Random Points From Journals Flashcards
Nonbenzodiazepine sleep medications in elderly nursing homes patients increase the risks of falls and hip fractures.
True or false?
True.
What is the relationship between the use of glucocorticoids and the risk of venous thromboembolism?
Risk of venous thromboembolism is increased among glucocorticoid users.
What do high sensitivity cardiac troponin T levels indicate in stable coronary heart disease and what are they predictive of?
- Multiple abnormalities of cardiac structure and function are associated with high levels.
- High levels are independently predictive of secondary events.
What hemoglobinopathy is associated with topical anesthesia?
Methemoglobinemia.
Does forced smoking abstinence by entering tobacco free prisons and jails have any impact on smoking status after release?
Forced abstinence alone has little impact.
A behavioral intervention prior to release improves continued smoking cessation in the community.
What kind of ICD is associated with a higher rate of device-related complications in patients who get ICDs for primary prevention without indications for pacing?
A dual-chamber device.
How many pounds do you need to weigh to become mature at the hypothalamous-pituitary-adrenal axis? (For menarche).
98 lbs.
The effect of sunscreen on skin aging.
Regular sunscreen use retards skin aging in healthy, middle-aged men and women.
Aspirin versus low-molecular-weight heparin for extended venous thromboembolism prophylaxis after total hip arthroplasty.
Extended prophylaxis fro 28 days with aspirin was noninferior to and safe as dalteparin for the prevention of venous thromboembolism after a total hip arthroplasty in patients who initially received dalteparin for 10 days.
Has insulin glargine been shown to have detectable effect on cardiovascular events or cancer in patients with dysglycemia?
No.
Is bariatric surgery effective for treating type 2 diabetes?
Yes.
Would it be beneficial to use a commercial gene-expression assay to distinguish benign from malignant thyroid nodules?
By identifying patients with a low likelihood of cancer is whom surgery is usually recommended, unnecessary procedures may be avoided.
How often should bone density be monitored using DEXA?
For postmenopausal women with:
Normal BMD or mild osteopenia: Every 15 years.
Moderate osteopenia: Every 5 years.
Advanced osteopenia: Every 1 year.
Low-molecular weight heparin versus unfractionated heparin in venous thromboembolism.
Initial therapy with unfractionated heparin was associated with a higher mortality and higher rate of fatal pulmonary embolism in patients with creatinine clearance levels >60 mL/min or <30 mL/min, but not in those with levels between 30 - 60 mL/min.
Venous thromboembolism is common in adults with sickle cell disease.
True or false?
True.
What kind of poisoning can traditional Chinese medicines cause?
Lead, Mercury and Arsenic poisoning.
What is the mechanism of action of Rivaroxaban (Xarelto)?
Oral direct coagulation factor Xa inhibitor.
USPSTF.
Does adding ankle-brachial index to the Framingham Risk Score have any value in predicting Coronary Artery Disease or Cardiovascular Disease.
Limited value.
Treatment benefits for asymptomatic individuals with screen-detected peripheral artery disease are not established.
USPSTF Recommendation for hepatitis C screening.
- Screening for HCV infection in persons with high risk for infection.
- Offer one time screening for HCV infection to adults born between 1945 and 1965. (Class B)
What percentage of people in the US are obese?
36% - adults
17% - children and adolescents
Important contraindication of tolvaptan.
Liver disease or cirrhosis.
Methylprednisolone Injections for the Carpal Tunnel Syndrome.
Methylprednisolone injections for Carpal Tunnel Syndrome have significant benefits in relieving symptoms at 10 weeks and reducing the rate of surgery 1 year after treatment, but 3 out of 4 patients had surgery within 1 year.
Alternate-Day, Low-Dose Aspirin and Cancer Risk: Long-Term Observational Follow-up of a Randomized Trial.
NEJM
Long term use of alternate-day, low-dose aspirin may reduce risk for colorectal cancer in healthy women.
Is celiac disease associated with increased risk of lymphoproliferative malignancy?
Yes.
Does self measuring blood pressure make any difference?
It lowers blood pressure compared to conventional methods.
