ABFM In training exam pearls 2022
COMPLETE SOLUTION
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? -
✔✔Emtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too,
...
ABFM In training exam pearls 2022
COMPLETE SOLUTION
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first? -
✔✔Emtricitabine/tenofovir
gotta check Hep B first
-apparently they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver
disease
entry to balloon time for PCI! - ✔✔120 minutes
time limit from onset of MI to balloon time - ✔✔should get it done w/in 12 hours
Absolute contraindications to Fibrinolysis - ✔✔Previous hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
acute cholecystitis - ✔✔Acute inflammation of the gallbladder wall
Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - ✔✔NO! can
make things worse
-maximize heart failure treatment!
Sever's Diseaese - ✔✔Calcaneal apophysitis, also called Sever's disease, is a common cause of heel pain
in young athletes, especially those who participate in basketball, soccer, track, and other sports that
involve running. Typically the heel apophysis closes by age 15. Treatment options include activitymodification, the use of ice packs and/or moist heat, stretching, analgesics, and orthotic devices. The
use of therapeutic ultrasound on the active bone growth plates in children is contraindicated.
in pressure ulcers what solutions to avoid, and what to use! - ✔✔recommended that pressure ulcers not
be cleaned with povidone/iodine, Dakin's solution, hydrogen peroxide, wet-to-dry dressings, or any
solutions that may impede granulation tissue formation. These sites should be cleaned with either saline
or tap water and covered with hydrocolloid, foam, or another nonadherent dressing that promotes a
moist environment.
Chronic paraoxysmal hemicrania - ✔✔resembles cluster headache but has some important differences.
Like cluster headaches, these headaches are unilateral and accompanied by conjunctival hyperemia and
rhinorrhea. However, these headaches are more frequent in women, and the paroxysms occur many
times each day. This type of headache falls into a group of headaches that have been labeled
indomethacin-responsive headaches because they respond dramatically to *indomethacin.
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