I will Derive
Don't Go Breaking My Heart
Sugar, Oh Honey Honey
Mind is a Prison
Now or Never
100
What is the formula used to calculate anion gap?
[Na+] - ([Cl-] + [HCO3-])
100
This visual change may be experienced by patients taking digoxin and should be reported to their healthcare provider.
Halos (yellow or blurred vision)
100
Patients with diabetes having an ASCVD risk of this or greater should be started on high intensity statin therapy.
7.5%
100
This class of antidepressants is well-known for their sedating effects and use in insomnia
Tricyclic antidepressants (TCAs)
100
This painful condition may result from a buildup of uric acid or inappropriate purine metabolism
Gout
200
This quantity of dextrose (in grams) is required to prepare 500mL of a 10% solution
(50g)
200
Name the two classes of medications that create the backbone of therapy for heart failure.
ACE-I and beta-blocker
200
When mixing short or rapid-acting insulins with long-acting insulins, these should be drawn into the syringe first.
Short- or rapid-acting insulins
200
This lab value should be monitored closely with clozapine (Clozaril).
Absolute Neutrophil Count (ANC)
200

A patient has been receiving oral Aminophylline Tablets. Aminophylline is 80% theophylline. The doctor wants to change giving oral theophylline. If the patient has been receiving 500 mg of aminophylline, and theophylline is available in tablets of 100 mg. How many tablets will the patient need per dose?

500 mg aminophylline (x) 0.8 (for 80% theophylline) = 400 mg theophylline 400 mg theophylline (div by) 100 mg per tab = 4 tabs

300
Calculate the CrCl for the following 68 year-old female patient. Wt= 202lbs, Ht= 5'4", SCr=1.1, BMI=34.7kg/m^2
53.7ml/min
300
This is the target digoxin plasma concentration in patients with heart failure with reduced ejection fraction (HFrEF).
0.5-1ng/mL
300
These actions at the injection site may increase the rate of absorption of insulin.
Rubbing or warming of the injection site
300
Patients should discontinue SSRI's this amount of time before starting an MAOI.
2 weeks Fluoxetine- 5 weeks
300
Inhaled corticosteroids can cause this unpleasant side effect in the mouth.
Oropharyngeal candidiasis
400

A patient has the following labs. Calculate their corrected calcium. Serum Ca=11.6, Serum Albumin = 3.6

Measured Serum Calcium + 0.8 (4.0 - Serum Albumin)

11.92 mg/dL

400
Patients experiencing an acute coronary syndrome (eg STEMI) should be managed acutely with this acronym (names and doses)
MONA Morphine: 2-4mg every 5-15 minutes / Oxygen: 2-4L/min via nasal cannula / Nitrates: 0.4mg sublingual tablet or spray / Aspirin: chew and swallow 162-325mg
400
Nasopharyngitis and upper respiratory infections are common side effects of this class of antihyperglycemic medications.
DPP-4 Inhibitors
400
These two agents are first-line for the treatment of acute manic episodes in bipolar disorder.
Lithium and divalproex
400

A physician orders one liter of 3% sodium chloride injection for a sodium-depleted patient. You have 0.9% sodium chloride injection in one-liter bags and sodium chloride injection, 23.4%, in 50 ml vials. How many milliliters of the 23.4% NaCl solution will you ADD TO the one-liter bag of 0.9% NaCl to prepare the 3% sodium chloride injection?

102.9 mL of 23.4% NaCl

500
A patient is to receive an infusion of 2g of lidocaine in 500mL of D5W at a rate of 2mg/min. What is the flow rate in milliliters per hour?
30mL/hr
500
Beta-blockers used in the treatment of ACS should have these properties (name two)
Cardioselectivity (Beta-1) / No ISA / Low lipophilicity (fewer neurological side effects) / Tablet
500
Insulin patients should be instructed to make this change in their regimen when starting pramlintide.
50% reduction in prandial insulin
500
Dystonic reactions should be treated with one of these two medications.
Benztropine 1-2mg IM / Diphenhydramine 25-50mg IM
500
These classes of medications can be used for migraine prophylaxis (name one)
Beta-blockers, antidepressants (TCAs), calcium channel blockers, anticonvulsants
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