• NSAID (→ afferent arteriole constriction) + ACEi (→ efferent arteriole dilation) → ↓ GFR, 12) Follow-up examination in 6 months Receipts must be kept for 6 years but do not need to be sent with your claim. • Tenderness at the posterior medial malleolus • Children age 6 months to 3 years Submit errata here, NBME Family Medicine Form 2 - Answers & Explanations, • Statin therapy should be initiated in patients with. The Nobel Prize in Physiology or Medicine 2018 was awarded jointly to James P. Allison and Tasuku Honjo "for their discovery of cancer therapy by inhibition of negative immune regulation." • Tx: topical antifungals (eg, clotrimazole, terbinafine), 19) Lipid lowering therapy to decrease LDL cholesterol concentration to less than 100 mg/dL, • Statin therapy should be initiated in patients with diabetes (and other cardiovascular risk factors) with a target LDL cholesterol of <100 mg/dl, 20) Use of a forearm strap Don’t worry we won’t send you spam or share your email address with anyone. Chair for approval. • TCAs can be used to treat peripheral neuropathy A patient’s medical history is usually obtained during their first visit to a medical facility. The medicine you take will vary by your type of diabetes and how well the medicine controls your blood glucose levels, also called blood sugar. ... American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. • This patient has chronic, worsening constipation with a failed trial of laxatives - she should be offered another treatment option (eg, fiber), • HTN is the greatest risk factor for both ischemic and hemorrhagic stroke (4x risk of CVA compared to normotensive individuals), • The elevated pressure shearing on the intracerebral vasculature accelerates atherosclerosis, 10) Gastric bypass A New York State professional license is valid for life unless it is revoked, annulled, or suspended by the Board of Regents. • Unilateral thelarche with firm tissue under the areolar complex heralds onset of puberty (commonly mistaken as a mass), 13) Laryngotracheobronchitis (croup) Email address. • Lateral epicondylitis (tennis elbow), • Pain with resisted wrist extension or supination, 21) Measurement of serum iron and ferritin concentrations • ↓ blood supply to brain → loss of consciousness, 38) Palpation of the thyroid gland • Juvenile idiopathic arthritis = sxs arthritis for ≥6 weeks in a patient <16 years old, • Uveitis is common → requires slit-lamp exam for diagnosis, • Direct hyperbilirubinemia = >20% of total bilirubin is direct bilirubin, • Conjugated (direct) hyperbilirubinemia, hepatomegaly, acholic (pale) stools (due to absence of biliary pigment), dark urine (due to renal excretion of bilirubin) → Biliary atresia, • Gold standard diagnosis: intraoperative cholangiogram, • Tx: Hepatoportoenterostomy (Kasai procedure), Liver transplant, 45) Recovery without renal sequelae • Up to date on vaccinations and no drooling or dysphagia help rule out epiglottis, • Bronchiolitis would present with wheezing/crackles rather than stridor, • Wrist splinting is the best next step in management for a patient with suspected carpal tunnel syndrome, • Glucocorticoids or decompression surgery may be considered in patients with refractory symptoms, 15) Atopic dermatitis with eczema herpeticum • Tinea corporis (ringworm) • Eczema herpticum = superimposed HSV-1 infection in the distribution of eczema, • Atopic patient with chronic rash in flexural areas = eczema, 16) Low sensitivity The Head of Pharmacy may consult experts within the hospital or the P&T Committee Chair for their opinion of the request. The multiple choice test is complemented by the subjective Step 2 CS exam. • BAG’M mnemonic for normal pubertal development (in years old), • Precocious puberty = girls <8, boys <9, 39) Cholelithiasis • CBT + SSRI = first-line treatment for MDD, 44) Physical therapy • Using the Ottawa Anke rules, an ankle X-ray is only requires if there is pain in the, malleolar zone, plus one of the following: £ . • Upper GI endoscopy should be performed within 24hrs of ingestion if there is no evidence of perforation or severe respiratory distress (after assessment of ABCs and decontamination), 37) Perform the operation, because it is an emergency and no consent is required, 38) Normal development • Rapid Streptococcal antigen test (RSAT) doesn’t rule out the disease (aka it has a high specificity), 17) Lactose intolerance Family Medicine : Welcome to Medscape Family Medicine, where you can peruse the latest medical news, commentary from clinician experts, major … Doctors & Services. HY Medicine is a consolidated educational hub providing concise study materials & resources to help students tackle the staggering amount of knowledge required to become a competent medical professional. / / 2 0 Please place a cross (X) in the box to identify the claimant and benefit being claimed. Kindly email to sekretariatfukkm@moh.gov.my for any enquiry related to the formulary. E-mail us yours for a free quote today! To play, press and hold the enter key. Submit errata here, NBME Pediatrics Form 2 - Answers & Explanations. • No indication for parenteral (non oral administration) treatment, 22) Acetaminophen Make An Appointment; Refer A Patient; MyChart. • This patient has metabolic syndrome; diagnosed when ≥ of the 5 following criteria are met: • Abdominal obesity (waist circumference > 40 inches in males, > 35 inches in females), • HDL cholesterol (< 40 mg/dL in men, < 50 mg/dL in women), • This patient, with a healthy BMI, should start an exercise program; exercise → ↑ HDL, 24) Inquire about her attitudes toward smoking and health For further information please visit www.revenue.ie Receipts (and Form Med 2 if your claim includes non-routine dental expenses) should not be submitted with this claim but should be retained • Bulging or fullness of tympanic membrane = Acute otitis media (AOM); helps differentiate AOM from otitis media with effusion (OME), 9) Intravenous immune globulin therapy Yale Medicine patients have chosen to receive their care from world-renowned doctors – and you can too. • 2° TCAs (eg, nortriptyline) have fewer anticholinergic and sedating side effects compared to 3° TCAs (eg, amitriptyline) and are therefor preferred in the elderly, • This patient has acute joint pain with erythema, swelling, and effusion, • Septic arthritis must be ruled out out (patient can become septic and lose joint function if not treated), • Arthrocentesis is both diagnostic and therapeutic, 31) Postcoital single-dose nitrofurantoin therapy / / 2 0 £ . • BUN/Cr > 20:1 = prerenal injury = decreased renal perfusion, • Bilirubin keeps rising regardless of phototherapy for 24hrs - must perform exchange transfusion before further deterioration and development of kernicterus, 16) Karyotype analysis • Works in a prison (levels of TB in prisons are up to 100x higher than that of the civilian population) with low grade fever, fatigue, hemoptysis, • Reactivation of TB preferentially infects the lung apices, 49) Domestic abuse General Medicine CC Form v.2.0.0.0 Computer Fillable Medical PDF Forms. Standard Requirements for New Medicines • USPSTF recommends clinicians screen for intimate partner violence in women of reproductive age and provide or refer women to support services, 50) Drug-induced esophagitis Share the record with your doctors, pharmacists, or other health professionals at all visits. • Short stature, weak femoral pulses (coarctation of the aorta) is consistent with Turner syndrome (45, XO), 17) Tinea versicolor Need a little help preparing for your shelf exam? • Classic triad: conjunctivitis, urethritis, arthritis, Found a mistake or have a suggestion? • Tx: Elimination of milk & soy from maternal diet in breastfed infants • A small fraction of patients develop a self-limiting mild rash and fever 1-3 weeks after vaccination, 19) Hemolytic disease of the newborn PACARE MEDA and Special Handling Desk E. medaclearanceairnz.co.nz T. +64-9-255-7757 F. +64-9-336-2856 PTO PART 2 To be completed by nominated DOCTOR This form is intended to provide CONFIDENTIAL information to assess the fitness of the passenger to travel. • Tx: Switch to hydrolyzed (predigested proteins) formula in formula-fed infants, 34) Hypothyroidism • Soy protein-induced allergic proctocolitis • Kawasaki disease - IVIG reduces risk of coronary artery aneurysm, • Aspirin is used for antiplatelet effects, • Normal WBC + low grade fever → supportive care, • Cortisol feedback inhibits pituitary CRH/ACTH; low cortisol → ↑ ACTH → darkening complexion (↑ POMC), • Clinical presentation: sausage-shaped abdominal mass, intermittent abdominal pain, lethargy/altered mental status, “currant jelly” stools, • Tx: Air or saline enema, surgery for removal of a lead point, • Holosystolic murmur at left sternal border with a diastolic rumble over the apex = VSD, • Diastolic rumble is heard due to increased flow across the mitral valve, 14) Impaired renal perfusion / / 2 0 £ . If you are viewing this on the new Reddit layout, please take some time and look at our wiki (/r/step2/wiki) as it has a lot of valuable information regarding advice and approaches on taking Step 2 CK, along with analytical statistics of study resources. The first branch that comes to a person’s physical health. • Caused by viruses, most commonly Coxsackie B • Intercostal muscles necrose → ↑ creatine kinase, 5) Panic disorder Easy access and retrieval. The Nobel Prize in Physiology or Medicine 2015 was divided, one half jointly to William C. Campbell and Satoshi Ōmura "for their discoveries concerning a novel therapy against infections caused by roundworm parasites" and the other half to Tu Youyou "for her discoveries concerning a novel therapy against Malaria". NBME Family Medicine Form 2 - Answers & Explanations Updated: Nov 16, 2019 1) Add donepezil to current regimen • Acetylcholinesterase inhibitors (eg, donepezil, rivastigmine) may provide moderate symptom relief and temporarily improve functioning of Alzheimer’s dementia; however, long-term disease course remains unaltered • Surfactant deficiency → alveolar collapse & diffuse. It will take only 2 minutes to fill in. Simply fill in a Med 1 form for medical expenses and Med 2 form for dental expenses, which can be found in our download centre. Patient records can be typed, e-mailed, saved and stored on your computer. Chronic Illness Benefit medicine list (formulary) 2019 Who we are Remedi Medical Aid Scheme (referred to as “the Scheme"), registration number 1430, is a non-profit organisation, registered with the Council for Medical Schemes. Please note that a non-prescription medicine does not automatically fall into the lower -risk medicine category. Customized forms are available. We’ll send you a link to a feedback form. • Hyperventilation → ↓ CO2 → cerebral vasoconstriction → ↓ blood supply to brain, • Valsalva → ↓ preload → ↓ cardiac output → ↓ blood supply to brain Köhler and César Milstein "for theories concerning the specificity in development and control of the immune system and the discovery of the principle for production of monoclonal antibodies". New Higher-risk Medicine (NMA -H) New Intermediate-risk Medicine (NMA-I) New Lower-risk Medicine (NMA -L) An application for provisional c onsent to distribute a new medicine . on ce signed, the Form and literature are sent to the Head of Pharmacy for approval. • “Bag of worms” = varicocele the mother of a child) are presented with (e.g. • Asthma diagnosis requires PFT showing ↓ FEV1 that responds to albuterol, • Children <5 generally cant cooperate with PFT (indicated only in children >5 years old), 47) Decrease the insulin dosage by 10% to 15% only on practice days • Constitutional growth delay is possible (father was short until senior year) and is characterized by delayed growth spurt, delayed puberty, and delayed bone age, • If bone age < chronological age, then this child has room to catchup, • Generalized convulsive Status epilepticus (GCSE) = continuous seizure lasting >5 minutes, • GCSE requires immediate pharmacologic therapy with a benzodiazepine, • Lorazepam is first-line; Diazepam may be substituted if lorazepam is not available, • Painless, single lesion with clean base - Syphilitic chancre, • BPD = chronic lung disease that affects newborns (mostly premature) and infants, • Results from damage to the lungs caused by mechanical ventilation and long-term use of O2, • Right heart hypertrophy is likely due to pulmonary HTN, • Asplenia → ↑ risk of encapsulated infection → prophylactic penicillin, • Bruton agammaglobulinemia is x-linked (brother and three uncles) → recurrent bacterial and enteroviral infections after 6 months of age (maternal Ig wanes), • Patients immunizations are up to date, thus he shouldn’t be infected with HIB (vaccine-derived immunity requires the production of immunoglobulins), • Total lymphocytes may be at a normal level (with B-lymphocytes diminished), • Sudden onset of scrotal pain (hours), absent cremasteric reflex = testicular torsions, • Gradual onset of scrotal pain (days), normal cremasteric reflex = acute epididymitis, 8) Acute otitis media • Iron studies should be performed in patients with microcytic anemia suspicious for iron deficiency • Transient lactose intolerance following viral gastroenteritis; the virus is gone but the epithelial cells are still regenerating (insufficient lactase in the brush border), 18) Clotrimazole NBME Family Medicine Form 1 - Answers & Explanations. See more of The HY Medicine on Facebook • Women with >3 recurrent UTIs in a year that are associated with sexual intercourse should be offered postcoital prophylaxis (single dose of antibiotic), • Lipid screening should begin at age 35 (men) or age 45 (women) in 5 year intervals; the USPSTF recommends screening in men aged 20-35 for lipid disorders if they are at increased risk of coronary heart disease, • Universal lipid screening is recommended for children ages 9-11 (prior to puberty) and again between ages 17-21 (after puberty), • USPSTF recommends one-time screening for AAA with U/S in men ages 65-75 with a smoking history, 33) Smoking