Screening
A patient with a 4.5cm AAA should get this screening, this many times a year
Abdominal US annually
Vesicular rash distributed along a dermatome describes this
Herpes zoster
These medications have been shown to improve mortality in patient’s with HFrEF
ARNI/Acei/ARB
BB
MRA
SGLT2 inhibitors
Low serum iron, normal/high Ferritin, low tsat, normal Tibc
Anemia of chronic disease
Most common cause of UTI in non-pregnant women
E. coli
This is the age a woman should get Breast cancer screening when her first degree relative has breast cancer
Mammo no later than 40 or 10 years before relative, no younger than 30
MRI no later than 40 or 10 years before, no younger than 25
Patient presents with recurrent kidney stones, joint pains, and brain fog
Hypercalcemia
If PRN SABA is ineffective the next step in asthma control is start this daily inhaler:
Daily ICS (inhaled corticosteroid)
Low calcium, high PTH, high phosphate
Secondary hyperparathyroidism
A patient with newly diagnosed alcoholic cirrhosis requires these four things
EGD for varices, US for PVT, AFP for HCC, Vaccines (HAV, HBV, pna)
A 55 year old male who smoked 1ppd from age 30-45 qualifies for this screening
None (EL CAP: >50, >20 pack history, active or quit within last 15 years
A 65 year old man with a bmi of 40, presents for refractory htn and headaches should be screened for this condition
Obstructive Sleep Apnea
This is the recommended first-line pharmacotherapy for smoking cessation, shown to be more effective than nicotine replacement therapy alone
varenicline
HBsAg negative, anti-HBc positive, anti-HBs positive
Past infection/natural immunity
A patient with a 0.5cm nodule found on thyroid US should have what next step
Repeat US in 6 months
A 68 year old woman who received the PCV20 vaccine 3 years ago asks if she needs to get the PPSV23 vaccine as a booster?
No, PCV 20 and 21 are both one time. PPSV 23 wanes after 5-6 years
A 67 year old female with 2 months of swelling and pain at her wrists and the base of her fingers would be expected to have these labs return positive
ANA, RF, anti-CCP (although ⅓ of patients are RF/anti-ccp negative)
While generally safe for the first two trimesters, Macrobid is avoiding after 38 weeks due to this complication
Neonatal hemolytic anemia
FEV1: decreased
FEV/FVC: decreased
TLC: increased
DLCO: decreased
Obstructive lung diseases (likely emphysema given dlco)
Dr Feiner's first name
Clifford