Miscellaneous
What is the target Serum Uric Acid Level in all patients taking Urate Lowering Therapy for Gout?
<6 mg/dL
A Urine Dipstick is most sensitive to this particular protein
Albumin
When is someone considered a "Cancer Survivor"?
A) Once they Complete Treatment
B) Once they are in Remission
C) Once they are diagnosed with Cancer
D) Once they start Treatment
C) Once they are Diagnosed with Cancer
What is the only approved ORAL inotrope in the US?
Digoxin
This type of vasculitis is usually positive for P-ANCA/Anti-MPO and has NO granulomas on Biopsy
Microscopic Polyangiitis
Which infection is the most common cause of Type 2 Cryoglobulinemic Vasculitis?
HCV
What is a cause of falsely low Specific Gravity?
There are none!
Diagnosis of CML is confirmed by the presence of this chromosome
Philadelphia Chromosome
How long should a patient be on anticoagulation after getting a Direct Current Cardioversion for Afib?
4 weeks
Which of the D2 Antagonist Medications used for Nausea do you want to avoid in a Complete Bowel Obstruction?
Metoclopromide
What is an example of a Mu-Opioid antagonist used for Opioid Induced Constipation?
- Methylnaltrexone (Relistor)
- Naloxegol (Movantik)
- Alvimopan (Entereg)
- Naldemidine (symproic)
Leukocyte Esterase on a UA indicates the presence of these!
WBCs!
What class of medication is the cornerstone of CML treatment?
Tyrosine Kinase Inhibitors
An 83-year-old woman with hypertension, stage 3 chronic kidney disease, and warfarin-treated paroxysmal atrial fibrillation is brought to the emergency department after experiencing shortness of breath for 3 days. She has had fever, cough with sputum production, and a diminished appetite. During her initial evaluation, she deteriorates, becoming more confused, somnolent, and dyspneic.
Her temperature is 38.4°C, her heart rate is irregularly irregular at 156 beats per minute, her blood pressure is 72/40 mm Hg, her respiratory rate is 30 breaths per minute, and her oxygen saturation on 10 liters of supplemental oxygen is 84%. Her jugular veins are indeterminate. There are no murmurs or rubs. On pulmonary examination, she has crackles in both bases, but they extend further into the right mid-lung. Her extremities are cool, and she has 1+ lower-extremity edema.
Her electrocardiogram reveals an irregular, narrow-complex tachycardia consistent with atrial fibrillation, with a rapid ventricular response at 162 beats per minute. No acute ST-segment or T-wave abnormalities are evident.
In addition to treatment for sepsis, what is the most appropriate next thing to do for this patient?
Synchronized Cardioversion
What is the reversal agent for Eliquis and Xarelto?
Andexanet Alfa
The 3 Genera that are High Risk of Inducible AmpC Resistance
- Citrobacter (freundii)
- Klebsiella (aerogenes)
- Enterobacter (cloacae)
How does Bactrim cause Hyperkalemia?
Inhibition of the ENaC !
What is first line Cytoreductive Therapy in Polycythemia Vera?
Hydroxyurea
What is the first line Antiarrhythmic for Hemodynamically stable VT Storm
Amiodarone
What are the Four Clinical Stages of Alcohol Withdrawal?
- Minor Withdrawal Symptoms/Sympathetic Activation
- Alcoholic Hallucinosis
- Withdrawal Seizures
- Delirium tremens
What are the 5 Main receptors involved in activating the vomiting center?
M1
H1
5HT3
D2
NK1
What are the 3 diagnostic criteria for Nephrotic Syndrome?
- Proteinuria > 3.5 g/day or spot urine protein to creatinine ratio > 3-3.5g/g
- Peripheral Edema on Physical Exam
- Hypoalbuminemia
All patients diagnosed with Polycythemia Vera should start on this combo of treatment (unless contraindicated).
(Need BOTH!)
Phlebotomy plus Low Dose Aspirin
When thinking of starting Ivabradine, which vital sign is it the most important to consider?
Heart Rate!
In an individual with Primary Hyperparathyroidism, but otherwise healthy, what would you expect of the following labs ?? (Higher vs. Lower)
- Calcidiol
- Calcitriol
- Phosphate
- Calcidiol -> LOWER
- Calcitriol -> HIGHER
- Phosphate -> LOWER