Asthma
Foundational therapy for asthma is:
ICS
T-scores: normal, osteopenia, osteoporosis
-1 to 1 = normal
-2.5 to -1 = osteopenia
-4 to -2.5 = osteoporosis
What are the typical symptoms of GERD?
Heartburn
Regurgitation
Acidic taste in mouth
Most common pathogen for UTI:
E coli
Who gets antibiotic treatment for AOM?
Anyone with severe symptoms (102F fever, 48 hours)
Anyone with otorrhea
Anyone with uncertain follow-up
<2 years old with bilateral
What type of patient with asthma needs reliever medication?
ALL
What FRAX scores should indicate treatment?
High risk: >3% hip, >20% major osteoporotic
Very high risk: >4.5%, >30% major osteoporotic
An empiric trial of what drug can confirm GERD diagnosis?
PPI
First-line options for cystitis:
Nitrofurantoin 100 mg po BID x5 days
SMX/TMP 1 tab po BID x3 days (don't use if resistance >20% or if sulfa allergy or if used in last 30 days)
What is first-line therapy for AOM?
What is the relationship between asthma severity and severity of an acute asthma exacerbation?
None - any severity can have a severe asthma attack
Calcium recommendations for patients:
Women >50 = 1200 mg/day
Men 50-70 = 1000 mg/day
Men >70 = 1200 mg/day
What medication is used for initial therapy for acute upper GI bleed?
PPI 80 mg IV bolus, followed by PPI 40 mg IV BID
What is the difference between relapse and reinfection with UTI?
Relapse = same pathogen (extend treatment duration)
Reinfection = different pathogen (initiate different treatment)
S/sx for greater than or equal to 10 days
Severe symptoms (102F fever, face pain, nasal discharge) for 3-4 consecutive days
Double worsening
Treatment for acute asthma attack?
Nebulized albuterol
Systemic steroid
SAMA (if necessary)
Oxygen (if necessary)
What is the only drug for osteoporosis that reduces mortality?
Zoledronic acid
1st-line treatment for H pylori induced PUD:
PPI BID + amoxicillin 1 g BID + clarithromycin 500 mg BID
What is uncomplicated UTI?
UTI in a pre-menopausal, non-pregnant, otherwise healthy woman
What is first-line therapy for ABRS?
Omalizumab dosing is based on:
Serum IgE and body weight
Which PTH analog can be used in both women and men?
Teriperatide
Chronic NSAID regimen for patient with low GI bleed risk and low CV risk:
Naproxen or ibuprofen
Treatment options for acute pyelonephritis:
Ciprofloxacin 500 mg BID x7 days
Levofloxacin 750 mg QD x5 days
SMX/TMP 1 tab BID x14 days
Oral beta-lactams x10-14 days
What are ABRS treatment options for patients allergic to penicillin?
Doxycycline or respiratory fluoroquinolones