Question: LEAST appropriate initial lab for metabolic syndrome
Answer Choices: chem profile
lipid panel
TSH
CBC
Answer: TSH
Question: Orthopnea + PND — best diagnostic test
Answer Choices: CXR
Troponin
PFT
Pro-BNP
Answer: Pro-BNP
Question: Precautions for inactivated influenza vaccine
Answer Choices: warfarin use
bronchitis with fever
COPD
CKD3
Answer: Bronchitis with fever
Question: LEAST helpful for venous insufficiency
Answer Choices: compression
walking
elevation
aspirin
Answer: Aspirin
Question: 4-month-old atopic dermatitis
Answer Choices: immunomodulator
emollient only
moisturizer + steroid
antihistamine
Answer: Emollient only
Question: Tzanck smear
Answer Choices: confirmatory for herpes
identifies hyphae
low sensitivity
identifies type 1 vs 2
Answer: Low sensitivity/specificity
Question: Least likely cause of chronic prostatitis
Answer Choices: Pseudomonas
S. aureus
Klebsiella
E. coli
Answer: S. aureus
Question: 5.5 cm AAA found
Answer Choices: repeat US 3 months
refer surgeon
start antihypertensive
CT angiogram
Answer: Refer to surgeon
Question: NOT complication of acute prostatitis
Answer Choices: abscess
epididymitis
bacteremia
ED
Answer: Erectile dysfunction
Question: Most effective for medication-resistant severe depression
Answer Choices: psychotherapy
ECT
SSRI + atypical antipsychotic
SSRI + TCA
Answer: ECT
Question: Mother with H1N1 postpartum breastfeeding
Answer Choices: quarantine
breastfeed with mask
Tylenol only
continue care
Answer: Breastfeed with mask
Question: LLQ pain + nausea + low fever
Answer Choices: appendicitis
PID
IBS
diverticulitis
Answer: Diverticulitis
Question: Suicidal ideation — next question
Answer Choices: why
support system
prior attempts
time/method
Answer: Time/method
Question: 6-week cough in student—differential
Answer Choices: Pneumonia
URI
Acute bronchitis
Asthma
Answer: Asthma
Question: ACE inhibitor in woman planning pregnancy
Answer Choices: change to ARB
switch to methyldopa
add 2nd drug
continue ACE
Answer: Switch to methyldopa