Coagulation/Special Populations

Question 1

Warfarin + Amiodarone interaction, what happens?

Answer 1

Increased INR, decrease dose of warfarin

Question 2

INR is between 4.5 - 10, but there is no bleed, what do you do?

Answer 2

Hold doses of warfarin, start again at lower dose

Question 3

INR > 10, but no bleed, what do you do?

Answer 3

Give PO Vit. K + resume warfarin at lower dose

Question 4

Major bleed regardless of INR, what do you do?

Answer 4

Hold warfarin, give IV Vit. K + Kcentra

Question 5

INR < 4.5 and no bleed, what do you do?

Answer 5

Reduce or skip warfarin dose

Question 6

Which anticoagulant cant be used in patients with CrCl > 95?

Answer 6

Edoxaban

Question 7

Which anti-convulsant can cause weight loss?

Answer 7

Topirimate

Question 8

Which weight loss drug should only be used for short term?

Answer 8

Phentermine (up to 12 weeks)

Question 9

Generic of Xenical?

Answer 9

Orlistat

Question 10

Generic of Adipex-P?

Answer 10

Phentermine

Question 11

BBW of IVIG?

Answer 11

Renal dysfunction (more likely with products stabilized w/ sucrose)

Question 12

BBW of vasopressors?

Answer 12

All vasopressors are vesicants, treat extravasation w/ phentolamine

Question 13

MOA of dopamine?

Answer 13

1-4mcg/kg/min = Dopamine 1 agonist

5-10mcg/kg/min = beta 1 agonist

10-20 mcg/kg/min = alpha 1 agonist

Question 14

Thiopurines (azathioprine, mercaptopurine) are used in (UC/CD)?

Answer 14

Both

Question 15

MTX is used in (UC/CD)?

Answer 15

CD only

Question 16

Cyclosporine is used in (UC/CD)?

Answer 16

UC

Question 17

Oral budesonide is used in (UC/CD)?

Answer 17

CD

Question 18

Mesalamine (5 - ASA) is used in (UC/CD)?

Answer 18

UC