This range of HbA1c levels is consistent with 'pre-diabetes'
5.7-6.4%
What type of tick is the most common vector for Lyme disease.
Ixodes (Deer) tick
Toxic Mega-colon
Pericarditis
Argentina
How does Metformin lower blood sugar?
decreased hepatic gluconeogenesis (also increased insulin sensitivity)
Name 3 of the most common causative organisms of community acquired bacterial pneumonia.
Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Klebsiella pneumoniae, Staphylococcus aureus, Mycoplasma pneumoniae
Intussusception
This insulin, which has a peak effect in 4-8 hour range, should be given twice daily.
NPH (cheaper for some patients without insurance)
A 22 year old 38-week pregnant female is found to have asymptomatic bacteriuria. The urine culture is E. coli sensitive to ampicillin, nitrofurantoin, and bactrim. How do you treat the patient?
Amoxicillin.
Asymptomatic bacteriuria during pregnancy increases the risk of pyelonephritis and has been associated with preterm birth and low-birthweight infants, so should be screened for and treated. Amoxicillin is safe to use in the third trimester of pregnancy.
Achlasia
These are the four ways to diagnose type II diabetes mellitus
What are:
HgbA1c > 6.5%,
2 random blood glucose > 200 mg/dL,
fasting blood glucose > 126 mg/dL,
2 hour 75 gm oral glucose tolerance > 200 mg/dL
The CD4 count at which you initiate PCP prophylaxis, and the agent of choice, in a patient with HIV
What are 200 and trimethoprim/sulfamethoxazole (Bactrim)viral load is undetectable or for 28 days.
Chronic pancreatitis
Filipino man with syncope
Brugada syndrome - typical ECG findings of a pseudo-right bundle branch block and persistent ST segment elevation in leads V1 to V2.
Brunei
"Euglycemic" (usually meaning plasma glucose <250) diabetic ketoacidosis has been reported with this medication used in type 2 diabetics.
SGLT2 inhibitors (Dapagliflozin, canagliflozin, and empagliflozin)
Drug of choice for close contacts of patients with meningococcal meningitis
What is rifampin
ERCP image
Primary Sclerosing Cholangitis
Elderly man found outside in February
marked J (Osborn) waves indicating Hypothermia. You may also see sinus bradycardia, QT prolongation and T wave inversion.
Luxembourg