Exclusion --> looks like GERD
Can cause GI upset and Lactic dyspepsia and PUD
Acidosis 218. NRTI (Nucleoside Bind to Reverse Transcriptase and
206. Migraine 15-45 year olds Reverse terminate DNA chain
Headache 3:1 female predominance Transcriptase Tenofovir (nucleotide), Didanosine,
Unilateral, pulsatile, moderate-to- Inhibitors) Lamivudine, and Zidovudine
severe pain, aggravation with SE: Bone marrow suppression,
movement peripheral neuropathy, anemia (AZT),
80% with Family Hx pancreatitis (Didanosine)
Sx: N/V, photo or phonophobia 219. NSAIDs That Can Salsalate
May experience paresthesias, Be Substituted if COX-2 Inhibitor
numbness, strange odors or speech Ulcers are Present Misoprostol
disturbances
220. Ocular Prophylaxis Prophylactic ocular topical medication
207. Mild Jaundice Gilbert Syndrome for Gonococcal for all newborns within 24 hours of
After Fasting or Family Hx of similar Ophthalmia birth
Infection Neonatorum
208. Most Common PCP infection 221. Osgood-Schlatter Anterior Tibial tubercle pain due to
Cause of Fever in micro avulsions of growth plate on the
HIV tibial tubercle where the patellar
209. Most Common GI bleeding tendon inserts
Causes of Blood Menstrual bleeding 222. Ottawa Rules for XR required if 1/3:
Loss Ankle Tenderness at posterior edge of
210. Most Common Non-small cell lung cancer: lateral malleolus
Form of Lung Adenocarcinoma Tenderness at posterior edge of
Cancer Squamous Cell Carcinoma medial malleolus
Large Cell Carcinoma Inability to bear weight both
immediately after injury or in the ED
211. Multiple, RA
Symmetric Join 223. Ottawa Rules for XR required if 1/3:
Involvement Foot Tenderness at base of 5th metatarsal
Tenderness at navicular
212. Negative Uric acid crystals --> Gout
Inability to bear weight both
Birefringement
immediately after injury or in the ED
Crystals
224. Ottawa Rules Age >55 237. Persistent - Moderate Symptoms daily and >1 nighttime
for Knee Isolated tenderness of patella Asthma symptoms/week
Tenderness at head of fibula
Inability to flex 90 degrees Tx with low-medium dose inhaled
Inability to bear weight both immediately CS + LABA and SABA
and in the ED
238. Persistent - Sever Continual symptoms with multiple
225. Painless Suggests bladder cancer (Transitional Cell Asthma beta2-agonist usage each day and
Hematuria Carcinoma), especially in people over 50 very frequent nightly symptoms
226. Pain That OA
Tx with high dose CS + LABA +
Increases With
Omalizumab and SABA
Usage
239. Person >40 with Further work up needed --> start
227. Pain with Joint or ligament involvement
Hematuria or with CBC, BUN, Cr and IVP
AROM and
Persistent Hematuria If IVP normal, then do cytoscopy
PROM of
for adults >40 years
Shoulder
240. PKU Screening in Screen all newborns for PKU within
228. Pain with Muscular and/or tendon injury
Newborns 24 hours of life (up to 7 days if
AROM Only of
necessary) with confirmatory
Shoulder
testing by 2 weeks of age
229. Palpable Henoch-Schönlein Purpura
241. Positive Calcium pyrophosphate crystals -->
Purpura,
Birefringement pseudogout
Arthritis,
Crystals
Abdominal Pain
242. Positive OGCT? Do the 100 g oral glucose
230. Palpitation + Pheochromocytoma
(>130 mg/dL) tolerance test (OGTT)
Acute Flushing,
Elevated BP 243. Pregnant Women with Do C/S
HIV Treat mother with AZT and infant
231. Palpitation + Hyperthyroidism
with AZT for 6 weeks
Exophthalmos
244. Preventative Vit D and VitD supplementation is effective in
232. Patellofemoral Overuse with muscular imbalance
Calcium to Prevent preventing falls in community-
Syndrome Repeated impact with knee in flexion
Fractures dwelling adults 65+ years old who
leads to inflammation of patellofemoral
are at increased risk of falls
groove
245. Prochlorperazine and Low potency typical antipsychotic
233. Pathologic Agoraphobia
Promethazine (D2 antagonists)
Anxiety is Depression
Most commonly prescribed drugs
Associated Phobias
in Fam Med
With Psychosis
Drug Usage
SE: Sedation and EPS in children
234. Peripheral BPV = otoliths
246. Prophylactic Aspirin The USPSTF DOES NOT
Vertigo DDx Acute Labyrinthitis = viral infection with
for the Prevention of recommend this due to risk of GI
inflammation
Colon Cancer hemorrhage
Ménière disease = increased pressure
leads to vertigo, tinnitus and hearing loss 247. Prophylactic Ocular 1.0% Tetracylcine or 0.5%
Damage to CN VIII = acoustic neuroma or Topical Treatments for Erythromycin ophthalmic ointment
ototoxic meds (loop diuretics, Gonococcal
aminoglycosides, and high dose Ophthalmia
salicylates) Neonatorum
235. Persistent Early Pregnancy 248. Prophylactic Use of Low dose aspirin (81 mg) after 12
Morning Increased intracranial pressure --> Aspirin in Pregnant weeks in women at high risk for
Vomiting possibly brain tumor Women preeclampsia
236. Persistent - Symptoms more than 2 times/week and
Mild Asthma >3-4 nighttime symptoms/month

Tx with low dose inhaled CS and SABA

249. Protease -navir 260. Risk Factors for Rapid growth
Inhibitors Inhibits protease, so new viruses can't Developing Iron Inadequate dietary intake
be produced Deficiency Anemia Blood loss
SE: Hyperglycemia, GI intolerance and Decreased absorption
lipodsystrophy Prematurity
250. Quadruple Used as 2nd line therapy or in areas with 261. Risk Factors for Falls Age
Therapy high Clarithromycin resistance Hx of falls
Hx of mobility problems
PPI (Omeprazole) Poor performance on Get-Up-
Bismuth and-Go Test
Tetracycline
262. Risk Factors For GI Men
Metronidazole or Tinidazole
Hemorrhage Other NSAID usage
251. Raltegravir Inhibits Integrase, preventing HIV Hx of GI ulcer
genome integration into host cell Uncontrolled HTN
chromosomes Anticoagulation
SE: Hypercholesterolemia
263. Risk Factors for Age 20-24
252. Rapid Urease Tissue sample analyzed for urease to Gonorrhea/Chlamydial New sex partner
Test detect H. pylori Infection in Women More than 1 sex partner
Requires EGD Sex partner with concurrent sex
partners
253. Recommendation Men 45-79 years old (MI protection)
Sex partner with an STI
for Aspirin Usage Women 55-79 (Stroke protection)
Inconsistent condom usage
Previous or coexisting STI
*Benefit of MI reduction must outweigh
Exchange of sex for money or
the risk of GI hemorrhage
drugs
254. Red-Colored Pyridium Incarceration
Urine without Rifampin Military recruits
Hematuria Black and Hispanic
255. Reiter Syndrome Chlamydia trachomatis 264. Risk Factors for HBV Country of origin
Conjunctivitis, Arthritis, and Urethritis Infection Lack of immunization in persons
Keratoderma blennorrhagia --> with parents from a
kyperkeratotic lesion on palms and soles country/region with high
Balanitis Circinate --> shallow, painless prevalence
ulcer on penis HIV infection
256. Renal Cell 90% have hematuria Injection Drug Users
Carcinoma Gene deletion on Chromosome 3 (VHL) Household or sexual contacts of
Can produce EPO, ACTH, PTHrP HBV-infected persons
Triad of Flank Pain, Hematuria, and Male homosexuals
Abdominal Mass Hemodialysis
Immunosuppressive therapy
257. Restrictions on Female patients must commit to two
Isotretinoin forms of birth control for at least 1 265. Risk Factors for HCV Past/present injection drug use
month prior to therapy, during therapy Infection Sex with an injection drug user
and 1 month after therapy Blood transfusion before 1992
Long term hemodialysis
258. RhD Screen all pregnant women during their
Born to HCV-infected mother
Incompatibility first visit for pregnancy related care
Incarceration
Screening
Repeated RhD Ab testing for all 266. Risk Factors for HIV Male Homosexuals
unsensitized RhD negative women at 24- Infection Active Injection Drug Users
28 weeks gestation, unless father is Exchanging Drugs for Sex or
known to be RhD negative Money
Sexual contact with a known HIV-
259. Risk Factor for Aniline Dyes
positive individual
Bladder Cancer Smoking
267. Risk Factors for BMI <21 281. Screening for 76-85: recommendation against
Osteoporosis in Women Smoker Colon Cancer in screening unless patient has risk factors
50-64 years old Daily alcohol use Adults >75 years >85: do not screen as there is no net
Parental fracture history benefit
White race
282. Screening for All infants should be screened for T4 and
268. Risk Factors for Hx of Preeclampsia Congenital TSH
Preeclampsia Multifetal gestation Hypothyroidism
Chronic HTN
283. Screening for The USPSTF DOES NOT recommend
DM
COPD screening for COPD in asymptomatic
Renal disease
adults using spirometry
Autoimmune disease
284. Screening for Screen adolescents 12-18 years old for
269. Risk Factors for Syphilis Male homosexuals
Depression in MDD when staff-assisted depression care
Infection Commercial Sex Workers
Adolescents supports are in place
Exchanging Sex for Drugs
Adult Correctional Facilities 285. Screening for Screen all adults 18+ when staff-assisted
Depression in depression care supports are in place
270. Rituximab Ab to CD20
Adults
Used for RA (with MTX) and for
B cell non-Hodgkin lymphoma 286. Screening for Screen adults with sustained high blood
DM Type 2 in pressure (treated or untreated) >135/80
271. Salmonella Diarrhea Poultry and eggs
Adults
Flagellar motility on microscopy
Many animal reservoirs: 287. Screening for Screen all person at high risk for
armadillos, turtle, birds HBV Infection in infection
Tx: avoid Abx unless disease is General
severe --> may prolong carrier Population
status 288. Screening for USPSTF has insufficient evidence to
272. Sandpaper Rash + Scarlet Fever Hearing Loss in determine the benefits of screening for
Strawberry Tongue, Adults hearing loss in asymptomatic adults over
Pharyngitis, and the age of 50
Circumoral Pallor 289. Screening for Screen all newborns
273. Sciatica is Common With L4-L5 and L5-S1 Hearing Loss in
Which Impingements Newborns

274. Scopolamine Anticholinergic used for 290. Screening for Screen all pregnant women
prophylaxis of motion sickness Hepatitis B in
Pregnant
275. Screening for AAA Men 65-75 who have ever
Women
smoked (A)
291. Screening for Screen all persons at high risk for
276. Screening for Abuse of USPSTF has insufficient
Hepatitis C infection
Elderly and Vulnerable evidence to recommend
Infection in
Adults screening
General Screen adults born between 1945 and
277. Screening for Alcohol Persons older than 18 years Population 1965
Misuse
292. Screening for Screen in adolescents and adults aged
278. Screening for Women at 12-16 weeks of HIV 15-65 years
Asymptomatic Bacteriuria pregnancy or first prenatal visit
if farther along Screen younger adolescents and older
adults at increased risk
279. Screening for Bladder The USPSTF DOES NOT
Cancer recommend this due to lack of
Screen all pregnant women for HIV
accurate screening methods
293. Screening for USPSTF DOES NOT recommend
280. Screening for Chronic USPSTF has insufficient
HSV screening asymptomatic pregnant
Kidney Disease information to recommend
women nor routine screening for
screening for CKD in
asymptomatic adolescents and adults
asymptomatic adults
294. Screening for Adults > 18 years 304. Screening for Screen Women 65 or older
HTN Osteoporosis OR
Women whose fracture risk is equal
295. Screening for USPSTF DOES NOT recommend
to or greater than that of a 65 year
Idiopathic screening for idiopathic scoliosis in
old white woman
Scoliosis in asymptomatic adolescents
Asymptomatic 305. Screening for USPSTF has insufficient evidence to
Adolescents Osteoporosis in Men recommend
296. Screening for Screen women of childbearing age for 306. Screening for Ovarian USPSTF DOES NOT recommend
Intimate Partner intimate partner violence and provide Cancer screening for ovarian cancer in
Violence or refer women who screen positive to women (no screening test that is
intervention services both sensitive and specific for it)
297. Screening for Iron USPSTF has insufficient evidence to 307. Screening for USPSTF DOES NOT recommend
Deficiency recommend screening asymptomatic Pancreatic Cancer screening for pancreatic cancer in
Anemia infants 6-12 months for Iron Deficiency asymptomatic adults
Anemia
308. Screening for Prostate USPSTF DOES NOT recommend
Cancer using PSA as a screen for prostate
Screen all asymptomatic pregnant
cancer
women
309. Screening for Syphilis Screen all pregnant women
298. Screening For USPSTF has insufficient evidence to
Infection
Lead Levels recommend screening symptomatic
Screen persons at increased risk
children 1-5 years at increased risk
for syphilis infection

USPSTF DOES NOT recommend 310. Screening Test for Urine culture
screening children 1-5 years with Asymptomatic
average risk Bacteriuria Dipstick and microscopy have poor
PPV and NPV
USPSTF DOES NOT recommend 311. Screening Test for Nucleic Acid Amplification Test
screening asymptomatic pregnant Gonorrhea/Chlamydia (NAAT)
women
312. Screening Test for Anti-HCV antibody testing, with
299. Screening for Men >35: Screen them HCV Infection confirmatory PCR testing
Lipid Disorders in Men 20-35: Screen if they have
313. Screening Test for HBsAg detection, regardless of
Adults increased CVD risk
Hepatitis B in previous negative HBsAg results
Pregnant Women
Women 20+: Screen them if they have
increased CVD risk 314. Screening Test for HITS (Hurt, Insult, Threaten, or
Intimate Partner Scream)
300. Screening for USPSTF has insufficient evidence to
Violence
Lipid Disorders in recommend screening children aged 1-
Children 1-20 20 315. Screening Test for Lipid Panel: Total Cholesterol, LDL-
Lipid Disorders C, HDL-C, Triglycerides
301. Screening for Annual screening for lung cancer with
Lung Cancer low dose CT in adults 55-80 with a 30 316. Screening Test for Otoaccoustic Emissions Test (OAE)
pack year smoking history + smoking Newborns' Hearing
currently If failed OAE test, then follow up
OR with Auditory Brainstem Response
30 pack year smoking history and quit (ABR)
in the past 15 years 317. Screening Test for Guthrie Bacterial Inhibition Assay
302. Screening for Screen all adults and refer adults with PKU Automated Fluorometric Assay
Obesity in Adults BMI >30 to intensive, multicomponent Tandem Mass Spectrometry
behavioral interventions 318. Screening Test for Thin-layer isoelectric focusing
303. Screening for Screen children 6+ years for obesity SCD OR
Obesity in and refer to comprehensive, intensive High performance liquid
Children and behavioral intervention chromatography
Adolescents
319. Screening Test RPR, with confirmatory test by Fluorescent 332. Sickle Cell Screen all newborns for SCD with
for Syphilis Treponemal Antibody (FTAb) or Disease confirmatory testing no later than 2
Treponema palladium particle Screening months of age
agglutination test (TPPA)
333. Signs of B12 Abnormal reflexes
320. Screening Test Pap smear --> increased risk of cervical Deficiency Ataxia
for Woman cancer Babinski sign
With HIV STD evaluation Poor position and vibration sense
321. Screening AUDIT, AUDIT-C, or number of times 334. Signs of Cauda Difficulty urinating --> Overflow
Tests for person drank >5 (4 if woman or older than Equina incontinence
Alcohol Misuse 65) drinks in the past year Syndrome Fecal Incontinence
Progressive Weakness
322. Screening Fecal Occult Blood Testing (annually)
Saddle Anesthesia
Tests for Sigmoidoscopy (Q5 years)
Colorectal Screening Colonoscopy (Q10 years) 335. Signs of Iron Cheilosis of mouth
Cancer Deficiency Koilonychia (spoon-shaped nails)
Brittle nails
323. Screening Fasting plasma glucose
Tests for DM II 2 hour post-load plasma glucose 336. Skin Cancer Counsel all children, adolescents and
HgbA1C Counseling adults 10-24 years of age with fair skin
about minimizing exposure to UV radiation
324. Screening Rapid screening test (positive results
Tests for HIV requires work up) 337. Skin Cancer USPSTF has insufficient evidence to assess
Screening benefits and harms of skin cancer
Serum testing: ELISA, followed by screening
confirmatory Western Blot
338. Small Cell (Oat Central
Immunofluorescent assay
Cell) May produce ACTH, ADH, or Abs to
325. Screening DEXA of hip and lumbar spine Carcinoma presynaptic Ca2+ channels
Tests for Quantitative US of the calcaneus Amplified myc gene
Osteoporosis
339. Spinal Stenosis Usually seen in Adults >50 years
326. Serologic and Serologic:
Fecal Antigen Noninvasive, inexpensive Pain/paresthesias of lower extremities or
Test for H. Remains indefinitely positive if patient has back
pylori ever been infected Pseudoclaudication

Fecal: **Symptoms worsen with standing or

Inconvenient, inexpensive back extension**
Can be used to test for cure
340. Spondylisthesis Forward subluxation of a vertebral body,
327. Serotonin Mostly used for chemotherapy nausea usually in L4-L5 or L5-S1
Antagonists
341. Spondylolysis Older than 10 years old
(Ondansetron)
328. Serum Iron Sideroblastic Anemia Caused by hyperextension, with back and
Increased in buttock pain accompanied by lordosis
Microcytic with activity and tight hamstrings
Anemia
342. Squamous Cell Central
329. Sexual Activity Gonococcal pharyngitis Carcinoma More common in Men
+ Greenish Associated with cigarette smoking
Exudates and Hypercalcemia due to PTHrP
Dysuria Cavitation with keratin pearls
330. Shigella Reservoirs only in humans and primates 343. Stigmata Of Hair loss
Diarrhea Acute onset bloody diarrhea Systemic Temporal wasting
Tx: Fluoroquinolone; TMP-SMX if sensitive Disease Pallor
Poor hygiene
331. Short PR WPW Syndrome
Bruising
Interval with Associated with Paroxysmal
Jaundice
Delta Wave Supraventricular Tachycardia
Diminished orientation
344. Straight Leg Raising Test Ipsi: more sensitive for 354. Tension Headache Mild-to-moderate pain in B/L
herniated disk (pain = positive occipital-frontal areas
herniated disk) Associated with stress, muscle
contraction
Contra: more specific for No N/V or sleep awakening
herniated disk (no pain =
355. Testicular Cancer USPSTF DOES NOT recommend
negative herniated disk)
Screening screening for testicular cancer in
345. Sudden Onset of Pain, Gout adolescent or adult men
Erythema, Limited Range
356. Test used to screen for Abdominal duplex
of Motion, and Swelling
AAA ultrasonography
346. Sudden Onset of Severe Gout
357. Thiazolidinediones Increase insulin sensitivity in
Knee Pain in Middle Aged
(TZDs) peripheral tissue by binding to
Man
PPAR-gamma
347. Suicide Risk in USPSTF has insufficient -glitazones
Adolescents, Adults, and evidence to assess benefits and Can cause MI, hepatotoxicity,
Older Adults harms of screening for suicide weight gain, and heart failure
risk
358. Timing of Congenital Between 2-4 days of age
348. Sulfonylureas Close K+ channel in Beta cells - Hypothyroidism
-> stimulate insulin release Screening
Glyburide, Glimepiride and
359. Timing of Screening for At first prenatal visit
Glipizide
HBV in Pregnant
Can cause weight gain and
Women At hospital for birth in women
hypoglycemia
with unknown status or
349. Sxs of Pneumonia High Fever continuing risk factors for HBV
Dyspnea infection
CP
360. Tonsillar and Palatal Herpangina --> caused by
Hypoxia or cardiopulmonary
Ulcerations Coxsackie virus
failure
361. Transaminases Elevated Suggests liver dysfunction
350. Sxs of Sinusitis Purulent nasal discharge
out of Proportion to
Facial pain exacerbated by
Alkaline Phosphatase
leaning forward
Maxillary toothache 362. Trauma + Shoulder Pain Rotator cuff tear
OR
351. Systemic Signs of HIV Sinusitis
Dislocation/Subluxation
Infection Oral Thrush (Candida)
CMV Retinitis 363. Treatment for AAA >5.5 cm --> surgery
Toxoplasmosis 3.0-5.4 cm --> repeated
Cryptococcal meningitis surveillance Q3-12 months
Kaposi Sarcoma (HHV-8) Growth >1.0 cm/yr --> surgery

352. Systolic CHF Decreased contractility of LV -- 364. Treatment for Alcohol Behavioral Counseling
> reduced EF (<45%) Misuse interventions
365. Treatment for Nitrofurantoin
Dilated cardiomyopathy Asymptomatic
353. Temporal Arteritis Unilateral, erythematous Bacteriuria
tenderness in temporal region 366. Treatment for Confirmatory testing and thyroid
in elderly persons Congenital hormone replacement within 2
Increased ESR usually Hypothyroidism weeks after birth
Dx requires Bx of temporal
367. Treatment for HBV Pegylated Interferon-Alpha-2a
artery
entecavir
Start CS if suspected --> can
Tenofovir
lead to blindness if not treated
368. Treatment for HBV Infants should receive HBV
infection of pregnant vaccine and HBIG within 12 hours
women of birth
369. Treatment for HCV Pegylated Interferon 384. Tx for Anxiety BZD
Infection plus SSRIs
Ribavirin for 48 weeks Buspirone
Gabapentin
370. Treatment for Adequate Calcium and Vit D
Beta blockers
Osteoporosis intake
Weight-bearing exercise 385. Tx for Atopic Avoid hot water baths or showers
Bisphosphonates (inhibit Dermatitis Emoliant, like Aquaphor
osteoclast activity) Antihistamines
PTH Topical CS
Raloxifene (SERM) Trigger avoidance
Denosumab (Ab to RANKL) Tars
371. Treatment for Rest
Tacrolimus and Pemecrolimus
Patellofemoral NSAIDs
Syndrome Ice 386. Tx for Benzos Phenobarbital or long-acting Benzos
Nonimpact activities Withdrawals
372. Treatment for PKU Phenylalanine restrictions 387. Tx for Blepharitis Eyelid hygiene with diluted baby
instituted shortly after birth shampoo
373. Treatment for SCD in Prophylactic Penicillin by 2 388. Tx for Chronic Intralesional steroid injections or
newborns months of age Chalazion surgical drainage
374. Treatment of BV Oral Metronidazole or oral 389. Tx for Cluster Avoid known precipitants
Clindamycin Headaches 100% O2 for 15 minutes
or Sumatriptan
Vaginal Metronidazole or NSAIDs, Propanolol, Amitriptyline,
Vaginal Clindamycin creams Lithium
375. Treatment of HTN for All ACE-I 390. Tx for Gastroparesis Metoclopramide (Reglan)
Races with CKD +/- DM ARB
391. Tx for Hordeolum Warm compresses and topical Abx
376. Treatment of HTN for Thiazide Diuretic
392. Tx for Iritis Cycloplegic and anti-inflammatory
Black without CKD CCB
meds
377. Treatment of HTN for Thiazide Diuretic
393. Tx for Migraines Avoiding headache triggers,
Non-Black without CKD ACE-I
withdrawal from stressful
ARB
environments and rest
CCB
Avoid caffeine, chocolate, alcohol,
378. Treatment of Osgood- Relative rest tyramine, nitrates and artificial
Schlatter Ice sweeteners
NSAIDs NSAIDs, acetaminophen, antiemetics,
Stretching exercises caffeine
***Triptans are most common
379. Triple Therapy Amoxicillin (Metronidazole if
abortive agents***
allergic)
Clarithromycin 394. Tx for Mild COPD SABA (Albuterol) or Anticholinergic
PPI (Omeprazole) (Ipatropium)
380. Twisting Injury of Knee Meniscal tear 395. Tx for Mild, Topical Retinoid at night
Minimally Benzoyl peroxide
381. Tx for AC sprains NSAIDs and sling
Inflammatory Acne
382. Tx for Acute CHF Nitroglycerin
396. Tx for Mild, Topical Retinoid at low strength
Exacerbation ACE-I (ARB if can't tolerate)
Noninflammatory
Loop Diuretic
Acne
Beta blocker (on d/c)
Spironolactone if EF <35% 397. Tx for Moderate SABA or Anticholinergic
COPD AND
383. Tx for Alcohol Long-acting Benzos -->
LABA or long-acting anticholinergic
Withdrawals Diazepam or Chlordiazepoxide
(Librium) 398. Tx for Moderately Topical Retinoid
Inflammatory Acne Oral Abx
399. Tx for Opiate Methadone +/- Clonidine 411. Vibrio cholerae Comma-shaped organisms
Withdrawal Diarrhea Rice-water diarrhea --> copious
amounts
400. Tx for Zosyn (Pipercillin/Tazobactam)
Tx: Oral rehydration therapy;
Pseudomonas Cefepime
Doxycycline for adults and
Imipenem
Azithromycin for children/pregnant
Meropenem
women
PLUS Ciprofloxacin or Levofloxacin 412. Viral Diarrhea Norovirus (Norwalk) = adults,
usually on cruises
401. Tx for Severe SABA, LABA, Anticholinergic (short and/or
Rotavirus = children, often in day
COPD long-acting)
care
AND
Inhaled CS 413. Visual Impairment Screen children 3-5 years old to
Screening in Children detect amblyopia or its risk factors
402. Tx for Severe Isotretinoin alone
1-5
Inflammatory OR
USPSTF has insufficient evidence
Acne Topical Retinoid
to recommend screening in
Oral Abx
children 1-3
Isotretinoin
414. Vitamin USPSTF DOES NOT recommend
403. Tx for Penicillin
Supplementation to using Beta-Carotene or Vit E
Streptococcal Allergic to PCN: Clindamycin, Erythromycin,
Prevent CVD or supplements to prevent CVD or
Pharyngitis or Azithromycin
Cancer Cancer
404. Tx for Tension Avoidance of stress or improved stress
415. Vit D Deficiency USPSTF has insufficient evidence
Headache management
Screening to assess benefits and harms of
NSAIDs or Acetominophen
screening in children under 18
Amitriptyline
years old
405. Tx for Torn NSAIDs, physical therapy and possibly
416. Vomiting Centers in Medullary Reticular Formation
Rotator Cuff surgery
Brain Chemoreceptor Trigger Zone in
406. Tx for Very SABA, LABA, Anticholinergic (short and/or 4th ventricle
Severe COPD long-acting)
417. Weight Loss + Oral Suspect HIV
AND
Thrush
Inhaled CS
418. Weight loss and Suspect Carcinoma at the head of
Consider O2 Therapy as well jaundice the pancreas
407. Tx of BPV = Epley maneuver to relocate debris; 419. When to Screen Before 1 month of age
Peripheral can symptomatically tx with Meclizine, Newborns for Hearing
Vertigo Dimenhydrinate, Antiemetics, and Benzos Loss Confirmatory testing before 3
Méniére's Disease = Acetazolamide or months of age if failed first test
HCTZ
420. XR of OA Nonuniform joint space narrowing,
408. Tx of Hydration changes in subchondral bone and
Rhinosunusitis OTC analgesics and decongestants osteophytes
Guaifenesin
**XR severity doesn't correlate to
Symptoms for 7-10 days: Amoxicillin or the severity of disease**
Cefuroxime (Clarithromycin, TMP-SMX if
421. XR of RA Periarticular soft tissue swelling,
allergic)
periarticular osteopenia, uniform
409. Unilateral Leg Suspect DVT --> Get U/S loss of joint space and bony
Edema erosion
410. Urea Breath Patient ingests Urea with radio labeled 422. Younger, Low Risk Tx with ASA
Test Carbon Patients with A-fib **No need for anticoagulation**
Measures exhaled radio labeled Carbon
423. Young Individual with Gonococcal septic arthritis
Red, Swollen Joint and
Elevated Temperature