Terms, Labs, Renal Function, COPD
Asthma, HLD
HTN/Diabetes
More Diabetes...
Upper GI
UI, Glaucoma, Geriatrics
100
These are actions taken to prevent the onset of disease or injury before it occurs
What is primary prevention?
100
This is the dose of hydrocortisone that is equipotent to Prednisone 20mg.
What is hydrocortisone 80mg?
100
These are the clinical conditions that indicate a need to treat with meds if bp is at or above 130/80.
What are:?
100
This is the class of glucose lowering drug you would not prescribe if your patient is already taking a GLP-1.
What is a DPP-4 inhibitor?
100
This is how long to treat an uncomplicated duodenal ulcer caused by NSAID therapy.
What is 4-8 weeks?
100
Primary open angle glaucoma is cause by a blockage of this.
What is the trabecular meshwork? (and the uveoscleral route to a lesser extent)
200
These are the labs included in a BMP.
Bonus: what additional labs are in a CMP?
What are Na, K, Cl, CO2, BUN, SCr and glucose?
Bonus: albumin, alk phos, bilirubin, calcium, total protein
200
These are the 3 statins that are metabolized by CYP3A4 and are therefore more likely to have drug-drug interactions.
What are atorvastatin, lovastatin, and simvastatin?
200
A patient comes into your clinic after having 2 BP readings over 140/90. His patient history shows he has T2DM and his med list shows no previous HTN medication use. What would be the best treatment option(s) for him?
Bonus: what meds would we want to avoid?
To avoid: β-blockers and high-dose thiazides
200
This would be the initial intensive insulin regimen for a Type 1 diabetes patient who weighs 120lbs?
What is 13.6 units of basal and 4.5 units of bolus TID?
200
This is the recommended course of therapy for a patient who is reporting 2 or more episodes per week that is also impairing quality of life.
What is an 8-week course of standard dose PPI once daily along with lifestyle modifications?
200
This is the drug class that is first line to treat primary open angle glaucoma and its MOA
Bonus: give examples
What are prostaglandin analogs, MOA is to increase aqueous humor outflow via uveoscleral pathway?
Bonus: latanaprost, bimatoprost, travoprost, tafluprost, latanaprostene bunod.
300
These are the labs that are included in a CBC.
Bonus: what labs are added in a differential?
What are total WBCs, hemoglobin, hematocrit, and platelets?
Bonus: RBCs, mean cell volume, mean cell hemoglobin concentration, and WBC breakdown
300
A 25 year old patient comes into your asthma clinic and reports she is experiencing symptoms about 4x/week with two of those times waking her up at night. Each time she has had to use her rescue inhaler. She says this leads to minor interference with normal activity. What step of therapy would you recommend and what is the preferred level of treatment?
Step 3: Low dose maintenance ICS-formoterol with as-needed low dose ICS-formoterol
300
These are the recommended drugs to use for HTN in a patient who has HFrEF and also what NOT to use.
What are:
(ARNIs preferred)
300
These are the GLP-1s with proven CVD benefit.
What are liraglutide, semaglutide, and dulaglutide (and tirzepatide)?
300
These are the adverse effects of PPIs.
What are infections, malabsorption (magnesium, vitamin B12, and iron), fractures, kidney disease and dementia?
300
These are the medications used to manage urinary incontinence that do not have to be swallowed whole.
What are oxybutynin IR, tolterodine IR, trospium IR, and vibegron (can be crushed and put in applesauce)?
400
A newly diagnosed COPD patient comes to your clinic for a recommendation for initial treatment. She has had no hospitalizations within the past year and has a CAT score of 18. What is the recommended treatment based on GOLD guidelines?
Bonus: what are examples?
She is in Group B so LABA + LAMA.
Examples:
400
A patient who has been on a medium dose maintenance ICS-formoterol comes in for his 3 month follow up. He reports he has had breathing problems only once in the past 2 weeks that interfered with his activities and that he did use his rescue inhaler. What would be the best treatment approach for this patient?
Step down to a low-dose maintenance ICS-formoterol with prn use for a reliever.
400
These are the meds that can induce or worsen hypertension.
What are:?
400
These are the metformin dosing limits based on eGFR.
What is: ?
400
This is the preferred initial treatment of an H. pylori infection.
What is optimized bismuth-based quadruple therapy (BQT)?
400
This is how distribution changes for water soluble drugs in geriatric patients.
What is lower volume of distribution and increased plasma concentration?
500
This is the CrCl of a 68 yo female who weighs 70kg, is 64 inches tall, and has a SCr= 0.7mg/dL.
What is 73.8mL/min?
IBW: 45.5+(2.3*4)= 54.7kg
AdjBW: [0.4*(70-54.7)]+54.7= 60.82kg
CrCl= [(140-68)*60.82]/(72*0.7) 80.85=73.8mL/min
500
What would be the initial treatment for primary hypercholesterolemia for a 70 year old woman with an LDL of 180mg/dL who has had T2DM for 20 years and an eGFR of 43ml/min/1.73m2? What would be her LDL goal?
High intensity statin with an LDL goal of <70mg/dL
500
A patient with Type 1 diabetes reports taking glargine u100 14 units daily and Lispro 4 units before meals. Her fasting BG average is 108mg/dL and post prandial BG's are consistently >250mg/dL. Her A1C today is 7.6%. What adjustment(s) would you make?
Decrease glargine to 12 units daily and increase lispro to 6 units before meals.
(or similar-this is from Dr. Knezevich's quizizz)
500
Your patient is wanting a more flexible way to dose his bolus insulin around his carb intake at mealtime. Determine the carb ratio if he is currently using 8 units of insulin lispro before each meal and 24 units of insulin glargine each morning.
1:10 (1 unit of insulin covers 10g of carbs eaten)
Rule of 500:
500/TDD---> 500/48=10.4
500
These are the upper GI tract alarm signs and symptoms and the acronym associated with them.
What is BADGAS?:
500
An 82 year old woman comes in for a medication review. Her medications listed are:
valsartan/hctz, hydroxyzine, metformin, pantoprazole, clopidogrel, rosuvastatin, estradiol vaginal cream, and zolpidem.
What meds would you discontinue/alter?
hydroxyzine, pantoprazole and zolpidem