Internal Med

Question 1

What COPD med should everyone be on?

Answer 1

Albuterol

Question 2

Everyone whos has a previous MI should be on what?

Answer 2

High intensity statin

Question 3

Name two high intensity statins and the dose

Answer 3

Atorvastatin 40-80mg & Rosuvastatin 20-40mg

Question 4

A patient cannot take Metformin if CrCl is what?

Answer 4

<30

Question 5

How often should you check A1c?

Answer 5

q3 months

Question 6

A low TSH indicates hyper or hypothyroidism?

Answer 6

Hyperthyroidism because looking at T3/T4

Question 7

A high TSH indicates hyper or hypothyroidism?

Answer 7

Hypothyroidism because looking at T3/T4

Question 8

What med should a patient be given with hypothyroidism?

Answer 8

Synthroid 88 mcg PO

Question 9

What is the dose adjustment for hypothyroidism?

Answer 9

12.5 to 25 mcg increments every 2-4 weeks until clinically euthyroid and TSH normalized.

Question 10

WHat med decreases morbidity and mortality in patients with heart failure?

Answer 10

Beta blockers

Question 11

What is a concerning weight gain for a patient with CHF?

Answer 11

> 3 lbs in 1 day or >5 lbs in 1 week

Question 12

_________ is a beta-blocker that can cause dehydration

Answer 12

Metoprolol succinate (Toprolol XL) which is used in heart failure

Question 13

How do you determine whether or not a patient has orthostatic hypotension?

Answer 13

A drop in BP of ≥20 mm Hg, or in diastolic BP of ≥10 mm Hg, or
experiencing lightheadedness or dizziness is considered abnormal.

Question 14

What stage CKD is this?

GFR >/eq to 90

Answer 14

Stage 1

Question 15

What stage CKD is this?

GFR 90-60

Answer 15

Stage 2

Question 16

What stage CKD is this?

GFR 60-30

Answer 16

Stage 3

Question 17

What stage CKD is this?

GFR 30-15

Answer 17

Stage 4

Question 18

What stage CKD is this?

GFR <15

Answer 18

Stage 5