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Which of the following medication may increase LN’s potassium?
LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA. His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN’s medication includes Dexamethasone 8mg iv q6h...
What is the relative risk reduction of using Rivaroxaban over Enoxaparin?
In a study where Rivaroxaban was compared to enoxaparin to find total VTE following HIP replacement surgery, there were 17 total VTE out of 1513 patients in the Rivaraoaban group and 57 total VTE out of 1473 patient in the enoxaparin group. What is the relative risk reduction of using...
Which of the following drugs is most likely responsible for this?
A 27-year-old female with ovarian cancer is undergoing chemotherapy. She develops subsequent renal failure. Which of the following drugs is most likely responsible for this?A . CyclophosphamideB . BleomycinC . CisplatinD . VinblastineE . VincristineView AnswerAnswer: C Explanation: Cisplatin. All chemotherapeutics have similar generalized side effects related to their effects...
Which of the following medication may significantly cause QT prolongation?
LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA. His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN’s medication includes Dexamethasone 8 mg iv...
Which of the following medication may increase LN’s Blood glucose?
1 mg. lock-out every 6 min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K 5.0 mmol/L, Na 135 mmol/L. Which of the following medication may increase LN’s Blood glucose?A . LisinoprilB . DexamethasoneC . FamotidineD . MetoclopramideE . HydromorphoneView AnswerAnswer: B...
Which of the following drugs used in acute coronary syndromes treated with PCI must undergo oxidation by hepatic P450 enzymes to an active form?
Your patient is a 58-year-old male who presents with onset of severe substernal chest pain and shortness of breath. An ECG reveals an acute STEMI, and he is on his way to the cardiac catheterization suite for percutaneous coronary intervention. Which of the following drugs used in acute coronary syndromes...
What changes should be made to his current regimen?
A 54-year-old male with a long history of mild persistent asthma on daily fluticasone therapy has been using his albuterol inhaler every day for the past month, and presents requesting a refill. What changes should be made to his current regimen?A . Add ciclesonide to current regimenB . Add salmeterol...
The drug the father gave his son is most likely which of the following drugs?
A 7-year-old boy has been suffering from influenza and had been given a drug by his father to decrease his high fever. A few hours later, his father brought him to the emergency room in a comatose state with a papulovesicular rash all over the body, moderate hepatomegaly, and asterixis....
What is the next best step in the management of this patient?
A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon examination you find that she is having some cognitive difficulty. Laboratory results reveal: MCV: 109fL; Hgb: 9g/dL; MMA and homocystine are both elevated. Shilling test is positive. What is the next best...
Which of the following illnesses is an example of a type III hypersensitivity reaction?
Which of the following illnesses is an example of a type III hypersensitivity reaction?A . LupusB . Graves diseaseC . Hashiomoto’s thyroiditisD . Allergic rhinitisE . Myasthenia gravisView AnswerAnswer: A Explanation: A type III hypersensitivity reaction is mediated by immune complex deposition. In lupus, auto-antibodies are formed and these complexes...
