Diagnose me
A blood pressure (BP) of 150/90 is considered stage...
stage 2 (AHA)
spirometry >0.7 post bronchodilator
Asthma
persistent proteinuremia
early CKD
You suspect your patient has COPD. Which test would you not order today?
1. Spirometry
2. CXR
3. Echocardiogram
4. O2 sats
3. Echocardiogram
Snoring, frequent waking in night, falls asleep easily in day
Sleep study
Productive cough in the morning for 5 yrs, increased SOB with activity over past year
COPD
Hemoptysis, night sweats, fatigue, weight loss, fever, and recent immigration from Colombia.
test for TB
Elevated HCT?
Smoker, dehydration, CKD
The cornerstone of moderate persistent asthma drug therapy is the use of:
1. SABA
2. LABA
3. Inhaled corticosteroid
4. Oral theophylline
3. Inhaled corticosteroid
Creatinine increased from 1.2 to 2.1 to 3.2 over past year
Refer to nephrology
Intermittent airway obstruction due to bronchospasms and edema of the lungs
Asthma
ACEI (kidney protective)
Normal creatinine level
0.6-1.3
The primary risk factor for Interstitial Lung Disease is:
1. autoimmune disease
2. HIV
3. genetics
4. inhaled chemical exposure
4. inhaled chemical exposure
BP of 148/94 and 146/92 on two separate visits
Start medication and discuss lifestyle changes
Testing required to dx TB (3)
1.Mantoux (or Quantiferon)
2.CXR
3.sputum culture
Where is the brain natriuretic peptide (BNP) abundant?
GFR 53
CKD state 3a
A 72 year old male with a 45 pack year smoking history presents with a two month history of productive cough, fatigue, shortness of breath and has lost ten pounds without trying in that time. What test will you order?
1. Chest CT
2. Stress test
3. Echocardiogram
4. PFT
1. Chest CT
Patient with COPD presents with increased productive cough, SOB, and fatigue over past 4 days. What diagnostics should I consider?
CXR, O2 sats, CBC
Post bronchodilator FEV1/FVC <0.7
COPD
First line treatment of uncomplicated UTI?
Nitrofurantoin (Macrobid)
BNP 1400
Heart failure
Sam age 42, has no known chronic illnesses. He does not smoke, exercises vigorously 45 mins daily before work, has a normal BMI. You ordered a dipstick urinalysis as part of his wellness exam today. The UA came back with trace protein. Your next step is to:
1. Order pelvic CT
2. Refer to urology
3. Refer to nephrology
4. Repeat the UA before he does his morning workout.
4. Repeat the UA before he does his morning workout.
What antibiotics would I consider for acute COPD exacerbation?
Doxycycline, Bactrim, azithromycin