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A 69-year-old woman comes to the physician for a health maintenance examination. Her vitals are: temperature 98.6F, HR 60, RR 12, BP 125/85. BMI is 25. Total cholesterol is …
Audio Qbank – Q136 – A 69F evaluated on a routine physical See Full Post
A 34-year-old African-American woman presents to the physician in January because of a dry, non-productive cough. She is a non-smoker. Serum calcium is 9.0 mEq/L (NR 8.4-10.2). Chest x-ray …
Audio Qbank – Q111 – A 34F with a dry cough See Full Post
A 54-year-old man comes to the GP because of a 3-hour episode of loss of vision in his left eye. He has intermittent claudication managed with a walking program …
Audio Qbank – Q32 – A 54M with loss of vision See Full Post
HY lecture notes: First-line Tx for diabetic neuropathic pain? –> TCAs (i.e., amitriptyline, nortriptyline). Important side-effects of TCAs? –> CCC (Coma, Convulsions, Cardiotoxicity) + anti-“triad”: anti-cholinergic + anti-alpha-1-adrenergic + …
Family medicine #20 See Full Post
HY lecture notes: Back pain worse in the morning and gets better throughout day in male 20s-40s –> ankylosing spondylitis. Bamboo spine –> ankylosing spondylitis. Dx of AS –> …
Family medicine #19 See Full Post
HY lecture notes: 82F + tea/toast diet for six months + high MCV; B9 or B12 deficiency? –> answer = B9 deficiency –> folate stores deplete in about six …
Family medicine #18 See Full Post
HY lecture notes: Best way to decrease mortality overall –> smoking cessation. Best way to decrease stroke, TIA, central retinal artery occlusion risk –> HTN control. 72M smoker with …
Family medicine #17 See Full Post
HY lecture notes: The main value of this lecture is the emphasis on the importance psych screening on the FM shelf. “Suicidal ideation” on the FM shelf is pretty …
Family medicine #16 See Full Post
HY lecture notes: What is IBS? –> Irritable bowel syndrome à classically constipation +/- diarrhea +/- other GI Sx like cramping pain or GERD-like Sx that are relieved with …
Family medicine #15 See Full Post
HY lecture notes: Tx for hypertension? –> if patient has pre-diabetes, diabetes, or any cardiovascular/cerebrovascular disease of any kind, answer = ACEi or ARB first. These agents decrease morbidity …
Family medicine #14 See Full Post