Test 37 - Created Aug 3 Flashcards
coronary heart disease risk equivalents
noncoronary atherosclerotic disease, diabetes, CKD
1st line meds for alcohol use disorder
naltrexone and acamprosate
med to give when abstinent from alcohol
disulfiram
1st line meds for smoking cessation
bupropion and varenicline
presentation of Coxsackie group A oropharyngeal infection
summer, kids 3-10, fever, drooling, sore throat, decr. appetite, HA, painful posterior pharyngeal vesicles
name of Coxsackie group A oropharyngeal infection
herpangina
scombroid poisoning (from improperly stored seafood)
bitter taste of seafood; flushing, throbbing HA, palpitations, abd. cramps, D, oral burning
common postop complication with cardiac surgery and how it resolves
a.fib; spontaneously converts to sinus rhythm in a few days
tx of acute decompensated heart failure
loop -> nitroglycerin if loop fails
tx of flash pulmonary edema and HF
go straight to nitroglycerin
mgt of button battery ingestion
remove if in esophagus or lungs or showing damage somewhere; otherwise, it’s like a coin… W and W
what is appropriate for a conference faculty member to accept if they are presenting a lecture tied to a medicine made by the pharmaceutical company they work with/for
travel reimbursement and honoraria but NOT lecture content
tx of chronic HF w/ reduced ejection fraction
- ARNi, BB, diuretic
- spironolactone
- SGLT-2 inhibitor (-flozin)
Extra 1 - nitrate/hydralazine (helps w/ sxs)
Extra 2 - digoxin (decr. hosp.)
how to evaluate cerebral palsy
clinically and with a brain MRI (periventricular leukomalacia and basal ganglia lesions)
3 drugs that can cause macrocytic anemia
TMP-SMX, MTX, phenytoin
tx of MTX induced macrocytic anemia
folinic acid (aka leucovorin)
tx of primary C. diff and not very sick overall
oral vanc or fidaxomicin
tx of “turtle sign” during delivery of baby
McRoberts (elevate legs and flex hips, thighs against abdomen); apply suprapubic pressure
initial tx of substance abuse discovered in primary care setting
brief counseling session
when to send someone to inpatient drug rehab program
lack of social support, poor environment, each access to drugs, abuse has reached impaired levels
what reduces the risk of central line-associated bloodstream infections
cleaning insertion site w/ chlorhexidine, using large sterile drape and mask during insertion, and promptly removing the catheter when it’s no longer needed
