Test 55 - Created Aug 15

Question 1

cross-sectional study

Answer 1

individuals are assesses at a specific point in time to determine whether or not they have a certain risk factor and a certain disease of interest

Question 2

antithrombotic therapy in patients with mechanical heart valves (A or M)

Answer 2

ASA to all. Higher dose if can’t take warfarin.

Warfarin INR 2-3: A valve

Warfarin INR 2.5-3.5: M valve or A valve w/ RFs

Question 3

Catscratch disease presentation; tx of it

Answer 3

papule at scratch/bite site, regional adenopathy, +/- fever

tx = azithromycin; may add in clinda if picture unclear

Question 4

Patient has kidney disease, increased bleeding time, normal PT/PTT/plt’s, and an active bleed. Next step?

Answer 4

Give desmopressin (increases release of factor 8:VWF multimers)

Question 5

when parathyroidectomy is indicated in 3* hyperparathyroidism

Answer 5

persistent hyperCa or hyperP, very high PTH, soft tissue calcification or calciphylaxis, intractable bone pain

Question 6

tx of psychosis in Parkinson’s patient who has already had multiple adjustments of their dopaminergic meds

Answer 6

quetiapine, clozapine, or pimavanserin (serotonin 5-HT-2A receptor inverse agonist)

Question 7

stimulant toxicity presentation

Answer 7

complaints: anxiety, agitation, insomnia, loss of appetite

PE: tachycardia, HTN, sweaty, mydriasis

possible psychosis and seizures

Question 8

difference btwn diphenhydramiine toxicity versus stimulant toxicity

Answer 8

They look very similar but diphenhydramine toxicity would also have dry skin, ileus, and/or urinary retention.