45
at what gestational age should you do the glucose tolerance test
24-28 weeks
what side effect should you ask for when you start a patient on lisinopril? why does it happen?
dry coughhh from bradykinin accumulation
what are the 4 first line antihypertensive medication classes for patients without other risk factors
ACE
ARB
CCB
thiazides
what medication is sooo good for smoking cessation (it more than doubles the quit rate!)
USPSTF recommends LDCT lung cancer screening for what ages and how many pack years
adults aged 50-80 with 20+ pack years
when should you initiate aspirin in a pregnant lady and what is it for
12weeks for preE prophylaxis
at metro it doesnt matter the risk factors, we give it to every pregnant patient
what vitamin do you monitor when a patient is on metformin
vitamin B12
what lab should you keep an eye on when you start a patient on spironolactone (and what is the concern?)
potassium for hyperkalemia
how do you treat gonorrhea
one IM shot of ceftriaxone
USPSTF recommends one time AAA screening for men aged 65-75 with what risk factor
who have ever smoked
flagyl - no drinking!! disulfuram reaction
what antibiotic that is commonly used for UTIs that can cause pulmonary fibrosis for long term use
nitrofurantoin
beta blockers (such as metoprolol) is not considered first line for BP management unless you have what two comorbidities
ischemic heart disease or heart failure
name 3 medications that every newborn should get
erythromycin ointment
vitamin K shot
hepatitis B vaccine
what is the recommendation for antibiotic use in acute bronchitis in immunocompetent adults
name three risk factors for preE (there are 6 total)
hx prior preE
multifetal gestation
cHTN
diabetes
kidney disease
autoimmune disease
your patient on lithium comes in with new onset polyuria... what are you worried about?
nephrogenic diabetes insipidus
what antihypertensive medication should you watch for peripheral edema
amlodipine
what is a persistent side effect of SSRIs that you should definitely counsel your patients on
sexual dysfunction
what age do you start doing pap smears and how often?
when do you start cotesting and how often?
start at 21 years with 3 year intervals
starting at age 30, you should start co-testing with HPV every 5 years
what's the recommendation for when you can stop doing pap smears
you can stop at age 65 IF in the past 10 years they have had 3 consecutive negative cytology results OR 2 consecutive negative co-testing results
name two rare but scary side effects of bisophosphonates
jaw osteonecrosis and atypical femoral fractures (after minimal trauma)
your patient with hypertension is now pregnant.. name 2 antihypertensive medications that are safe in pregnancy?
labetalol, nifedipine, methyldopa
when is aarons birthday
june 30