The p-value provided is for noninferiority, it can be concluded that Apixaban is as effective as warfarin in reducing rate of stroke or systemic embolism among patients with atrial fibrillation. Fluid status would be monitored.Normal saline would not be given. ME is a 65 YOM with past medical history of HTN, DM, hyperlipidemia and BPH, comes through the ER with sever bilateral upper quadrant and epigastric abdominal pain associated with nausea. For pseudomonas infections, empiric therapy can be with Piperacillin/Tazobactam plus levofloxacin or ciprofloxacin. No he is not a candidate for zoster vaccine since he already had herpes zoster and has built immunity to it. Pharmacotherapy BCPS. What should be FM’s drug of choice for treatment of chronic high triglycerides? 3. Thus, A is incorrect. Metoprolol tartrate was found to be less effective in HF clinical trials. Upon transfer medications includes Propofol, MVI daily, Lorazepam prn and Piperacillin/Tazobactam. If you get 100 % questions right on this domain you have a better chance of passing the exam. Which of the following is appropriate course of action for FM in regards to her low phosphate level? If you are reading this page you must be thinking or have decided to take this exam. Decrease the dose to 100mcg orally daily. Stages A-D are not NYHA functional classification. So it is appropriate to make a statement: The rate of death from any cause was lower in the Apixaban group than in Warfarin group the meaning of 1 in a confidence ration indicates that the risk reduction in the outcome is the same between the two groups. ME is a 65 YOM with past medical history of HTN, DM, hyperlipidemia and BPH, comes through the ER with sever bilateral upper quadrant and epigastric abdominal pain associated with nausea. Her pro-B-Natriuretic Peptide is 28869 pg/ml, Chest X-ray shows: Cardiomegaly with pulmonary vascular congestion and atelectatic changes in the left mid lung. His CBC and CMP are within normal limits, except serum creatinine is 1.6. Dextrose should not be given for blood glucose >200 mg/dl. The AACE/ACE 2015 guidelines defines possible symptoms of diabetes mellitus as frequent thirst (polydipsia), frequent urination (polyuria), polyphagia (extreme hunger), blurred vision, weakness, and unexplained weight loss. Pertinent labs incudes Lipase 2976 units/L, HDL 29mg/dl, LDL 79 mg/dl, Cholesterol 355mg/dl, triglyceride 1751mg/dl, calcium 6.0mg/dl, Albumin 2.3g/dl, Magnesium 1.4mg/dl, Potassium 3.6. CRP was not mentioned in the guidelines as to whether it can be used to determine discontinuation of antibiotic therapy or not. She is currently receiving Insulin, which is a treatment for hyperkalemia. Which of the following is most likely cause of ME’s acute pancreatitis? Age is not categorical because age can fall under any continuous number, so it is considered quantitative, continuous data. His current medications include Metformin 1000mg by mouth BID, Insulin glargine 20 units SQ at bedtime, Glipizide 10mg by mouth twice daily. Also, routine use of prophylactic antibiotics in patients with severe acute pancreatitis is not recommended. Incidence rate = New reported cases / summed person-years of observation (avg population during time interval). Her LDL-C is 100mg /dL. Insulin drip can be discontinued once BG<200mg/dl AND Anion gap less than or equal to 12 OR BG< 200mg/dl and Venous pH is >7.3 and Serum Bicarb is 15 meq/L or more. Patient is not a candidate for MMR, as individuals, who have been born prior to 1957 are considered immune to measles and mumps (patient born in 1944.). If 9.3 kg is the SD, calculate the SEM? Better/same/worse is considered ordinal categorical since the answers fall in order. Prevalence = Cases in a population in a given time period / total population at that time. If this activity does not load, try refreshing your browser. Which of the following statement is true about JM’s diagnosis of type 2 diabetes(D2M)? As the patient is over the age of 60 and he does not have CKD or diabetes, his goal BP should be SBP < 150 mmHg or DBP < 90 mmHg, and he is not currently at this goal with his medication regimen. Corrected Calcium Formula: Serum calcium + 0.8 (4- serum Albumin). Influenza, PCV13, Zoster, Td booster and MMR, Influenza vaccine is recommended annually, thus JM is a candidate, as he hasn’t received it since 2013. A Patient is receiving Piperacillin-Tazobactam for complicated UTI. 2 hours after admission in the ER he was intubated and then transferred to ICU . She is also on the electrolyte replacement protocol. WBC * ((Segs/100) + (Bands/100)) =ANC = 1.0 k/uLx (0.32 + 0.42) = 740. What should be SR’s goal A1c? The patients A1C goal should be <8 because they have multiple chronic illnesses of HTN, CKD stage 4, osteoarthritis, and heart failure and they are elderly. She would also be monitored for congestive signs and symptoms of HF He is 5 feet 8 inches and weighs 180 pounds. Answer B. is correct. The best option is fenofibrate 162 mg daily, but this needs to be monitored for any symptoms of muscle pain exhibited by the patient, especially as the patient is at a higher risk due to being a diabetic. A single dose of zoster vaccine is recommended for all adults 60 years or older, regardless of whether they report a prior episode of herpes zoster, thus A is wrong. Serum Creatinine 1.2 mg/dl. Ascorbic acid increased frequency of postoperative arterial fibrillation after cardiac surgery by 44%, Ascorbic acid decreased frequency of postoperative arterial fibrillation after cardiac surgery by 44%, There was no statistically significant difference in frequency of postoperative arterial fibrillation after cardiac surgery, Ascorbic acid decreased frequency of postoperative arterial fibrillation after cardiac surgery by 56%. Apixaban is superior to warfarin in reducing rate of stroke or systemic embolism among patients with atrial fibrillation. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938757/, http://www.healthknowledge.org.uk/public-health-textbook/research-methods/1a-epidemiology/numerators-denominators-populations, http://care.diabetesjournals.org/content/suppl/2015/12/21/39.Supplement_1.DC2/2016-Standards-of-Care.pdf, http://journals.aace.com/doi/10.4158/EP151126.CS, http://sphweb.bumc.bu.edu/otlt/mph-modules/bs/bs704_confidence_intervals/bs704_confidence_intervals8.html, http://jamanetwork.com/journals/jama/fullarticle/1791497, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1112884/, https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson3/section2.html Updated: Nov. 2011. http://www.fda.gov/Drugs/DrugSafety/ucm343187.htm. Which of the following is/are Categorical data? Stroke and systemic embolism were combined into one primary outcome here for this confidence interval, so more information is needed to determine which agent did better for the specific type of event, either stroke or systemic embolism. Other risk factors for multi-drug resistant HAP, VAP, and HCAP are previous use of antibiotics within the last 90 days, current hospitalization of 5 d or more, local high occurrence antibiotic resistance, immunosuppressive state, or risk factors for HCAP (2 or more days of hospitalization in past 30 days, residence in a long term care facility or nursing home, family member with multidrug-resistant pathogen, home wound care, family member with multidrug-resistant pathogen, chronic dialysis within the last 30 days, or home infusion therapy).
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