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A 70yo M with h/o HTN and DM presents with a 2-mo h/o increasing paroxysmal nocturnal dyspnea and SOB with minimal exertion. An echocardiogram shows an ejection fraction of 25%. Which one of the patients current medications should be discontinued? A. Lisinopril (Zestril) B. Pioglitazone (Actos)...

Which one of the following statements is TRUE regarding the use of antidepressants for smoking cessation? - Answer- Bupropion is contraindicated in a patient with an eating disorder The number 1 cause of preventable morbidity and mortality in the US today is which of the following? - Answer- Toba...

Porter's 5 forces considers the political, economic, social, technological, and overarching factors that may impact the success of a business. - Answer- False The manager of Extreme Sporting Goods is concerned that cash expenditures have been exceeding cash receipts for the last six months, sugg...

A 69 yo M with T2DM, obesity, and CAD sees you for f/u of DM. His A1c has increased to 8.7% despite therapy with metformin, 1000 mg BID, and insulin glargine (Lantus). Which one of the following additional medications would be the most effective for reducing his blood glucose level and lowering ...

A nontoxic afebrile 4 week old child appears with diffuse crackles and conjunctivitis and a prominent cough. On WBC there is prominent eosinophilia. Most likely etiological agent? - Answer- Chlamydia pneumoniae (atypical pneumonia) When do we use finesteride? - Answer- Only if PSA is above 1.5ng/...

A 52-year-old male presents with moderate symptoms of prostatism. A prostate examination is normal. His post-void residual volume is 90 mL. His PSA level is 0.75 ng/mL (N 0.0-4.0). He says his nocturia has become troublesome and you decide to initiate therapy. This patient does NOT meet the criteri...

Criteria for hyperaldosteronism, which is found in up to 20% of HTN patients and more often in women - Answer- Plasma Aldo/Renin ratio >20 and Aldo >15 ng/dL How might you manage a non toxic lobar pneumonia in a 15 month old? - Answer- High dose oral amoxicillin at 90 mg/kg/day and out pati...

Screening for AAA - Answer- Men 65-75 who have ever smoked (A) Test used to screen for AAA - Answer- Abdominal duplex ultrasonography Treatment for AAA - Answer- >5.5 cm --> surgery 3.0-5.4 cm --> repeated surveillance Q3-12 months Growth >1.0 cm/yr --> surgery Screening fo...

MCC of HTN in children < 6 yrs - Answer- renal parenchymal dz (urinalysis, urine culture, and renal ultrasonography should be ordered for all children presenting with hypertension) TZDs should not be used in patients - Answer- with New York Heart Association class III or IV heart failure ne...

A 4-week-old white male is brought to your office with a 2-week history of increasing dyspnea,cough, and poor feeding. The child appears nontoxic and is afebrile. On examination you noteconjunctivitis, and a chest examination reveals tachypnea and crackles. A chest film shows hyperinflation and diff...

Sx: non-toxic infant 3-6 weeks with prominent cough, tachypnea, wheezes, and conjunctivities, patchy infiltrates on CXR - Answer- Dx: Chlamydial PNA Sx: very ill appearing infant, expiratory wheezes, bronchiolitis, tachypnea, dyspnea, lobar PNA with sudden onset, elevated WBC - Answer- Dx: Staphy...