Common Clinic Dx
Dx of Diabetes
a1c x2 or fasting 6.5, fasting 100-125, oral GTT >200 2 hrs after
Dx of Osteoporosis
T score >-2.5
Whats that mean?
First line treatments?
26 y.o F here for physical - what cancer screening does she need?
Pap
When do you screen for HPV?
Patient G2P1 GA 24weeks today... what screening test does she need?
Diabetes screening via...
She comes in 4 weeks later what vaccine is she due for?
HTN guidelines emphasize thinking about Primary Aldosteronism
Resistant HTN
HTN and hypokalemia
OSA
AND
Stage 2 HTN (class 2b)
ASCVD score of what means they need a statin?
7.5% - def statin
5% consider
67 yom new to clinic with h/o smoking 1ppd for 20 years quit 3 years ago? What screening dose he need? Think all screening
CRC
Low dose CT
AAA screening
DM
Lipid
CRC screening starts at what age?
45
Very High fracture risk T-score?
less than -3.0
Romosozumab
Denosumab
Zoledronate
Abaloparatide
BP 190/120 in clinic without target organ damage
Severe asymptomatic HTN
This antibiotic is the first line treatment for otitis media
What is amoxicillin
Name the ADLs/IADLs
ADLS:continence
transferring, toileting
bathing, dressing
feeding
IADLs: phone, shopping, food prep, cleaning, laundry, transportation, meds, finances
50 y.o M here for HTN f/u. What vaccines should you offer?
Shingles
17 y.o here for pap ... what do you tell her?
not until 21, then every 3 years then after 30 every 5 years
BP 180>120
Examples of "end organ damage symptom"
Chest pain
SOB
blurry vision
HAs
EKG changes
Goal LDL if Have a history of DM
LDL <70
Reversible dementia workup?
B12
TSH
HIV
RPR
*screening for depression
Patient here for physical she is 78 y.o pmhx of DM and HTN and HLD well controlled. What HCM or labs does she need?
None
COPD exacerbation requires hospitalization- group and treatment
Extra credit: if eosinophils >300
Group E
LABA + LAMA + ICS
GDMT
ARNI- Sacubitril/valsartan (or ACE/ARB)
Beta-blocker- Carvedilol, metoprolol, bisoprolol
MRA- Sprinolactone or eplerenone
SGLT2- Dapagliflozin or Empagliflozin.
Worsening cough and SOB was dx with COPD a year ago is not on any treatment. Feeling more SOB and coughing. What inhaler would you start?
LAMA-LABA
A patient refuses life-saving treatment. What must be assessed first?
HINT: Capacity vs competence
Decision making capacity
Capacity= clinical
Competence= legal
Flu shot can be offered starting at what age?
6 months
Regulates glucose, lowers blood pressure, & triglycerides
Cinnamon
Myalgias with statin- Hydrophilic statins?
Rosuvastatin
Pravastatin
Pitavastatin