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Question 1

Pyuria

Answer 1

WBC > 10

Question 2

Urine Analysis

Answer 2

• Leukocyte esterase positive = pyuria
• Nitrite positive = urea-producing bacteria
• WBC elevated (>10)
• Possible RBC positive, bacteria present

Question 3

H. Pylori Treatment

Answer 3

1. PMTB x10-14d
   -PPI (Omeprazole 40 mg QD)
   -Metronidazole 250-500 mg QID
   -Tetracycline 500 mg QID
   -Bismuth 525 mg QID
2. Salvage
   -Levofloxacin 500 mg QD
   -PPI BID
   -Amoxicillin 1000 mg BID

Question 4

Optimized Doses for HF

Answer 4

-BB (other)
-SGLT2i (Jardiance 10 mg)
-MRA (Spirono 25-50 mg, Ep 50 mg)
-ARNI (Entresto 97/103 BID, Lisinopril 20-40 mg, Losartan 50-150 mg)

Question 5

What BBs are approved for HF?

Answer 5

-Bisoprolol 10 mg QD
-Carvedilol 25-50 mg BID (CR 80 mg QD)
-Metoprolol succinate 200 mg QD

Question 6

Vancomycin LD and MD

Answer 6

15-20 mg/kg LD

Question 7

Vancomycin Goal Trough/AUC

Answer 7

10-20 and 400-600

Question 8

Hyperkalemia Treatment

Answer 8

Mild: 5.2-5.9 / Mod: 6-6.4 / Severe: >6.5

1. Ca gluconate 2g IV over 10 min (stabilize myocardium)
2. Insulin 10 units IV or 0.1 units/kg (shift K intracellularly)
   -Give with dextrose 50% to avoid hypoglycemia (BG <300)
   -<150 then 25 g x2 doses, 150-300 then 25 g x1 dose (over 5 min)
3. Furosemide 20-40 mg IV push x1 dose (remove K)

Question 9

Tx of PM with BL Allergy

Answer 9

Aztreonam

Question 10

PNA

Question 11

Pyelo Tx

Answer 11

Outpt: Levo 750 x5-7d
Inpt: same but also CTX

Question 12

Cystitis Tx

Answer 12

Macrobid 100 BID x5d
Fosfomycin 3g x1d