Thomas Jefferson University NU 674 PC1 rotation

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FOCUS on CARDIO; legit nothing on infectious DZ I don’t think (except Lyme DZ) Lyme question: what is the most IMPORANT thing to do? Physical exam? Rx doxy? Order a titer? Idk Lots of questions on... EKG / what artery was stented based on where ST elevation was  know the EKG chart / what artery is involved aka the LAD vs. RCA Stable vs. unstable vs. variant/prinzmental angina (3 questions on this) Know what test to order for someone to evaluate bleeding (someone comes in w/ epistaxis)  PT (pt/inr isn’t an answer so I said PT) What BP drug causes tinnitus? Amlodipine? Lipid goals (ex – healthy pt vs someone with a recent CABG) know trigs, LDL, and total chol. Asthma Tx (know Flonase / fluticasone) Dressler’s syndrome; acute pericarditis (positional) What kind of MI? lateral.. inferior… anterior wall based on where ST elevation was Sleep apnea PATHO of BP meds – which class decreases afterload? – DHPs (aka CCBs – are potent vasodilators that decrease afterload) What BP med can you use with someone w/ severe asthma? Carvedilol vs. nadolol (NOT propranolol) What is the MC virus that causes the common cold? Rhino? Coronavirus? Idk Something about pneumonia – H. flu vs. strep pneumo Which of the following is not a common sx of acute prostatitis? Back pain I think Tx for Chlamydia  Doxy or macrolide (in the question someone has an allergy to one of the abx) Pt. comes in w/ new sexual partner and discharge  Rx doxy COPD vs. asbestosis (in a construction worker with a cough x 10 months) KNOW lung sounds / physical exam for pneumothorax, atelectasis, vs acute asthma attack (ex – atelectasis trachea deviates TOWARD affected side) – know fremitus, hyperresonance, decreased or absent lung sounds etc. for these conditions KNOW + PPD readings: ex 5-10mm for someone who is HIV+ (>15mm for healthy, general population) 2 questions on this Primary Care I Cases from Dr. Nguyen  45 y/o AA truck driver – 230 cholesterol, mild DM mostly diet a1c 6.5/7 BP 158/98. Non- smoker BMI 35 - Amlodipine 5mg once/day – palpitations, lower leg edema (take @ night) o Minimal SEs - HCTZ 25 mg once/day (mild incr. in cholesterol, increase peeing, mild hyperglycemia) - HCTZ – mild hyperglycemia - ACE – not in AA initially - He develops mild kidney dz  ACE or ARB w/ pts with any EVIDENCE of nephropathy Classic renal artery stenosis – middle age man w/ accelerated HTN (ACE puts him into AKI) 55 y/o cauc software engineer 160/100 Total chol mild elevated 238 - Lisinopril-HCTZ 20mg/25mg - Other option? Metoprolol – impotence, hypotension, fatigue, depression, HA - D/c meds and begin Losartan 25mg acute renal failure!! – don’t miss this! [Show More]

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