Which of the following drugs is effective therapy for treating pain in

Which of the following drugs is effective therapy for treating pain in patients who are having an acute exacerbation of gout?

• Acetaminophen
• Systemic steroids
• Indomethacin (Indocin)
• Allopurinol (Zyloprim) - ANSWER- C) Indomethacin (Indocin)

***indo is exacerbation allopur is long term

The complications of untreated gout include:

• Loss of joint mobility and renal failure
• Loss of joint mobility and liver failure
• An increased risk of urinary tract infections
• Bladder cancer - ANSWER- A) Loss of joint mobility and renal

failure

A 21-year-old female who is complaining of random palpitations is diagnosed with mitral valve prolapse. Her echocardiogram reveals redundant and thickened leaflets. You note a Grade III/VI systolic murmur with an ejection click during physical exam. You would

recommend:

• Endocarditis prophylaxis for most dental and urologic procedures
• Endocarditis prophylaxis is not necessary

• Lifetime anticoagulation therapy with warfarin sodium D)

Endocarditis prophylaxis for dental procedures only - ANSWER- B) Endocarditis prophylaxis is not necessary

You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-old female patient. Which is most likely?

• Bouchard's node
• Heberden's node
• Osteoarthritic nodules
• Tophi deposits - ANSWER- A) Bouchard's node

**bouch is proximal (middle) Herb is distal (tip)

Which chronic illness disproportionately affects Hispanic population?

• Diabetes mellitus
• Hypertension
• Alcohol abuse D) Skin cancer - ANSWER- A) Diabetes mellitus

A lipid profile shows triglyceride level of 650 mg/dL, total cholesterol 240 mg/dL, LDL 145 mg/dL and HDL of 35 mg/dL. What is best intervention?

• Educate the patient about lifestyle changes that will help lower

cholesterol levels

• Initiate pravastatin (Pravachol)

• Recommend exercise at least every other day and avoid eating fatty

or fried foods

• Initiate nicotinic acid (Niacin, Niaspan) - ANSWER- D) Initiate

nicotinic acid (Niacin, Niaspan)

Cullen's sign is most associated with.

• Acute pancreatitis
• Myocardial infarction
• Acute pyelonephritis
• Preeclampsia - ANSWER- A) Acute pancreatitis

The "gold standard" for the diagnosis of active helicobacter pylori

infection is:

• A Helicobacter pylori titer
• Endoscopy with tissue biopsy
• Upper GI series
• Urea breath test - ANSWER- B) Endoscopy with tissue biopsy

**urea breath test after you've been treated to make sure its resolved

Which of the following foods would you advise a new mother to introduce to her 6-month-old infant first?

• Iron fortified rice cereal
• Plain rice cereal
• Iron fortified pureed chicken meat

• Plain pureed carrots - ANSWER- A) Iron fortified rice cereal

Jim Wheeler is obese (BMI of 33), fatigued, and complaining of excessive thirst and hunger. You suspect type 2 diabetes mellitus. Initial

testing to confirm is:

• Fasting plasma glucose level
• Glycosylated hemoglobin level (HbA1c)
• Glucose tolerance testing
• All the above - ANSWER- D) All the above

A bulla is:

• A solid nodule less than 1 cm in size
• A superficial vesicle filled with serous fluid greater than 1 cm in size
• A maculopapular lesion
• A sallow ulcer - ANSWER- B) A superficial vesicle filled with serous

fluid greater than 1 cm in size

A newborn's mother is discovered to be HBsAg (hepatitis B surface antigen) positive. Which would you recommend for this infant?

• Give the baby hepatitis B immunoglobulin
• Give the baby both hepatitis B vaccine and hepatitis B

immunoglobulin

• Give the baby hepatitis B vaccine only
• Send the baby home because he is not infected - ANSWER- B) Give

the baby both hepatitis B vaccine and hepatitis B immunoglobulin