Podcast
Questions and Answers
In the context of sickle cell disease, what is one way to prevent exacerbations?
In the context of sickle cell disease, what is one way to prevent exacerbations?
What is the recommended action for a female patient with external genital warts showing a flower-like appearance?
What is the recommended action for a female patient with external genital warts showing a flower-like appearance?
Which diagnostic test result indicates effective treatment for an elderly patient on oral iron supplements?
Which diagnostic test result indicates effective treatment for an elderly patient on oral iron supplements?
What is the most common cause of jaundice within 5 to 10 days after birth due to infrequent feeding?
What is the most common cause of jaundice within 5 to 10 days after birth due to infrequent feeding?
Signup and view all the answers
For a pediatric patient at 6 months of age, which condition would warrant a referral to an ophthalmologist?
For a pediatric patient at 6 months of age, which condition would warrant a referral to an ophthalmologist?
Signup and view all the answers
In the context of asthma, what does an FEV1 value greater than 80% suggest about the condition?
In the context of asthma, what does an FEV1 value greater than 80% suggest about the condition?
Signup and view all the answers
Which reflex in a 9-month-old well-child visit should prompt further evaluation?
Which reflex in a 9-month-old well-child visit should prompt further evaluation?
Signup and view all the answers
An adolescent with menorrhagia and frequent epistaxis is likely to be diagnosed with:
An adolescent with menorrhagia and frequent epistaxis is likely to be diagnosed with:
Signup and view all the answers
Which medication contributed to the sudden development of shortness of breath and congestive heart failure in a patient with osteoarthritis?
Which medication contributed to the sudden development of shortness of breath and congestive heart failure in a patient with osteoarthritis?
Signup and view all the answers
What is the likely causative agent of acute otitis media?
What is the likely causative agent of acute otitis media?
Signup and view all the answers
In a patient with grade 3 and 4 acne who is allergic to Tetracycline, what would be an appropriate alternative antibiotic?
In a patient with grade 3 and 4 acne who is allergic to Tetracycline, what would be an appropriate alternative antibiotic?
Signup and view all the answers
For a patient treated for Lyme disease with Doxycycline but returns with incomplete resolution of symptoms, what would be the next appropriate step?
For a patient treated for Lyme disease with Doxycycline but returns with incomplete resolution of symptoms, what would be the next appropriate step?
Signup and view all the answers
What lab test should be ordered to further evaluate a hypercalcemic patient with a calcium level of 11.0?
What lab test should be ordered to further evaluate a hypercalcemic patient with a calcium level of 11.0?
Signup and view all the answers
In a patient with atrophic vaginitis, what is the appropriate treatment?
In a patient with atrophic vaginitis, what is the appropriate treatment?
Signup and view all the answers
A patient on inhaled corticosteroids for asthma shows understanding of the medication if they mention it will:
A patient on inhaled corticosteroids for asthma shows understanding of the medication if they mention it will:
Signup and view all the answers
What is the most appropriate next step in the management of a patient with pneumonia who did not have complete symptom resolution after treatment with Amoxicillin?
What is the most appropriate next step in the management of a patient with pneumonia who did not have complete symptom resolution after treatment with Amoxicillin?
Signup and view all the answers
In a patient with ischemic heart disease, which medication is the best option?
In a patient with ischemic heart disease, which medication is the best option?
Signup and view all the answers
A male adolescent presents with gynecomastia. What is the initial management approach?
A male adolescent presents with gynecomastia. What is the initial management approach?
Signup and view all the answers
What is the most appropriate action for a pregnant woman with no detected Rubella titer?
What is the most appropriate action for a pregnant woman with no detected Rubella titer?
Signup and view all the answers
In a patient with persistent pain and symptoms after falling on outstretched hands, what diagnostic test should be ordered?
In a patient with persistent pain and symptoms after falling on outstretched hands, what diagnostic test should be ordered?
Signup and view all the answers
What is the most appropriate next step in the management of a patient post-MVA with normal scan but neck pain?
What is the most appropriate next step in the management of a patient post-MVA with normal scan but neck pain?
Signup and view all the answers
For a female presenting with knees unusually close and feet unusually apart, what is the likely diagnosis?
For a female presenting with knees unusually close and feet unusually apart, what is the likely diagnosis?
Signup and view all the answers
In a patient with mild redness of oropharynx, clear nasal discharge, and no fever or adenopathy, what is the likely diagnosis?
In a patient with mild redness of oropharynx, clear nasal discharge, and no fever or adenopathy, what is the likely diagnosis?
Signup and view all the answers
A patient with an A1C of 6.3%, LDL of 195, and triglycerides of 148 on metformin, hypertension, and diabetes, should start which medication?
A patient with an A1C of 6.3%, LDL of 195, and triglycerides of 148 on metformin, hypertension, and diabetes, should start which medication?
Signup and view all the answers
What is the recommended action for a patient with mild uterine prolapse experiencing difficulty and pain in walking?
What is the recommended action for a patient with mild uterine prolapse experiencing difficulty and pain in walking?
Signup and view all the answers
Which organism is a common causative agent of olecranon septic bursitis?
Which organism is a common causative agent of olecranon septic bursitis?
Signup and view all the answers
What is the correct action to take for a patient with GERD who recently developed Barrett's esophagus and has had their insurance stop covering the specialist?
What is the correct action to take for a patient with GERD who recently developed Barrett's esophagus and has had their insurance stop covering the specialist?
Signup and view all the answers
What is the diagnosis for a patient who complains of arms becoming shorter and reports visual issues?
What is the diagnosis for a patient who complains of arms becoming shorter and reports visual issues?
Signup and view all the answers
What is the fluorescent stain used to diagnose dendritic lesions associated with herpetic simplex keratitis?
What is the fluorescent stain used to diagnose dendritic lesions associated with herpetic simplex keratitis?
Signup and view all the answers
What is the most appropriate action to take for a patient presenting with unsteady gait, bilateral resting tremors, and intact memory?
What is the most appropriate action to take for a patient presenting with unsteady gait, bilateral resting tremors, and intact memory?
Signup and view all the answers
For a female patient with external genital warts resembling a flower-like appearance, what would be the most appropriate next step?
For a female patient with external genital warts resembling a flower-like appearance, what would be the most appropriate next step?
Signup and view all the answers
A patient presents with angina, what medication would be most appropriate according to new studies?
A patient presents with angina, what medication would be most appropriate according to new studies?
Signup and view all the answers
What is the most likely diagnosis for a patient complaining of pounding headache pain relieved by analgesics?
What is the most likely diagnosis for a patient complaining of pounding headache pain relieved by analgesics?
Signup and view all the answers
In a patient diagnosed with actinic keratosis, what type of cancer is most likely to develop if left untreated?
In a patient diagnosed with actinic keratosis, what type of cancer is most likely to develop if left untreated?
Signup and view all the answers
For a male patient presenting with ABCDE features of malignant melanoma, what would be the most likely diagnosis?
For a male patient presenting with ABCDE features of malignant melanoma, what would be the most likely diagnosis?
Signup and view all the answers
What test should be ordered for a patient who presents with persistent pain and symptoms in the scaphoid bone 10 days after falling on outstretched hands?
What test should be ordered for a patient who presents with persistent pain and symptoms in the scaphoid bone 10 days after falling on outstretched hands?
Signup and view all the answers
In a hyperlipidemic patient who started on simvastatin and presents with muscle pain, fatigue, and CPK of 450, what should be the next step?
In a hyperlipidemic patient who started on simvastatin and presents with muscle pain, fatigue, and CPK of 450, what should be the next step?
Signup and view all the answers
For a female patient with knees unusually close together and feet apart, what diagnosis is most likely?
For a female patient with knees unusually close together and feet apart, what diagnosis is most likely?
Signup and view all the answers
A patient with progressively decreasing renal function should discontinue which medication?
A patient with progressively decreasing renal function should discontinue which medication?
Signup and view all the answers
What is the recommended treatment for a patient with COPD on LABA who needs the next step in therapy?
What is the recommended treatment for a patient with COPD on LABA who needs the next step in therapy?
Signup and view all the answers
In a pregnant woman with no detected Rubella titer, when should the Rubella vaccine be administered?
In a pregnant woman with no detected Rubella titer, when should the Rubella vaccine be administered?
Signup and view all the answers
What is a potential complication of using Echinacea herbal daily in an asthmatic patient?
What is a potential complication of using Echinacea herbal daily in an asthmatic patient?
Signup and view all the answers
Which of the following conditions is not a differential diagnosis for right lower quadrant pain?
Which of the following conditions is not a differential diagnosis for right lower quadrant pain?
Signup and view all the answers
Which scenario is not typically associated with Salmonella infection?
Which scenario is not typically associated with Salmonella infection?
Signup and view all the answers
What symptom is characteristic of descending colon cancer?
What symptom is characteristic of descending colon cancer?
Signup and view all the answers
Which lab result would indicate improvement in an elderly patient's health after 3 months of dietary and lifestyle changes?
Which lab result would indicate improvement in an elderly patient's health after 3 months of dietary and lifestyle changes?
Signup and view all the answers
What is a risk factor for the development of breast cancer?
What is a risk factor for the development of breast cancer?
Signup and view all the answers
What is the next recommended action for a patient with Barrett's esophagus who had their insurance coverage dropped by the specialist?
What is the next recommended action for a patient with Barrett's esophagus who had their insurance coverage dropped by the specialist?
Signup and view all the answers
Which organism is commonly associated with olecranon septic bursitis?
Which organism is commonly associated with olecranon septic bursitis?
Signup and view all the answers
What is the correct diagnosis for a patient who experiences presbyopia?
What is the correct diagnosis for a patient who experiences presbyopia?
Signup and view all the answers
What daily calcium dose is recommended for pregnancy?
What daily calcium dose is recommended for pregnancy?
Signup and view all the answers
In a patient presenting with mild uterine prolapse and difficulty in walking, what surgical procedure is recommended?
In a patient presenting with mild uterine prolapse and difficulty in walking, what surgical procedure is recommended?
Signup and view all the answers
Which lab test should be ordered for further evaluation in a hypercalcemic patient with a calcium level of 11.0?
Which lab test should be ordered for further evaluation in a hypercalcemic patient with a calcium level of 11.0?
Signup and view all the answers
In a patient with ischemic heart disease, which medication is the best option for management?
In a patient with ischemic heart disease, which medication is the best option for management?
Signup and view all the answers
A patient's spouse on Olanzapine (Zyprexa) reports persistent depression and excessive sleep. What initial action should be taken before adjusting medications?
A patient's spouse on Olanzapine (Zyprexa) reports persistent depression and excessive sleep. What initial action should be taken before adjusting medications?
Signup and view all the answers
What diagnosis is most likely in a patient with plaque-like scaly and itchy skin on the elbows, knees, and trunk, with a positive Auspitz sign?
What diagnosis is most likely in a patient with plaque-like scaly and itchy skin on the elbows, knees, and trunk, with a positive Auspitz sign?
Signup and view all the answers
For a 61-year-old female with atrophic vaginitis, what is the most appropriate treatment?
For a 61-year-old female with atrophic vaginitis, what is the most appropriate treatment?
Signup and view all the answers
In a male adolescent with gynecomastia that persists beyond 2 years, what is the recommended course of action?
In a male adolescent with gynecomastia that persists beyond 2 years, what is the recommended course of action?
Signup and view all the answers
