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Question 1

Lipid lowering agent that has the best ability to ^HDL?
What is one common side effect of this agent?
What is its broad mechanism?

Answer 1

Niacin
Flushing– give aspirin
Inhibits hormone sensitive lipase

Question 2

Lipid lowering agent that has the best ability to lower LDL-C?
What are two side effects to always consider with this agent?
What is its General MOA?

Answer 2

Statins

• elevated LFTs and myositis
• Inhibits HMGCoA Reductase (RLS of cholesterol synthesis)

Question 3

Lipid lowering agent that has the best ability to lower TGs?
What are two of its common side effects?
What is its general MOA?

Answer 3

Fibrates
Elevated LFT/myositis
Inhibits PPARa

Question 4

Lipid lowering agent that is capable of binding C Diff toxins?

Answer 4

Cholestyramine

Question 5

Equation for “odds ratio” & “relative risk”

What type of studies are responsible for determining these values?

Answer 5

Odds ratio: (A/B) / (C/D)
case-control

Relative risk: ( A/ (A/B) ) / (C/ (C+D))
cohort study

Question 6

What is the equation for “attributable risk”?

What study mainly determines attributable risk?

Answer 6

A/(A+B). - C/(C+D)

Part of a cohort study

Question 7

What is the “number needed to treat”?

Answer 7

Inverse of absolute risk reduction.

Ideal number is “1”.

Question 8

Three hormones that stimulate pancreatic secretions

Answer 8

Ach, CCK, secretin

Question 9

What are the two strep pneumo vaccines and what is the difference?

Answer 9

PCV13- babies (smaller number)
PPSV23- ages 65+.

*general guidelines. These may change in Immunocompromised states etc.

Question 10

DTaP & TdaP

What’s the difference? What do they include? When are they given?

Answer 10

Includes diphtheria, tetanus, pertussis
DTaP: given to kids
Tdap: lower doses of d/p (hence lower case); used as a booster

Note: DT and Td are available for those who can’t tolerate pertussis.

Question 11

Classic cause of “epiglottitis”?

What vaccine treats it?

Answer 11

H flu

“Hib”

Question 12

How is the live influenza vaccine given?
Inactivated?
What’s the youngest we give flu shots?

Answer 12

Live is given as nasal spray!
Inactivated is the shot.
Start these at 6 months.

Question 13

What is the Neisseria vaccine called?

Answer 13

Meningococcus

Question 14

What’s the polio vaccine called?

Answer 14

IPV

Question 15

Cause of diarrheal illness that can be prevented via vaccine?

Answer 15

Rotavirus

Question 16

Two kinds of HPV vaccine

Answer 16

Two subunit or four subunit
The four subunit treats cancer in addition to the virus (Genital, cervical, anal)

Can be 16,18// 16,18,6,11

Question 17

Reportable STIs

Answer 17

HEY! you’ve Gotta Call Someone!!!!

HIV/ Hep A-C
Gonorrhea
Chlamydia
Syphilis

Question 18

Vaccine preventable illnesses that are reportable

Answer 18

MMR
Diphtheria
Pertussis

Question 19

Diarrheal illnesses that are reportable? Respiratory?

Answer 19

Salmonella and shigella

TB

Question 20

How should babie 2 and under ride in a car?

Answer 20

Rear facing; middle of back seat.

…..have you even SEEN how small rear facing car seats are? When I nannied. No way. No way I could’ve put a two year old in one of these things (random side note, I know)

Question 21

How should kids 2-4 ride in a car?

Answer 21

Forward facing car seat with harness

Question 22

When is it typically safe to take kids totally out of car seats/ boosters?

Answer 22

4’ 9”; usually 8-12 years

Question 23

At what age are children “allowed” to sit up front?

Answer 23

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