When should pediatrics be screened for hyperlipidemia?
between 9 and 11 years old
What is the tell-tale symptom of endometriosis?
progressive
... [Show More] dysmenorrhea
What is treatment for first-line endometriosis?
cyclic OCPs and NSAIDs
How is endometriosis diagnosed?
via transvaginal ultrasound
What are risk factors for the development of cervical cancer?
HIV, immunocompromised, low socioeconomic status, smoking, hispanic, DES daughters, long term contraceptive use
What does the D in melanoma stand for?
greater than 6mm in diameter or 1/4 of an inch
Boutonniere deformities are indicative of what disease?
rheumatoid arthritis
What are the potassium sparing diuretics?
spironolactone, triamterene, amiloride, eplenerone
What class of diuretic is bumetanide?
a loop diuretic, same as lasix
What is Chovstek's sign?
a contraction of ipsilateral facial muscles subsequent to percussion over the facial nerve, indicative of hypocalcemia
What is Trousseau's sign?
a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, indicative of hypocalcemia
Calcium is in an inverse relationship with what electrolyte?
phosphorous
When you see the trigger word "christmas tree", what rash should you consider?
pityriasis rosea
What is the recommended treatment for pityriasis rosea?
nothing; it is a viral rash and can last up to two months before clearing on it's own
Causing harm or damage
deleterious
How do you calculate ideal body weight for men?
start at 106 pounds and then add 6 for every inch above 5 feet
How is lichen sclerosus treated?
topical steroids, topical calcineuronin inhibitors to suppress the immune system, topical or oral retinoids, phototherapy
What is the tell-tale sign of malignant hypertension?
retinopathy and blurred vision; characterized by a diastolic BP of greater than 130
What is the difference between a Parkinsonian tremor and an essential tremor?
a Parkinson tremor is also known as a resting tremor and is seen at rest, may look like pill-rolling. an essential tremor is bilateral, symmetric and seen when the hands are doing something
What can worsen and improve an essential tremor?
worsened by stress or fatigue, improved by alcohol
What is first-line treatment for trigeminal neuralgia?
carbamazepine (tegretol) or amtriptyline
Are Parkinsonian tremors unilateral or bilateral at first?
unilateral
Where is the TMJ best palpated?
anterior to the tragus
What are the primary bacteria in dog bites?
staph, strep, and pasteurella
What is the gold standard treatment of giant cell arteritis?
oral steroids and potential artery biopsy by rheum
Who is a candidate for Truvada for Prep?
if you are an IV drug user, have had a sexual partner with HIV in the last 6 months, do not consistently use a condom and engage in anal or vaginal sex, or have been diagnosed with a STD in the last 6 months
Post exposure prophylaxis for someone with HIV should be completed when?
within 72 hours of the exposure
Who should be screened for HIV?
everyone at least once from age 13-64 if low risk, and then more frequently if high risk
Should patients undergo gonorrhea testing to confirm a cure after receiving treatment?
only if they had pharyngeal gonorrhea, not vaginal or anal
Tanner stage 1 female breast developmental
prepubertal
Tanner stage 2 female breast development
thelarche; the breasts bud as a small mound and the areola increases in diameter
Tanner stage 3 female breast development
the areola, breast, and nipple grow together in one mount
Tanner stage 4 female breast development
the areola and nipple separate from the breast to form a secondary mound
Tanner stage 5 female breast development
mature nipples project only
Tanner stage 1 male genital development
prepubertal
Tanner stage 2 male genital development
testicles and scrotum enlarge
Tanner stage 3 male genital development
testicles continue to enlarge and the penis lengthens
Tanner stage 4 male genital development
penis lengthens, testicles enlarge, and the scrotum darkens
Tanner stage 5 male genital development
mature
Antibiotic of choice for lyme disease
doxycycline
Antibiotic of choice for cellulitis
keflex or cefdinir
Antibiotic of choice for chlamydia
azithromycin [Show Less]