Good to Know
• Expect one question related to dental injury [i.e. completely avulsed permanent tooth should be reimplanted ASAP! It can be transported
... [Show More] to dentist in cold milk (not frozen milk)
• May be a question on epidemiologic terms (i.e. sensitivity is defined as the ability of a test to detect a person who has the disease. Specificity is defined as the ability of a test to detect a person who is healthy or detect the person without the disease)
• Learn definition of some research study designs: cohort follows a group of people who share some common characteristics to observe the development of a disease over time – Framingham nurses health study
• Emergent conditions that will present in primary care clinics will be on the exam: navicular fracture, MI, cauda equina syndrome, anaphylaxis, angioedema, meningococcal meningitis
• Know some anatomic areas: trauma to Kiesselbach’s plexus = anterior nosebleed
• Some questions ask about “gold-standard test” or the “diagnostic test for the condition”: sickle cell anemia, G6PD anemia, and alpha/beta thalassemia = hgb electrophoresis
• Disease states are usually presented in their “full-blown classic” textbook presentation: acute mononucleosis, teen will have classic triad of sore throat, prolonged fatigue, and enlarged cervical nodes. If patient is older with same signs/symptoms, it is still mononucleosis reactivated type
• Ethic background may provide clues to disease: alpha thal = southeast Asia / Filipinos; beta thal = Mediterranean
• NO ASYMPTOMATIC or BORDERLINE CASES OF DISEASE STATES WILL BE ON THE EXAM: IDA in “real life” don’t present often with pica or spoon-shaped nails, on the exam they will have these clinical findings
• Be familiar with lupus and SLE: malar rash (butterfly) = lupus. Instruct patient to avoid / minimize sun exposure r/t photosensitivity.
• Be familiar with polymyalgia rheumatica (PRM): 1st line tx is long-term steroids. Long-term, low-dose steroids are commonly used to control symptoms (pain, severe stiffness in shoulders [Show Less]