Pulmonary, Gout, and Adult immunizations

Question 1

What is the usual long-term control for asthma?

Answer 1

SABA + ICS and/or LABA

No LAMA

Question 2

Which LAMA is appropriate to be added to SEVERE asthma?

Answer 2

Tiotropium

Question 3

What is a common steroid Asthma exacerbation dose?

Answer 3

Prednisone 40-80 mg/day in divided doses

Question 4

What medications can cause hyperuricemia?

Answer 4

Xanthine oxidate inhibitors, thiazides, loop diuretics, niacin, calcineurin inhibitors

Question 5

What indications are needed for urate lowering therapy?

Answer 5

Tophi, 2 or more gout attacks per year, CKD stage 2 or worse, past urolithiasis

Question 6

When must colchine be initiated for gout?

Answer 6

within 36 hours

*Should not be used again within 2 weeks

Question 7

In immunocomprised populations, how should PCV13 and PPSV23 be separated?

Answer 7

At least 8 weeks and administer another PPSV23 5 years later

Question 8

Which immunizations should be avoided in pregnancy?

Answer 8

Varicella, Zoster, MMR

Question 9

What therapy is first line for COPD?

Answer 9

SABA or SAMA
Add on LABA/LAMA
Steroids are for stage 3 or 4 COPD