Take a ~breath~
The most appropriate next step following a positive Quant Gold that was done for TB screening.
Chest x-ray
Hyperkalemia is a known side effect of this class of antihypertensives. (Excluding aldosterone receptor antagonists)
ACE-i/ARB
Firstline treatment for IBS.
Soluble fiber
The assistive device most appropriate for a patient with imbalance and bilateral knee pain.
Walker
Bluey's pronouns
she/her
The most common cause of chronic cough in an adult.
Upper airway cough syndrome (previously referred to as postnasal drip)
A cardiovascular medication that may lead to hyperthyroidism.
Amiodarone
Tender, erythematous nodules on the shins that often look like bruises but with no known trauma. This finding is often idiopathic but can be associated with various conditions including IBD, Strep, TB, other infections, or pregnancy.
Erythema nodosum
A chronic condition that increases the risk of developing adhesive capsulitis compared with the general population.
Diabetes
Bluey's sister
Bingo
The most common radiologic finding in early pulmonary sarcoidosis.
Bilateral hilar adenopathy
An important lab value to check in the evaluation of hypertension with coexisting hypokalemia.
Serum aldosterone/renin ratio (evaluating for primary hyperaldosteronism)
A pruritic rash consisting of grouped papules, vesicles, and erosions on the extensor surfaces that is associated with celiac disease.
Dermatitis herpetiformis
The appropriate recommendation regarding antibiotic prophylaxis prior to routine dental procedures following a total knee replacement in a healthy 63-year-old patient.
No prophylaxis
(Exceptions: immunocompromised, history of previous joint infection)
The average length of a Bluey episode.
7 minutes
Montelukast (Singulair) has an FDA boxed warning related to an increased risk of this.
Suicidality
The AAP recommends obtaining a blood pressure reading at well child checks beginning at this age.
3 years
Once hemolysis is excluded, this is the most common cause of unconjugated hyperbilirubinemia.
Gilbert syndrome
First-line treatment for gonococcal urethritis in a patient weighing 152 kg (335 lb).
One dose of Ceftriaxone, 1 g intramuscularly
(500 mg if <150 kg or 330 lbs)
Rusty's favorite sport
Cricket
The confirmatory test to diagnosis episodic SOB and chest tightness in a patient with normal expiratory findings but a flattened inspiratory flow loop on PFTs.
Nasolaryngoscopy (to evaluate for vocal cord dysfunction)
This class of antihypertensives increases the risk of statin-induced myopathy.
Calcium channel blockers
(both metabolized by cytochrome P450 3A4 enzymes)
Appropriate management of small esophageal varices found incidentally on EGD in a patient with compensated cirrhosis.
Repeat endoscopy in 1-2 years
(If high risk of hemorrhage--decompensated cirrhosis, wale sign, or medium/large varices--should offer propranolol vs. endoscopic variceal ligation as prophylaxis)
In addition to bisphosphonates, calcium, and vitamin D, this supplement improves bone density in patients with thalassemia and osteoporosis.
Zinc
Bandit's job
Archeologist