Misc Flashcards

1
Q

When do you recheck Vitamin D?

A

Typically after 3 months of therapy

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2
Q

What is toxicity for Vitamin D?

A

> 150 ng/dL

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3
Q

Why does so much bone loss occur around menopause?

A

Estrogen is protective against bone loss.

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4
Q

What can a high calcium level indicate?

A

Problem with parathyroid. Low Vitamin D, high Calcium. A parathyroid problem will increase bone breakdown.

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5
Q

What is a risk factor for younger women and osteoporosis?

A

Surgical menopause

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6
Q

Does HYPO- or HYPERthyroidism count as a risk factor for osteoporosis?

A

HYPOthyroidism

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7
Q

Do bisphosphonates act on osteoblastic or osteoclastic activity?

A

Osteoclastic

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8
Q

When do you take bisphosphonates?

A

On an empty stomach (30 minutes before).

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9
Q

What decreases absorption of bisphosphonates?

A

OJ and coffee

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10
Q

What is the T5 of bisphosphonates?

A

Exceeds 10 years

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11
Q

Which osteoporosis med can be taken without regard to meals?

A

Raloxifene (Evista)

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12
Q

What is the onset of Raloxifene (Evista)?

A

8 weeks

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13
Q

Which thyroid med has risk of liver damage?

A

PTU

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14
Q

How do you take Levothyroxine?

A

On an empty stomach

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15
Q

Strattera has a lot of drug interactions, but particularly with what kind of meds?

A

Antidepressants

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16
Q

Which PO med is poorly absorbed from the GI tract and so only effective for infections of GI tract?

A

Amphotericin B

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17
Q

Why aren’t imidazole antifungals given orally?

A

Not absorbed from GI tract.

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18
Q

What clinical pearl can help with diagnosis of fungal vs dermatitis?

A

If you treat fungus with a steroid cream, it will get worse.

If you treat dermatitis with an antifungal, it will most likely not improve.

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19
Q

T/F Diaper rash is candida.

A

False. It can be candida, fungal, or both.

20
Q

Which med is used for herpes labialis?

A

Zovirax

21
Q

Which antiviral is avoided in patients with seizure history?

A

Valacyclovir

22
Q

Which antiviral is considered safe in renal failure?

A

Famciclovir

23
Q

Which acid should not be used in children?

A

Salicylic acid

24
Q

T/F Antivirals cure the flu.

A

False

25
Q

Which flu med is contraindicated in milk allergies?

A

Zanamivir (inhaled)

26
Q

Which flu meds cover both A and B?

A

Neuraminidase inhibitors

27
Q

Which flu meds cover only B?

A

Amantadine and Rimantadine

28
Q

T/F Molluscum is treated similarly to warts.

A

True

29
Q

What causes impetigo?

A

Staph, Strep

30
Q

What causes ecthyema?

A

Strep

31
Q

What causes folliculitis?

A

Primarily coagulase positive staph

32
Q

What causes furuncles?

A

Staph

33
Q

What causes cellulitis?

A

Group A strep, Staph, H. flu

34
Q

What is the length of treatment for oral antibiotics in MRSA topical infections?

A

10 days

35
Q

T/F Pustules are indications of infection.

A

False. They are inflammation.

36
Q

What is acne?

A

Disorder of the pilosebaceous gland.

37
Q

What food product can’t be taken with oral antibiotics for acne?

A

No dairy 1 hour before or 2 hours after b/c it inactivates antibiotic.

38
Q

This acts on nerve cell membranes to disrupt the Na+ channel, which results in paralysis of pests. It is bactericidal.

A

Elimite cream

39
Q

Which lice med is neurotoxic and can’t be used on children

A

Lindane

40
Q

Which med is great for children and thin skin (face) for eczema?

A

Topical calcineurin inhibitors

41
Q

Why do you apply wet compresses before treatment in seborrheic dermatitis?

A

Improves absorption

42
Q

Inhibits the maturation and activation of T cells and blocks the transcriptional activation of several lymphokine genes.

A

TAC

43
Q

Synthetic molecule that enhances both innate and acquired immune response, especially cell-mediate immune pathways, by stimulating monocytes and macrophages via binding to cell surface receptors.

A

Imiquimod

44
Q

What is the difference between dry skin on inner arm and dry skin on elbow?

A

Inner arm is eczema. Elbow is psoriasis.

45
Q

Why do keratolytics help in psoriasis?

A

Help alleviate plaque buildup.

46
Q

All systemic agents for psoriasis require what?

A

Monthly LFTs and specialty management.