Random Points From Journals Flashcards

0
Q

Nonbenzodiazepine sleep medications in elderly nursing homes patients increase the risks of falls and hip fractures.
True or false?

A

True.

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1
Q

What is the relationship between the use of glucocorticoids and the risk of venous thromboembolism?

A

Risk of venous thromboembolism is increased among glucocorticoid users.

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2
Q

What do high sensitivity cardiac troponin T levels indicate in stable coronary heart disease and what are they predictive of?

A
  1. Multiple abnormalities of cardiac structure and function are associated with high levels.
  2. High levels are independently predictive of secondary events.
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3
Q

What hemoglobinopathy is associated with topical anesthesia?

A

Methemoglobinemia.

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4
Q

Does forced smoking abstinence by entering tobacco free prisons and jails have any impact on smoking status after release?

A

Forced abstinence alone has little impact.

A behavioral intervention prior to release improves continued smoking cessation in the community.

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5
Q

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

A dual-chamber device.

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6
Q

How many pounds do you need to weigh to become mature at the hypothalamous-pituitary-adrenal axis? (For menarche).

A

98 lbs.

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7
Q

The effect of sunscreen on skin aging.

A

Regular sunscreen use retards skin aging in healthy, middle-aged men and women.

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8
Q

Aspirin versus low-molecular-weight heparin for extended venous thromboembolism prophylaxis after total hip arthroplasty.

A

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.

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9
Q

Has insulin glargine been shown to have detectable effect on cardiovascular events or cancer in patients with dysglycemia?

A

No.

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10
Q

Is bariatric surgery effective for treating type 2 diabetes?

A

Yes.

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11
Q

Would it be beneficial to use a commercial gene-expression assay to distinguish benign from malignant thyroid nodules?

A

By identifying patients with a low likelihood of cancer is whom surgery is usually recommended, unnecessary procedures may be avoided.

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12
Q

How often should bone density be monitored using DEXA?

A

For postmenopausal women with:
Normal BMD or mild osteopenia: Every 15 years.
Moderate osteopenia: Every 5 years.
Advanced osteopenia: Every 1 year.

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13
Q

Low-molecular weight heparin versus unfractionated heparin in venous thromboembolism.

A

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.

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14
Q

Venous thromboembolism is common in adults with sickle cell disease.
True or false?

A

True.

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15
Q

What kind of poisoning can traditional Chinese medicines cause?

A

Lead, Mercury and Arsenic poisoning.

16
Q

What is the mechanism of action of Rivaroxaban (Xarelto)?

A

Oral direct coagulation factor Xa inhibitor.

17
Q

USPSTF.
Does adding ankle-brachial index to the Framingham Risk Score have any value in predicting Coronary Artery Disease or Cardiovascular Disease.

A

Limited value.

Treatment benefits for asymptomatic individuals with screen-detected peripheral artery disease are not established.

18
Q

USPSTF Recommendation for hepatitis C screening.

A
  1. Screening for HCV infection in persons with high risk for infection.
  2. Offer one time screening for HCV infection to adults born between 1945 and 1965. (Class B)
19
Q

What percentage of people in the US are obese?

A

36% - adults

17% - children and adolescents

20
Q

Important contraindication of tolvaptan.

A

Liver disease or cirrhosis.

21
Q

Methylprednisolone Injections for the Carpal Tunnel Syndrome.

A

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.

22
Q

Alternate-Day, Low-Dose Aspirin and Cancer Risk: Long-Term Observational Follow-up of a Randomized Trial.
NEJM

A

Long term use of alternate-day, low-dose aspirin may reduce risk for colorectal cancer in healthy women.

23
Q

Is celiac disease associated with increased risk of lymphoproliferative malignancy?

A

Yes.

24
Q

Does self measuring blood pressure make any difference?

A

It lowers blood pressure compared to conventional methods.