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Anticoagulation
ID
Geriatrics
Psych/Neuro
Immunizations
100
This medication is the newest oral factor Xa inhibitor approved by the FDA
What is apixaban (Eliquis)? Indication? Dose?
100
These two bugs are the offenders with the highest risk for causing community-acquired pneumonia.
What are M. pneumo and S. pneumo? What is the third most common?
100
This is the degree of Alzheimer's dementia in which Namenda is indicated.
What is moderate to severe. Can you give with Aricept?
100
These TCAs have the highest risk of sedation, anticholinergic side effects and cardiotoxicity
What is imipramine, amitriptyline. Desipramine and nortriptyline have lower risk due to being a secondary (not tertiary) amine.
100
This is the age children can receive the Flumist.
What is 2yo? What is the max age to receive?
200
This medication is given via continuous infusion after diagnosis of HIT.
What is argatroban? How is argatroban monitored? At what INR can argatroban be stopped when transitioning to warfarin?
200
This is the time frame from start of influenza symptoms that Tamiflu/Relenza should be used.
What is 48hr? Which would you use in a pt with severe COPD? Which strains of flu do these treat?
200
These are the selective alpha-blockers used to treat BPH.
What are tamsulosin (Flomax), alfluzosin (Uroxatral), silodosin (Rapaflo). Benefit of using these agents over non-selective alpha blockers?
200
These are the most sedating SSRIs.
What is paroxetine and fluvoxamine. Most activating? Not available generically? Highest/lowest risk for w/d? Risk of QTc prolongation?
200
These vaccines are contraindicated in pregnancy.
What is Varicella, Zoster, MMR, LAIV. Why? What about HPV?
300
This is the duration of therapy of warfarin for a bioprosthetic valve in the mitral position
What is 3mo, then aspirin (81mg?) long-term. INR goal while on warfarin for first 3mo?
300
This is when rifampin should be used in conjuction with primary treatment for endocarditis.
What is with a prosthetic valve with MRSA/MSSA. Primary treatment for MRSA/MSSA endocarditis? Duration?
300
These were some of the significant negative findings from the WHI trial using hormone replacement therapy.
What are increased MI, breast cancer, stroke/VTE, dementia. What benefits were found?
300
This is the best medication for bipolar patients who are rapid cyclers.
What is lamotrigine? How long to work? What to use while waiting to work? What is good for depressive sx?
300
These are 3 conditions that adults <65yo would have to qualify to receive a PPSV23 vaccine.
What are COPD/asthma, chronic CVD, DM, chronic renal failure, chronic liver disease, alcoholism, cochlear implants, CSF leaks, immunocompromising conditions, asplenia
400
This is the best option to prevent stroke/VTE due to Afib in a 84yo, 62kg female patient with the following labs/info: Na 144, K 4.9, Cl 95, CO2 35, Glu 398, Scr 2.9, WBC 11.2, Hgb 9.9, Ht 5' 1"
What is warfarin? Why not Pradaxa, Xarelto, Eliquis? Renal disease dosing?
400
This is suggested treatment for a 2nd recurrence (third episode) of C. Difficile diarrhea.
What is vancomycin pulse or taper (possible rifaximin, nitazoxanide, fidoximycin?) Example of dose?
400
Choice of osteoporosis treatment in 78yo female with CrCl = 20ml/min, PMH = PE 2yr ago d/t Afib with following labs: Scr 3.1 Ca 10.7 T score: Hip=-2.6, spine -1.4
What is Prolia (denosumab). Can not use bisphophonates given poor renal function (esp. Boniva - has not been shown to prevent non-vertebral fx and Reclast d/t increased risk of Afib). No SERM d/t hx of PE. No Calcitonin (no hip fx benefit only vertebral). No teriparitide due to elevated Ca. Prolia is an alternative 1st line agent used to prevent spine/hip fx, no renal CI, can decrease Ca levels
400
What medication can be used for refractory schizophrenia?
What is clozapine? Benefits? Risk?
400
This is the gestational age when a pregnant woman should receive a Tdap vaccination
Preferrable 27-36 weeks gestation. What if she's received the Tdap last year with her last pregnancy?
500
These anti-infectives cause INR to decrease.
What are nafcillin, dicloxacillin, rifampin?
500
This is when corticosteroids would be indicated for meningitis.
What is children with H. influenzae infection, adults with S. pnemoniae infection.
500
These would be treatment of choice in a patient with stress incontinence.
What are alpha-agonists (pseudo/phenylephrine), topical estrogens, SNRI (duloxetine).
500
A 34yo patient is recently diagnosed with tonic-clonic seizure. PMH= hepatitis, hyponatremia, kidney stones. Pt is currently 30 weeks pregnant. This is the best antiepileptic medication given her history
What is levetiracetam (Keppra). What antiepileptic drugs to avoid in pregnancy? What AED increases LFTs? Causes hyponatremia? Kidney stones?
500
This is what Andrew Wakefield's 1998 study 'showed'.
What is 12 children with increased enterocolitis associated with a chronological diagnosis of autism after MMR vaccine administered. Issues? What happened to the article and Dr. Wakefield?