Probenecid vs zllopurinol considering /depending if oversecreting or under secreting
Bpv vs menieres treatement. Patient complained of fullness in the ear that’s why I chose salt restriction,
but thinking back he didn’t have the triad and it lasted moments
Rheumatoid=physical therapy? Give wheel chair, guy wants a power wheel chair to after he broke his
old one and he wants you to get insurance t give him a power ne instead but they need your clearance
24 hour ecg testing patient complaining of rapid n, heart beats that last for secs
Tilt table testing for syncope, I think it happens when the patient rolls out of bed or changes neck
position
Oseltamivir when to give
Asthma=spirometry
Gliptin vs thalidone which one gives hypoglycemia
Bitch just got a pap smear last year and want another one cs her friend or sister or mother died of
cervical cance would you give it to her
Brther had colon cancer at 50 when to start screening
Gynecmasitia In small boy
Child looking down, cd about get sick from touching door knbs, also inattentive and also sometimes
seems to have more energy thana her class mates
ADHD
fr a new treatement that dienst work better than the current gerd treatement, random study with 1200
people
P value, chi, null etc it wad 0.5
Sensitivity what decreases risk of stroke, cigarette or alcohol or execrcise
Rotaot rcuff tear, pain/ decrease pasiive and active range of motion over head, nral muscle strength, old
man swimmer
Renal artery stenosis what increases first rennin?
Tenosynovitis in kid who Is limping Transient synovitis
DDx in kiddos with a limp
50% have recent URT
Triglycerides 600 and ldl 250 whay drug do you give
Nee and patellar reflex
Appendicitis in old guy? Cos he has lower left sided pain, closest answer was diverticulitis
Lady with pain lower left abdomen and radiating to her groin
When to admit for oneumnia and if the person in resistant t fluoroquinlones what do you
give,notrofurantoin/ cefo?
Dumb ass kids where trwing peanuts at each other and catching it in their mouth, dumb ass lady was
watching them, later he startedbreathing fast and ung exam showed decresed breath
sonds=atelectasis?
Guy used to work on brakes and coughing and pleural plaques on xrayetc =pleural disease
Kid whi is 2 can draw straight line but cant repeat a circle, and can jump but cant hop on one foot, can talk but can
bearly nderstand him
Gross moro vs fine motor vs language/
Guys girlfriend has trichonomas, but hes a symptomatic what woud=ld you do treat him? And if you do what will you
give him
Compression frcture after ligting boxes, osteoporosis what is first line
Disc herniation
Atopic dermatitis , guy sctatching head, also dirty red spot on face that’s peeling can you
CHILD 60 percentile I weight and 50 percentile In high has hypotension, and mcv is over 100 and forgot
somethingg low I thik iron, what question due you ask abut dies, if any one f the family got spleen
removed, suspect child abuse etc
Iron def anemia lady 56 years ld from lybia low mcv but mormal ferreting, its actually thalaseemia
Folic acid in pregnancy
Guy has stable angina and doesn wanna do surgery for cath cos hes afraid of risk, he says he read
somewhere that yu can control everything with meds, will you give I just meds or force him to fdo thee
syrgery
Benign paroxysmal positional vertigo (BPPV) is the most common form of positional vertigo,
accounting for nearly one-half of patients with peripheral vestibular dysfunction. BPPV is
most commonly attributed to canalithiasis within a semicircular canal. Observing nystagmus
during a provoking maneuver solidifies the diagnosis of BPPV in patients with a typical history.
Treatment involves particle repositioning maneuvers. In patients with posterior canal BPPV,
the best evidence of efficacy is with the Epley maneuver.
Ovarian cancer constipation etc
When to do carotid massage
When to use ivc filter
Premature ventricular complex treeateent
Copd =anticholinergic?Copd =anticholinergic?
Pulmonary nodule with calcification
Bloating abdominal disten tion andconstipation dermatitis herpetifrmisd
Patient with thrombocytopenia , go ahead with surgery or peat lab test tin next visit to make sure it goes
up before starting
Ebv,splenomegaly etc asked for what bug that cause the flu like symptoms in a teen
Values to diagnose diabetes
Girl friend had type 1 diabetes, he keeps passing out and having hypoglycemia symptoms
=factitious so check c-peptide
Major depressive
Patient has intention tremor bilaterally, but everything else normal,except mild fprgetfullness and family
says he doesn’t participate in family discussions as well as he sould/ I did an auditory test
Mother cries more often now, yell at her kids a lot, drinks 3 cups f coffee a day ??? she is also on
steroids, rapid change in behavior due to psych or substance or drug
Ultiple sclerosis patient weakness in upper and lower extremities,asked what is her pregnancy
prognosis=I pickedshe might need a c-section.other options were saying like the baby will be affected or
the drugs she is taking will cross the placenta
Epidydimitis
Squamous cell carcinoma on old man=excision?
Multiple people had bloody diarrhea ater dinner, I picked shigella
Seborrheic dermatitis =same pic iin step up, also scrsatches his head a lot
IBS=gave loperamide
Alcoholic guy, he been to classes, lost lisence, went to jail, wive left him, gave him disulfiram
Pyelonephyritis
Haloperidol in elderly? Givento her due to multiple agitations during her admission
Hypochondria=schedule visit next week
