Now showing items 21-40 of 81

  • What is the best way to diagnose polycystic ovarian syndrome? 

    Meurer, Linda N.; Kroll, Alexandra P.; Jamieson, Barbara (Family Physicians Inquiries Network, 2006)
    Polycystic ovarian syndrome (PCOS) is diagnosed for women of childbearing age presenting with 2 of the following: 1)oligo- or anovulatory menstrual irregularities, 2) evidence of hyperandrogenism in the absence of secondary ...
  • What is the best treatment for mild to moderate acne? 

    Rao, Shobha; Malik, Mehreen A.; Wilder, Laura (Family Physicians Inquiries Network, 2006)
    For mild comedonal acne, monotherapy with topical retinoids is the treatment of choice (strength of recommendation [SOR]: A). For moderate comedonal and mild to moderate papulopustular acne, combination therapy with either ...
  • What is the best treatment for infants with colic? 

    Crotteau, Charles A.; Wright, Sarah Towner (Family Physicians Inquiries Network, 2006)
    Infantile colic, defined as excessive crying in an otherwise healthy baby, is a distressing phenomenon, but there is little evidence to support the many treatments offered. Several small studies report some benefit from ...
  • What is the best medical therapy for new-onset type 2 diabetes? 

    Klam, Cheri; Neher, Jon O.; Mayo, Helen G. (Family Physicians Inquiries Network, 2006)
    Sulfonylureas, metformin, thiazolidinediones, and non-sulfonylurea secretagogues differ little in their ability to decrease glycosylated hemoglobin (HbA1c) levels when used as initial monotherapy for diabetes mellitus type ...
  • What test is the best for diagnosing infectious mononucleosis? 

    Bell, Amy Trelease; Fortune, Barbara (Family Physicians Inquiries Network, 2006)
    Tests for antibodies to Epstein-Barr viral capsid antigen (EBVCA) or Epstein-Barr nuclear antigen (EBNA) are the most sensitive, are highly specific, and are also the most expensive for diagnosing infectious mononucleosis ...
  • What is the best test to detect herpes in skin lesions? 

    Sullivan, Michele; Sams, Richard, II; Jamieson, Barbara (Family Physicians Inquiries Network, 2006)
    Polymerase chain reaction (PCR) techniques appear to be more sensitive and specific in detecting herpes simplex virus (HSV) in genital lesions (strength of recommendation [SOR]: A, based on 2 diagnostic cohort studies); ...
  • What is the best surveillance for hepatocellular carcinoma in chronic carriers of hepatitis B? 

    Rugge, J. Bruin; Lochner, Jennifer E.; Judkins, Dolores Zegar (Family Physicians Inquiries Network, 2006)
    Screening patients with chronic hepatitis B infection (HBsAg+) for hepatocellular carcinoma by alpha-fetoprotein (AFP) or by AFP plus ultrasound (AFP/US) detects hepatocellular carcinoma tumors at earlier stages and increases ...
  • What is the appropriate use of sunscreen for infants and children? 

    Meurer, Linda N.; Jamieson, Barbara (Family Physicians Inquiries Network, 2006)
    The risk and benefits of sunscreen use for children under the age of 6 months are unknown. To avoid sunburn, infants should be kept out of direct sunlight and be covered with protective clothing (strength of recommendation ...
  • What common substances can cause false positives on urine screens for drugs of abuse? 

    Vincent, E. Chris; Zebelman, Arthur; Goodwin, Cheryl (Family Physicians Inquiries Network, 2006)
    False-positive reports on urine drug screens by immunoassay are rare (strength of recommendation [SOR]: C, small controlled-exposure studies, small case series). Nonsteroidal anti-inflammatory drugs, fluoroquinolones, and ...
  • What are safe sleeping arrangements for infants? 

    Adler, Michelle R.; Hyderi, Abbas; Hamilton, Andrew (Family Physicians Inquiries Network, 2006)
    Non-supine sleep position and parental tobacco use are known risk factors for sudden infant death syndrome (SIDS). Recent studies show that co-sleeping (bed sharing) slightly increases the overall risk of SIDS (strength ...
  • What is the role of herpes virus serology in sexually transmitted disease screening? 

    McCormack, Owen; Corboy, Jane E.; Nguyen, Loan (Family Physicians Inquiries Network, 2006)
    Screening for herpes simplex virus type 2 (HSV-2) infection with antibody testing is not indicated for asymptomatic adults (strength of recommendation [SOR]: B, prevalence studies and predictive value of testing). Screening ...
  • What is the role of combination therapy (insulin plus oral medication) in type 2 diabetes? 

    Eskesen, Staci; Kelsberg, Gary; Hitchcock, Kristin (Family Physicians Inquiries Network, 2006)
    Combination therapy using insulin plus metformin (Glucophage), a sulfonylurea, or both produces glycemic control comparable with using insulin alone, but there is less weight gain when metformin is used (strength of ...
  • What are the risks to the fetus associated with diagnostic radiation exposure during pregnancy? 

    Smits, Ariel K.; Paladine, Heather L.; Judkins, Dolores Zegar (Family Physicians Inquiries Network, 2006)
    There is no evidence of significant risk to the developing fetus from any single diagnostic x-ray exposure (strength of recommendation: C, based on non-homogenous case-control studies). No studies were found on fetal ...
  • What are the risks and benefits of elective induction for uncomplicated term pregnancies? 

    Santana, Wendis; Meyer, Albert A.; Flake, Donna (Family Physicians Inquiries Network, 2006)
    Elective induction of labor for term, singleton, uncomplicated pregnancies appears safe for both the mother and infant (strength of recommendation [SOR]: B). The benefit of elective induction for nonmedical reasons is ...
  • What is the risk of adverse outcomes in a woman who develops mild hypertension from OCs? 

    Pollara, Trisha; Kelsberg, Gary; Safranek, Sarah (Family Physicians Inquiries Network, 2006)
    Women who take oral contraceptives (OCs) have an increased risk of developing new hypertension, which returns to baseline within 1 to 3 months of OC cessation (strength of recommendation [SOR]: A, based on cohort studies). ...
  • What is the prognostic value of stress echocardiography for patients with atypical chest pain? 

    McBride, Chad; Kelsberg, Gary; Calabretta, Nancy (Family Physicians Inquiries Network, 2006)
    Patients with atypical chest pain and no history of cardiovascular events (coronary artery disease, unstable angina, or history of percutaneous transthoracic coronary angioplasty [PTCA]) and a negative stress echocardiography ...
  • What predicts a successful smoking cessation attempt? 

    Ryckman, Kimberly A.; Bercaw, David M.; Ellis, Mark R.; Wolf, Diane G. (Family Physicians Inquiries Network, 2006)
    Quit date abstinence (strength of recommendation [SOR]: B, based on low-quality randomized controlled trial [RCT] of healthy subjects) and refraining from tobacco products within the first 2 weeks after an attempt (SOR: ...
  • What precautions should we use with statins for women of childbearing age? 

    Patel, Chaitany; Edgerton, Lisa; Flake, Donna (Family Physicians Inquiries Network, 2006)
    Statins are contraindicated for women who are pregnant or breastfeeding. Data evaluating statin use for women of childbearing age is limited; however, they may be used cautiously with adequate contraception. Pravastatin ...
  • What nonpharmacological treatments are effective against common nongenital warts? 

    Abernethy, Holly; Cho, Charles; DeLanoy, Anne; Khan, Omar; Kerns, J. William; Knight, Karen (Family Physicians Inquiries Network, 2006)
    Cryotherapy has similar cure rates to topical salicylate (a pharmacologic therapy) for non-genital common warts (strength of recommendation [SOR]: B, based on systemic review of variable quality randomized trials). Duct ...
  • What is the best management for patients who have a TIA while on aspirin therapy? 

    Ahmed, Nabila; Coffey, John B. (Family Physicians Inquiries Network, 2006)
    Alternative antiplatelet therapy for stroke prevention is indicated for patients who experience transient ischemic attacks (TIAs) while on aspirin therapy (strength of recommendation [SOR]: A, based on 1 meta- analysis and ...