Pharmacology
This first line treatment for Alzheimers has drug interactions with QTc prolonging agents and can be used in renal/hepatic impairment.
What is Donepezil (Aricept)?
Ferritin is the lab of choice for determining an iron deficiency anemia. What is the ferritin level indicative of Iron Deficiency Anemia?
What is <15ng/dL?
A patient is started on Lisinopril and has labs checked soon after beginning the medications. The patient reports back with increased electrolyte levels including an increased serum K. What is the likely etiology?
What is Bilateral Renal Artery Stenosis?
This type of leukemia commonly has hyperleukocytosis and has Auer rods on microscopy.
What is Acute Myeloid Leukemia?
When consulting a patient at risk for heart disease, what is the first-line recommendation that should be made to the patient?
What is Lifestyle Modification?
The pneumococcal vaccine should be routinely given to what age and older, AND in what schedule?
What is 65 years old, PCV13, then PPSV23 1 year apart?
Hemophilia A, B and C are all disorders of coagulation due to a congenital defect in the clotting cascade. What factors does each type affect?
What is
HA: VIII,
HB: IX,
HC: XI
BUN is a lab value that assess kidney function that is synthesized in the liver. What i 1 cause of increase and 1 cause of decreased BUN?
What is
inc: prerenal azotemia, catabolic states, high protein diets, tetracyclines
dec: liver disease, malnutrition, sickle cell anemia, SIADH
Acute Lymphoblastic Leukemia tends to present in children less than 5 years old and risk increases again after age 50. What symptom will this group tend to present with?
What is lymphadenopathy and pain, and thymus enlargement in T-cell ALL. (Similar presentation to AML)
A patient presenting with chronic diarrhea and flatulence with a 20 pound weight loss since the onset of symptoms and reports a normal western diet with a negative fecal occult blood test. You want to order what lab test now to begin diagnostic testing for what suspected intolerance? (2 part)
what is tTG-IgA for Celiac Disease?
What is: NSAIDs, Statins, Tetracyclines, ACE-I & ARBs, carabamazepine, Isotretinoin, Lithium, Warfarin, Valproic Acid, methotrexate, misoprostol, etc ;)
This medication induced thrombocytopenia 5-14 days after exposure to the medication. What is this disorder, and what is the treatment plan?
What is Heparin-induced thrombocytopenia and stop all forms of heparin documenting as allergy and start direct thrombin inhibitor.
This patient presents with a rapidly progressive glomerulonephritis as well as hemoptysis, dyspnea, and cough. On Biopsy anti-glomerular basement membrane antibodies are found. What is the condition?
What is Goodpasteurs Syndrome?
The Bence Jones Protein from the abnormal immunoglobulin light chains on urine studies are indicative of what?
What is Multiple Myeloma? (Plasma cell myeloma)
A 6 year old male recently diagnosed with Crohn disease presents to you. He hasn’t been reaching his full growth milestones in the past month. His parents have brought him into the office today because he hasn’t been eating as frequently in the past two days. What's the next plan of action?
What is NG tube placement?
This drug class binds to resorptive sites on bone, and has ADRs that include: GI upset, osteonecrosis of the jaw, bone pain and atypical bone fractures.
What is bisphosphonates?
A patient presenting with chronic iron overload now has multiple problems in multiple organs. What 4 organs is the body likely to deposit excess iron and cause new morbidities in a patient?
What is, pituitary gland, thyroid, pancreas, and heart tissue? (This will decrease function, think hypo-, HF, arrhythmias)
SURPRISEEEEE
Why was Trish late today?
What is
a train!!!
my dog got out :((((
i worked 8975 hours at walmart last night and gave every COVID shot in Indiana
Chronic and Acute Leukemias tend to have similar treatment; however, CML has a different course. What is the treatment for CML?
What is Tyrosine Kinase Inhibitors (Imatinib/Gleevec)
Patients with dementia tend to struggle with malnutrition and weight loss. What are 2 reasons this population tends to have these problems?
What is Changes in taste/smell, forgetting to/when ate, decreased appetite, not recognizing foods, difficulty self feeding, swallowing issues, decreased exercise?
This drug is a cholinergic receptor agonist, and has what ADR? (Name 1 in the class and 2 ADRs)
What is (bethanechol, acetylcholine, carbachol, pilocarpine, methacholine) and (hypotension, bradycardia, bronchoconstriction, diarrhea, cramping, incontinence, excessive sweating, excessive salivation, miosis)
This blood disorder has increased Serum Fe, increased Serum Ferritin, increased TSAT. The patient will have decreased/abnormal Hgb, leading to hypoxia causing an increase in erythropoietin and causing an increase in iron absorption.
What is an Alpha or Beta Thalassemia?
On a urinalysis with sediment analysis, muddy brown, granular, epithelial casts are seen as well as loose renal tubular cells. What's the condition?
What is Acute Tubular Necrosis?
The presence of immature b-cells known as smudge cells on microscopy , are diagnostic for what diseaseS?
What is CLL and Small Lymphocytic Lymphoma.
Cancer-related fatigue can be seen in patient even after they have completed chemotherapy. What are 2 options that patient should try to help decrease levels of fatigue?
What is increase protein intake, switching to a mediterranean or plant based diet, adding ginseng, ginger or probiotics to diet?