medications

Question 1

major BB SE

Answer 1

1. worsening HF
2. hypotension
3. bronchospasm
4. reduced exercise tolerance
5. high degree AV block
6. bradycardia

Question 2

contraindications w/ BB and CCB

Answer 2

• *NEVER GIVE BB W/ COCAINE USE!!
  1. sinus bradycardia
  2. 2nd / 3rd degree AV block
  3. SBP < 100
  4. HR < 45
  5. PR >.24

Question 3

coumadin - sig interactions

Answer 3

ANTIBIOTICS! esp amoxicillin, clarithromycin, bactrim, norfloxacin - most w/in 1st 3 days of antibiotics - risk of OVERCOAGULATION!

Question 4

FQ side effects / diet interaactions

Answer 4

• QT prolongation, tendinitis, teratogenic!

- avoid w/ calcium, iron, aluminum, magnesium products - avoid 6 hours before or 2 hours after taking the med

Question 5

meds for BPH…

Answer 5

2 main categories - alpha 1 antagonist (doxazosin, terazosin, tamsulosin - flomax) which block receptors to relax smooth muscle and 5 alpha reductase inhibitors (finasteride) which decrease DHT to testosterone conversion

Question 6

problem w/ finasteride…

Answer 6

falsely lowers PSA levels!

Question 7

mildly obese patient with erythematous, macerated rash that is wet and itchy in the intertriginous areas, no lymphadenopathy…dx?

Answer 7

CANDIDIASIS!!!

• look for satellite lesions!!
• w/ secondary syphilis often have nontender generalized lymphadenopathy

Question 8

patient with intermittent sharp stabbing back pain, worse w/ coughing and sneezing w/ viral illness suggests? tx?

Answer 8

pleuritis! indomethacin and cough suppressant

Question 9

auer rod?

Answer 9

AML!

Question 10

helmet cells?

Answer 10

DIC

Question 11

teardrop cells?

Answer 11

THALASEMIA!

Question 12

AML pres

Answer 12

• common in 60s, fever, fatigue, bleeding w/ hx chem or radiation exposure
• CBC: pancytopenia and AUER RODS!( cytoplasmic inclusion bodies)