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FWIW, most hip processes present with pain with internal rotation. SCFE is no exception.
I’ll take this one. I don’t think the Board will nitpick over this one. There is a tremendous amount of debate on this topic. Though the AAP recently published a new CPG (on evaluation of VUR), some children’s hospitals are refuting the new guideline. Similarly, many urologists still prescribe prophylactic antibiotics. Because the topic is hot and changing, I seriously doubt the Board will nitpick. My advice would be to follow the material as posted in the guide.
RE: measles, you’re right – vaccine if within 3 days, MIG if within 6.
RE: varicella, the vaccine is not given before 1 year of age. VZIG is given to exposed preemies and infants whose mothers developed varicella very late (5 days before, 2 days after birth), or to very high risk, immunosuppressed people.
Hope that helps.
The point is that both are good choices, but if you get both options in a question, they’re looking for BE.
Hope that helps!
Both are risk factors, as would be body proportion/build, but I don’t think there would be a question on this. IMO, it’s more important to know that these things are factors for injuries, not to know which does more.
(although there is some debate over that…)
Williams CS, Woodcock KR (2000). “Do ethanol and metronidazole interact to produce a disulfiram-like reaction?”. The Annals of Pharmacotherapy 34 (2): 255–7.
Because of the doubt, I am not sure they’d test this item…
Here’s a good table:
http://www.mayoclinic.com/health/food-allergy/DS00082/DSECTION=symptoms
http://www.cdc.gov/pertussis/clinical/treatment.html
That’s the CDC’s link. I read the emedicine recs, but they are based on studies from ’96 and ’82. Practically speaking, I have never used erythro in practice. The motility SEs of erythro are not pleasant, and it’s 4x daily. Yikes.
TBH, I seriously doubt that the ABP would offer both erythro and azithro as answer choices.
Here’s one possible answer – http://childabusemd.com/laboratory/testing-disease.shtml
It would follow that abuse cases would needed to be air-tight. If you’ve ever been in one of those trials, you know exactly what I’m talking about.
The other scenario might be if your patient is not extremely likely to return such that you need an answer NOW. No use having a gold standard test if you never see the person again.
That’s an interesting question. Not likely to be asked on the boards, IMO, but here’s your answer, per the following reference. The answer is expressed disorders, not number of disorders.
Here’s a good resource – http://emedicine.medscape.com/article/1007946-clinical#a0217
“Revised in 1992, the modified Jones criteria provide guidelines for making the diagnosis of rheumatic fever.[8] The Jones criteria require the presence of 2 major or 1 major and 2 minor criteria for the diagnosis of rheumatic fever. Having evidence of previous group A streptococci (GAS) pharyngitis is also necessary. These criteria are not absolute, and the diagnosis of rheumatic fever can be made in patients with only confirmed streptococcal pharyngitis and chorea.”
I think the core guide explains it best in the hponatremia section (p. 281-2, I think?). What are you getting stuck on?
http://emedicine.medscape.com/article/931548-treatment
Soy is not an appropriate choice for milk protein intolerance, in theory and as recommended by pedi GIs. Hope that helps!
I suspect (and I think Ashish alludes to this in the guide) that ABC is still the order to use for now. CAB should be the rule going forward, but it’s too recent, I believe, to be tested.
I’d stick to the “Potentially Toxic, Ugh” mnemonic. PTU is Preg. category D – Pregnancy Toxic Use or Potentially Toxic Use.
