HTN
Most common cause medication-related cause of secondary hypertension
What are NSAIDS?
An HIV-positive patient has an undetectable viral load but a CD4 count of 180 cells/µL. This opportunistic infection prophylaxis is still indicated.
What is Pneumocystis jirovecii pneumonia?
This concept describes protection of unvaccinated individuals when enough people are immune.
What is herd immunity?
In February 2010, this nickname was given to a pair of massive snowstorms that buried Washington, DC under historic snowfall.
What is Snowmageddon?
This medication blocks opioid receptors and requires full detox before starting.
Naltrexone
According to AHA/ACC guidelines, stage 1 hypertension with a 10 year ASCVD risk of <10% should be managed with
What are lifestyle modifications only?
DASH diet, weight loss, sodium restriction, aerobic activity, moderation of alcohol and smoking cessation
This HIV coreceptor determines if maraviroc is effective
What is CCR5?
This platform allows rapid redesign in response to emerging variants.
What are mRNA vaccines?
This federal office issues the official decision to close the government when DC snowstorms make commuting unsafe.
What is Office of Personnel Managment?
Evidence shows MOUD reduces this outcome by more than 50%.
This demographic group has the highest rate of uncontrolled HTN in the US
Black Men
A 55-year-old Black man with uncontrolled HTN has roughly a 1 in 7 to 1 in 5 chance of dying in the next 10 years
BP control alone can cut that risk by ~30–40%
Resistance testing is most reliable when viral load exceeds this level.
What is >500–1,000 copies/mL?
This vaccine is recommended during each pregnancy regardless of prior immunization status.
What is Tdap?
Despite its reputation for mild winters, Washington, DC averages about this many inches of snow per year.
What is about 15 inches?
A patient on buprenorphine continues intermittent fentanyl use but wants to stay in care. Standard of care would includes
What is continuing buprenorphine with harm-reduction counseling?
What is gradual blood pressure reduction with oral medical over days to weeks
180/120 no acute target organ damage
Recommended timing of ART initiation in cryptococcal meningitis.
What is 4–6 weeks after antifungal therapy initiation?
An asplenic adult should receive this vaccine to reduce risk of overwhelming sepsis.
What is meningococcal vaccine (MenACWY ± MenB)?
Because of DC’s location, snow often changes to this form of precipitation during winter storms, making forecasting especially tricky.
What is sleet or freezing rain?
This benefit of Sublocade improves outcomes compared to daily dosing.
What is improved adherence and retention?
This class of medication should be initiated in all patients with HFrEF regardless of baseline blood pressure, diabetes status, or renal function down to an eGFR of 20–25 mL/min/1.73 m².
What are SGLT2 inhibitors?
Jardiance (empagliflozin), Farxiga (dapagliflozin), Invokana (canagliflozin), Steglatro (ertugliflozin), and Brenzavvy (bexagliflozin).
Salvage agent that binds gp120 and is given IV every 2 weeks.
What is fostemsavir?
A solid-organ transplant recipient ≥1 year post-transplant should receive this recombinant vaccine.
What is recombinant zoster vaccine (Shingrix)?
This record-setting cold snap in February 1899 produced the coldest temperature ever recorded in Washington, DC.
What is –15°F?
initiating long-acting injectable buprenorphine much sooner than the traditional 7-day stabilization period—often same day or within 1–3 days—after confirming the patient tolerates transmucosal (sublingual) buprenorphine. Is called.
What is rapid start?