Internal Medicine Rotation Flashcards

1
Q

Maximum volume of air produced with full inhale- exhale:

A

FVC

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2
Q

Volume of air exhaled in one second

A

FEV1

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3
Q

FEV1/FVC

A

the fraction of the FVC that can be exhaled in the first second

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4
Q

As obstruction increased, FVC ____

A

decreases

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5
Q

How often should I do spirometry

A

onset, once new tx is stable, poor control, Q1-2 years

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6
Q

A diabetics LDL should be

A

100 if no CAD

70 if CAD

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7
Q

Pneumonia vaccine is given Q

A

10 years

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8
Q

How can I make my ACE/ARB work better

A

Add HCTZ 25mg

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9
Q

ZOCOR=

A

simvastatin

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10
Q

Cozaar=

A

Losartan

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11
Q

Glipizide - class and MOA

A

sulfonylurea- stimulate the release of insulin from pancreatic cells
2.5-5mg BID

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12
Q

Norvasc=

A

amlodipine ( CCB)

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13
Q

Increase HDL ( not meds)

A

exercise and red wine. Is primarily genetic

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14
Q

Vitamin D with/ without food?

A

With needed for absorption

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15
Q

Cheapest statin

A

zocor ( simvastain)

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16
Q

Mild statin, moderate statin

A

mild prevacol

moderate vocor

17
Q

Treat Systolic HTN

A

CCB, thiazide

18
Q

Amlodipine is cheap and good. 5mg works well. The side effect of 10 is often

A

leg edema. (CCB)

19
Q

If a patient has angioedema due to an ACE, can they use an ARB? What about dry cough?

A

No ARB if angioedema

Yes ARB if cough

20
Q

When to use a beta blocker for HTN

A

Comorbid cardiac disease

atenolol is mild

21
Q

HTN but no labs. What can I safely start while waiting for labs

A

amlodipine 5mg

22
Q

What is the danger of dropping BP too quickly

A

stroke due to lack of cerebral perfusion

23
Q

Imodium dose

A

4mg first dose then 2mg Q4 hours not to exceed 16mg/day

24
Q

C Dif often caused by:

A

clindamycin

25
Q

Treat graves

A

Tepazole 10mg QD ( is methimazole dosed less frequently)