Friday_1

Question 1

Is paroxetine on the Beers List?

Answer 1

Yes, risk of mild anticholinergic ADRs, low BP

Question 2

Name 2 ADRS from paroxetine that are more significant than other SSRIs

Answer 2

Sedation, Weight Gain

Question 3

If you only have Protein/creatinine ratio how can you convert to albumin/creatinine ration?

Answer 3

“Less than 142 mg/g then probably are A1
Between 142 mg/g to 660 – A2
Above 660 – A3”

Question 4

What are the risks as albuminuria increases?

Answer 4

Higher albuminuria, higher risk for AKI, progression of CKD, ESRD, higher risk of CVD

Question 5

Name 3 indications for partoxetine

Answer 5

Depression, anxiety, PTSD, OCD, hot flashes

Question 6

Describe the dual action of albuterol and ipratropium

Answer 6

Albuterol kicks in earlier, doesn’t last long vs ipratropium – longer to start 20m lasts longer
As SABA wears off, SAMA sticks around
Time of bronchodilation is extended by using both products

Question 7

What is the relationship between GFR and HCTZ?

Answer 7

Lower GFR, lower efficacy of HCTZ. Under GFR of 45 don’t use HCTZ so much
Chlorthalidone use all the way down to GFR of 30
Add loop in CKD 4

Question 8

Which GLP1s have highest efficacy for weight loss?

Answer 8

"	Semaglutide
	Liraglutide
	Dulaglutide
	Exenatide
	Lixasenatide"

Question 9

What is a BBW for GLP1 agonists

Answer 9

History of Medullary thyroid cancer (people usually have papullary)

Question 10

What are the considerations in ticagralor for post PCI?

Answer 10

It’s BID – is this too hard for you to take? 10% have adenosine mediated dyspnea. What’s the co-pay, can they afford it? $400 a month

Question 11

Zantac

Answer 11

Ranitidine

Question 12

Verapamil medication class

Answer 12

Non-dihydropyridine CCB

Question 13

Name 3 uses for verapamil

Answer 13

Afib, HTN, Angina, Cluster Headache Prophylaxis

Question 14

What are the ADA A1c goals for older adults?

Answer 14

Healthy adult 7.0 to 7.5%, complex patient, less than 8% and poor health has no goal

Question 15

Losartan is indicated for…

Answer 15

HTN, PostMI, CHF, Proteinuria, lowering Uric Acid

Question 16

Losartan monitoring parameters

Answer 16

K, BP, Scr

Question 17

What are counseling points for starting beta blockers?

Answer 17

These medications will help you live longer and help you feel better. Lower BP and Lower HR, so heart has to do less work, allowing it to recover.Get doses as high as we can get them. Higher the doses, the longer you will live. Only care about if you feel dizzy or light-headed. BP number is not important.

Question 18

Are brand and generic levothyroxine doses safe and equivalent

Answer 18

Yes. But you should stick to one manufacturer if possible

Question 19

What’s a counseling point on levothyroixine

Answer 19

Take the same time, same way every day.

Question 20

What’s the half life of levothyroxine?

Answer 20

7 days

Question 21

What are the ingredients in Armour Thyroid?

Answer 21

Desiccated animal thyroid. Mix of T4 and T3. FDA unapproved but widely used drug

Question 22

What is the goal dosing of levothryroxine?

Answer 22

1.5 mcg per kg per day – average is 125mcg per day. But varies widely