13 APR 2017 1347 MIX

Question 1

what is the pathophysiology of statin-induced myalgias?

Answer 1

statins decrease coQ10 synthesis, which is involved in muscle cell energy production

Question 2

what are the most common organisms responsible for acute bacterial rhinosinusitis?

Answer 2

• strep pneumo
• moraxella
• nontypeable haem flu

*staph aureus for chronic sinusitis (over 12 weeks)

Question 3

how is the shoulder held in a posterior shoulder dislocation? anterior?

Answer 3

• posterior: adduction and internal rotation

- anterior: slightly abducted and externally rotation

Question 4

what is the best initial pharmacological therapy for primary hyperaldosteronism (if patient refuses surgery)?

Answer 4

eplerenone