Geri
The 74 year old woman reports hearing loss.
What is presbycusis
76 year old man with history of hypertension is admitted with sudden unconscious. BP is 220/110, HR 48/ min, RR 8 breaths/ min.
What is Cushing's reflex?
It is the first step in every joint exam
What is inspection?
Factor Xa inhibitors (name 3)
Apixaban (Eliquis)
Rivaroxaban (Xarelto)
Edoxaban (Savaysa)
Fondaparinux (Arixtra)
In what type of infections did Huang et. al study procalcitonin-guided antibiotics use?
Lower respiratory tract infections
The 78 year old man with HTN just renewed his driving license after passing a vision test at the local DMV office. A week later he got into a car accident when changing lanes on a highway. What is the eye condition that allowed him to pass the vision test but might have deemed him an unsafe driver if discovered?
Severe glaucoma
GIF
What is Hoffman’s sign?
It is a shoulder pathology in which examination discloses tenderness at the deltoid insertion site and significant loss of both active and passive range of motion.
What is adhesive capsulitis?
It's a black box warning for DOAC
What is hyper-coagulable state?
In the study "Effects of Aspirin for Primary Prevention in Persons with Diabetes Mellitus", what was the primary safety outcome?
First major bleeding event
What are clinically important age-related pharmacokinetic changes?
Volume of distribution, metabolism, excretion; absorption is not affected
A 46 year old woman presents with difficulty walking. Examination shows weakness in the right leg with hyperreflexia. Sensation is diminished in the left leg.
What is Brown-Sequard syndrome?
It is test with a sensitivity of 91% for diagnosing disk herniation.
What is straight leg raising?
It's the antidote for Xarelto and Eliquis
What is Andexanet alfa (Andexxa)?
In the study "Timing of Renal-Replacement Therapy
in Patients with Acute Kidney Injury and Sepsis", when was RRT initiated in the delayed group?
48 hours after the diagnosis of acute kidney injury
It is a coverage gap between an initial coverage limit ($3,750 in 2018) and a catastrophic coverage phase ($5,000 in 2018) in yearly personal out-of-pocket drug costs.
What is a “donut hole” in Medicare Part D coverage?
GIF
What is hemifacial spasm?
IMAGE
FABER test
It's a DOAC preferred in the treatment of VTE in patients with malignancy
What is Edoxaban?
In the study "Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA", what was the does of aspirin used?
Range of 50 to 325 mg per day
It is a type of frontotemporal lobe degeneration associated with postural instability, rigidity, bradykinesia, gaze deficits, and dysarthria?
What is supranuclear palsy syndrome (atypical Parkinsonism)
23 year old man starts seeing double during the day- by the end of day has difficulty walking. Exam shows areflexia, no motor weakness
What is Miller-Fischer syndrome?
GIF (Maneuver and pathology)
What is drop-arm test?
Supraspinatus tear
It's the least preferred DOAC to treat in PE/DVT
What's Dabigatran (Pradaxa)?
In the trial BICAR-ICU, what was the target pH of the bicarbonate group?
>7.30