ABFM In Exam Pearls (Latest 2023 – 2024) With Complete Verified Solution

ABFM In Exam Pearls (Latest 2023 – 2024) With Complete Verified Solution
Pre-exposure prophylaxis (Prep), what meds, and what do you have check first? - Emtricitabine/tenofovir
got to 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!
Saver’s Disease - Calcaneal apophysitis, also called Sevier’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 activity modification, 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.