Do you think you can handle your broken heart?
This funny current channel inhibitor drug is used in patients who have symptomatic heart failure, with reduced ejection fraction, and heart rate at least 70 bpm, and the condition not able to be fully managed by maximum tolerable dose of beta blockers
Ivabradine
Hepatitis C related vasculitis
Mixed cryoglobulinemia
Rapid sensitive and specific test for C. difficile colitis
NAAT for C dif toxin genes
Recommended timing of ACE inhibitor initiation after STEMI
Within 24 hours
Initial management of CAUTI
Remove the foley catheter
Drug therapy to improve symptoms of PAD despite antiplatelet and statin therapy
Cilastazol
The most common cause of Acute Liver Failure in USA
The most common cause of Acute Liver Failure in Developing World
Acetaminophen toxicity
Viral Hepatitis
Treatment of asymptomatic catheter-associated bacteriuria in SNF patients
None
Name the three criteria where dose adjustment of Eliquis is needed when 2 out of these 3 criteria are met
Weight<60 kg, Age>80, Cre > 1.5
Timeline for screening for diabetic nephropathy in Type 1 diabetes
According to ACC/AHA, recommendations for preoperative cardiac evaluation are based on the clinical predictors identified by the patient's history and physical examination. Name the 4 major clinical predictors where the presence of major predictors may justify a delay or cancellation of elective surgery or warrants preoperative coronary angiography if surgery is still deemed necessary
Unstable angina or recent MI (within 60 days)
Decompensated congestive heart failure (CHF)
High grade arrhythmias,
Severe valvular disease.
GOLD standard diagnostic test for Small intestine bacterial overgrowth?
Indication to stop pneumocystis prophylaxis in HIV-treated patients
CD4 count is more than 200 for the duration of 3 months
Bone disease associated with high cardiac output heart failure
Pagets` Disease
Preferred marker of glomerular filtration when creatinine is likely inaccurate
Cystatin C
Current ACLS guidelines provide information on assessing quality of CPR. In addition to visual assessment of the depth and speed of compressions, this is one of the two objective thresholds that indicate inadequate CPR quality
End Tidal CO2<10 mmHg and DBP <20 mmHg
This therapy serves a bridge to transplant or recovery those with acute liver failure, acute on chronic liver failure grade 3, acute alcoholic hepatitis
Molecular Adsorbent Recirculating System (MARS) therapy, or liver dialysis
Sensitive assay for acute and disseminated histoplasmosis
Histoplasma urinary antigen
Revised Mayo Clinic Criteria is used to diagnose this disease which is named as Japanese term for 'fishing pot for trapping octopus.
Takutsubo stress cardiomyopathy or broken heart syndrome
Mechanism of action of LOKELMA ?
It increases fecal potassium excretion through binding of potassium in the lumen of the gastrointestinal tract. Binding of potassium reduces the concentration of free potassium in the gastrointestinal lumen, thereby lowering serum potassium levels.
In which trial whether or not a reduction in dietary sodium reduces the incidence of future clinical events in HF patients regardless of EF
Study of Dietary Intervention under 100 mmol in Heart Failure (SODIUM-HF)
According to ACG guidelines, FDA approved first line treatment of choice for H. Pylori positive MALTOMA treatment
Triple therapy
Standard dose PPI b.i.d. (esomeprazole is q.d.), clarithromycin 500 mg b.i.d., amoxicillin 1,000 mg b.i.d.
(Accept alternative eradicating regimens)
Choice of diagnostic test for Acute HIV infection in the setting of a negative or indeterminate HIV antibody test result
HIV RNA or p24 antigen (the specific antigen used in currently available HIV1/2 Ag/Ab combination assays)(Accept either of them)
The history of hand-washing extends back to ancient times, when it was largely a faith-based practice. The Old Testament, the Talmud and the Quran all mention hand-washing in the context of ritual cleanliness.
In modern medicine history, this 19th-century physician after his observational studies in Obstetrics wards, he first advanced the idea of “hand hygiene” in medical settings and made the connection between dirty hands and deadly infection.
Dr. Ignaz Semmelweis
2003 Lancet Trial showing that combination of ACEI and ARB therapy was beneficial in non diabetic renal disease was retracted in 2009 when the data was found to be falsified.
COOPERATE TRIAL