ACCURATE ANSWERS
Acute flair of gout correct answer NSAID or Colchicine - comparable to other
agents if taken within 24 hours.
ASCVD risk correct answer elevated LDL over or equal to 90 mg/dl, 40-75 years of
age with diabetes and LDL 70-189, and ASCVD risk score of 7.5% or higher.
Atherosclerotic Cardiovascular Disease correct answer developed by the
American college of cardiology and calculates 10 year risk of having heart attack
or stroke. Takes into account age, sex, race, cholesterol levels, BP, medication
use, diabetic status, and smoking.
BB & asthma correct answer can increase bronchial obstruction and airway. can
exacerbate asthma.
Beta Blockers - olol correct answer decreases cardiac oxygen demand through
blockade of specific receptors in the heart. Their use with nitroglycerin and
reflective tachycardia can combine to combat it.
Carbamazepine (ARB) correct answer if prescribed with warfarin - carbamazepine
decrease the effects of warfarin and should be monitored closely.
Cholesterol Absorption Inhibitor - non statin therapy correct answer Ezetimibe
(Zetia) - prescribed when patients do not achieve satisfactory LDL reduction or
cannot tolerate a statin
, Colchinicine correct answer anti inflammatory agent with effects specific for gout.
however, common occurrence of GI toxicity - can be used short term to treat
acute gouty attack or long term to prevent attacks from recurring.
complications of untreated gout correct answer symptoms result from the
deposition of uric acid crystals in joints.
Contraindications for Ranolazine correct answer renal failure, liver cirrhosis,
taking CYP3A inhibitor and inducer.
Contraindications for statins correct answer pregnancy, viral or alcoholic hepatitis,
avoid use in children under 10
contraindications to thiazides correct answer sulfa allergies, use in caution with
patients with cardiovascular disease, renal impairment, diabetes, or a history of
gout. Pt. taking digoxin, lithium, or antihypertensive drugs.
Digoxin correct answer only cardiac glycoside that is available in the United
States. Exerts a positive inotropic action on the heart
Education for Colchinicine correct answer taken once or twice a day until flare
resolves.
taken daily in reduced doses for prophylaxis.
category C in pregnancy.
use with caution in older patients, or those with cardiac, renal, hepatic, and GI
diseases.