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A Japanese male present with hypertension and chronic kidney disease, which
antihypertensive would you give?
- answer-ACE inhibitor or ARB. Next course of action is to reduce amount of salt
in diet.
A Japanese patient comes in with hypertension, already taking an ACE inhibitor
with stage 3 hypertension. What medication would we suggest next?
- answer-Amlodipine
Combined ___________ are contraindicated when breast feeding.
- answer-Oral contraceptives
Do not combine an _______ with an angiotensin II Receptor Blockers ARB (-
sartan)
- answer-ACE inhibitor
Drugs with _______ are contraindicated during pregnancy.
- answer--flox- drugs. For example, ciprofloxacin (Cipro), gemifloxacin (Factive),
levofloxacin (Levaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), and
ofloxacin (Floxin) which are all fluoroquinolones.
G6PD deficiency
- answer-- Low NADPH leads to hemolytic anemia (free radicals)
- X-linked recessive
How do you diagnose lung cancer?
- answer-- Chest X-ray
- Test for mutation in epidermal growth factor receptor (EFGR)
How do you test for postural orthostatic tachycardia syndrome?
- answer-Tilt test
, How should Warfarin be started?
- answer-Start initial dose at half to monitor the effects
how to treat grave's disease?
- answer-Remove or destroy thyroid tissue or suppress with drug (methimazole or
propylthiouracil)
Treat with Iodine-131
Beta blockers also used to suppress release of thyroid hormones and reduce HR.
How to treat pediatric UTI with no comorbidities?
- answer-Trimethoprim/sulfamethoxazole (Bactrim, Septra)
Augmentin
Cephalosporins
Is an ejection fraction of 50% reduced or preserved?
- answer-Preserved
Name an adrenocortical steroid indicated as partial replacement therapy for
primary and secondary adrenocortical insufficiency in Addison's disease and for
the treatment of salt-losing adrenogenital syndrome
- answer-Florinef
Normal TSH levels
- answer-0.4-4.0
Parental care of the newborn with sickle cell anemia:
- answer-- Infant will be anemic
- Increased risk for infection
- May have spleen or liver damage causing jaundice
- May have crying episodes from pain and swelling of extremities
- Hydrate, administer vaccines, antibiotics when necessary, folic acid
administration, and regular eye exams
Should you admit or monitor a young athletic patient with bradycardia?
- answer-Monitor as it is normal.
Side effects of cholinesterase inhibitors (neostigmine):
- answer-Excessive salvation, urinary urgency, sweating, spasm, bradycardia