Test 37 - Created Aug 3

Question 1

coronary heart disease risk equivalents

Answer 1

noncoronary atherosclerotic disease, diabetes, CKD

Question 2

1st line meds for alcohol use disorder

Answer 2

naltrexone and acamprosate

Question 3

med to give when abstinent from alcohol

Answer 3

disulfiram

Question 4

1st line meds for smoking cessation

Answer 4

bupropion and varenicline

Question 5

presentation of Coxsackie group A oropharyngeal infection

Answer 5

summer, kids 3-10, fever, drooling, sore throat, decr. appetite, HA, painful posterior pharyngeal vesicles

Question 6

name of Coxsackie group A oropharyngeal infection

Answer 6

herpangina

Question 7

scombroid poisoning (from improperly stored seafood)

Answer 7

bitter taste of seafood; flushing, throbbing HA, palpitations, abd. cramps, D, oral burning

Question 8

common postop complication with cardiac surgery and how it resolves

Answer 8

a.fib; spontaneously converts to sinus rhythm in a few days

Question 9

tx of acute decompensated heart failure

Answer 9

loop -> nitroglycerin if loop fails

Question 10

tx of flash pulmonary edema and HF

Answer 10

go straight to nitroglycerin

Question 11

mgt of button battery ingestion

Answer 11

remove if in esophagus or lungs or showing damage somewhere; otherwise, it’s like a coin… W and W

Question 12

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

Answer 12

travel reimbursement and honoraria but NOT lecture content

Question 13

tx of chronic HF w/ reduced ejection fraction

Answer 13

1. ARNi, BB, diuretic
2. spironolactone
3. SGLT-2 inhibitor (-flozin)
   Extra 1 - nitrate/hydralazine (helps w/ sxs)
   Extra 2 - digoxin (decr. hosp.)

Question 14

how to evaluate cerebral palsy

Answer 14

clinically and with a brain MRI (periventricular leukomalacia and basal ganglia lesions)

Question 15

3 drugs that can cause macrocytic anemia

Answer 15

TMP-SMX, MTX, phenytoin

Question 16

tx of MTX induced macrocytic anemia

Answer 16

folinic acid (aka leucovorin)

Question 17

tx of primary C. diff and not very sick overall

Answer 17

oral vanc or fidaxomicin

Question 18

tx of “turtle sign” during delivery of baby

Answer 18

McRoberts (elevate legs and flex hips, thighs against abdomen); apply suprapubic pressure

Question 19

initial tx of substance abuse discovered in primary care setting

Answer 19

brief counseling session

Question 20

when to send someone to inpatient drug rehab program

Answer 20

lack of social support, poor environment, each access to drugs, abuse has reached impaired levels

Question 21

what reduces the risk of central line-associated bloodstream infections

Answer 21

cleaning insertion site w/ chlorhexidine, using large sterile drape and mask during insertion, and promptly removing the catheter when it’s no longer needed