65 year old with parkinsons, which of the following signs/ symptoms would
suggest the wound is infected Ans✓✓✓ all of the above
80 year old non hispanic white man was taking cyclooxygenase (COX)- inhibitor
and heard on the news that it was bad for the heart. what is another option?
Ans✓✓✓ Topical NSAID and acetaminophen
84 year old woman. The dc paperwork from long term care indicated purpleish
discoloration 5 days ago. What is the diagnosis Ans✓✓✓ unstageable pressure
injury
90 year old black woman is fund to have uric acid of 13. develops actue onset of
phalangeal joint pain. Ans✓✓✓ state colchicine
A 65 year old female is evaluated for dyspnea, chronic cough, and mucoid sputum
for the past 4 months. She has noticed that she has to walk slower that she used
to and has to stop to catch her breath after walking 5-6 city blocks. The patient
has a 40 pack year smoking but quit 1 year ago. Otherwise healthy. On PE VS and
normal. Breath sounds decreased, no edema or jugular distention. What is the
next best test to make a diagnosis? Ans✓✓✓ Obtain spirometry
A 65 year old male is evaluated in a follow up examination for worsening dyspnea
and chronic cough productive of mucoid sputum for the past 6 months. He is
otherwise healthy but was diagnosed with COPD 3 years ago and needed inhaled
albuterol as needed. The patient has a 40 pack year history but quit 8 months ago.
ON PE VS are normal and the patient is not in any respiratory distress. Breath
sounds are decreased but there is no edema or jugular venous distention.
Spirometry shows a forced expiratory volume in the first second FEV1 of 58% of
, predicted with no reversibility of FEV1/forced vital capacity (FVC) ration of 65%.
His COPD symptoms seem poorly controlled and he has one exacerbation in the
past year. A chest radiograph is obtained and showed mild hyperinflation. Which
of the following is the most appropriate therapy for this patient? Ans✓✓✓ Add a
long acting inhaled bronchodialator
a 65 year old man is hospitalized with sudden onset chest pain but has negative
cardiac workup. You notice pink eroded papules along the left sternum and left
flank that abruptly stop at the midline, where he thinks electrical leads were
placed. He think these painful and somewhat itchy bumps are increasing in
number. he is afebrile, otherwise stable, and has no other complaints. Which of
the following is the most appropriate next step. Ans✓✓✓ Empiric Calacyclovir
A 65 year old woman, healthy.. A barium esophagram is performed, which reveals
a thin, smooth, transverse filling defect in the midesophagus. Which of the
following complications is the patient most at risk for Ans✓✓✓ Achalasia
a 70 year old man undergoes an upper endoscopy for eval of dyspepsia. positive
for h pylori Ans✓✓✓ Treatment with bismuth, metronidazole, tetracycline and
omeprazole for 14 days
a 70 year old patient has scattered nummular plaques with thick scale on his shins
that are extremely pruritic. He also has very dry skin. Skin scraping is negative for
dermatophyte. He had already completed a course of oral antifungal medications
prescribed to him by and urgent care physician. Assuming this is nummular
eczema which of the following topical medication and vehicle is the best choice.
Ans✓✓✓ Triamcinolone 0.1%
A 70 year old post menopauseal female presents to your clinic to discuss
treatment options for her low bone density Ans✓✓✓ Denosumab