AAFP Questions and answers. 100% proven pass rate. 2022. Graded A+

AAFP Questions and answers. 100% proven pass rate. 2022. Graded A+ Document Content and Description Below AAFP Questions and answers. 100% proven pass rate. 2022. Graded A+ The patient is not considered at high risk for bleeding and you initiate dual antiplatelet therapy with aspirin and clopidogrel (Plavix).For how long should this patient continue dual antiplatelet therapy? - at least 12 months Dual antiplatelet therapy should extend beyond 1 year for patients with acute coronary syndrome who are not considered at high risk of bleeding, especially those with risk factors associated with high ischemic risk such as diabetes mellitus, peripheral artery disease, left main stenting, or a history of a cardiovascular event Dual antiplatelet therapy should continue for at least 1 year in patients who are considered at high risk of bleeding. For patients who are at very high risk of bleeding or who experience significant bleeding while on dual antiplatelet therapy, a duration of less than 1 year is recommended. A 24-year-old gravida 2 para 1 at 9 weeks gestation sees you for a routine prenatal check. Shecomplains of significant nausea, and recommended dietary modifications have not helped. - b6 Vitamin B6 isrecommended as first-line therapy. It is safe to use in the first trimester and is associated with less drowsiness compared with other medications Avoid scopolamine in first trimester,ue to the possibility of causing trunk and limb deformities. Likewise, methylprednisolone is also effectivebut should be avoided in the first trimester as it is associated with an increased risk of cleft palate if usedbefore 10 weeks of gestation. patient is a 55-year-old male who has controlled hypertension and mitral valve prolapse with mitral regurgitation. He is allergic to sulfonamides. - according to the American Heart Association's 2007 guidelines, prophylaxis to prevent bacterial endocarditis associated with dental, gastrointestinal, or genitourinary procedures is now indicated only for high-risk patients with prosthetic valves, a previous history of endocarditis, unrepaired cyanotic congenitalheart disease (CHD), or CHD repaired with prosthetic material, and for cardiac transplant recipients who develop valvular disease. Trigylceride levels - f 150-199 mg/dLmild hypertriglyceridemia, levels of 200-999 mg/dLare moderate, mg/dL are severe, and levels >2000 mg/dL are considered very severe. Patientswith hypertriglyceridemia in the mild to moderate range may be at , - risk for cardiovascular disease severe or very severe hypertriglyceridemia have a significant risk - pancreatitis Patient with risk of pancreatitis, recommended treatment - fibrates what drug has an advantage in lowering LDL cholesterol and ra - What drug has a modest triglyceride lowering effect and may be helpful in those who have moderate triglycerides - statin what drug should not be used in alone in a person with severe trigylceridemia - statin METHIMAZOLE - agranulocytosis, aplastic anemia, the first 60days of starting therapy.e serum sickness, cholestaticjaundice, alopecia, nephrotic syndrome, hypoglycemia, and loss of taste. According to the American Academy of Otolaryngology—Head and Neck Surgery, neurologic imaging (such as contrast-enhanced MRI of the brain) would be indicated if - asymmetric hearing loss pulsatile tinnitus, unilateral tinnitus, or tinnitus associated with elderly patients commonly have hearing loss thats - symmetric, mild, high-frequency wood light - Ultraviolet light used to help diagnose fluorescent skin lesions, including some superficial fungal infections. Erythasma - red spot" Long term bacterial infection that appears in overlapping skin (skin folds) CORYNEBACTERIUMMINUTISSIMUM Mimics fungus in intertriginous areas (folds, underneath breasts, testes.. ) Patient will say has had for months, years Macule, large, slightly scaling, sharply marginated Red to brown in intertriginous areas R/O Fungus - KOH, WOODS LAMP, CX, BX Tx: Benzoyl Peroxide, Erythromycin Topical, Erythromycin Oral Carboprost (uterine atony) contraindication - asthma patients Methylergonovine contraindication - Administered orally for a maximum of 1 week postpartum to control uterine bleeding. avoid in hypertensive patients Acute parotitis treatment - 1. Abx mostly penicillin resistant and . Empiric treatment is directed toward gram-positive and anaerobicorganisms, with the most common pathogen being Staphylococcus. augmenting (amoxicillin and clavulanate) 2. Rehydration stimulating salivary flow acute parotitis, which is commonly caused - dehydration Any child younger than 29 days old with a fever and any child who appears toxic, regardless of age - ,should undergo a complete sepsis workup and be admitted to the hospital for observation until cultureresults are known or the source of the fever is found and treated (SOR C). What is recommended for nontoxic infants 3-36 months of age with a temperature <39.0°C (102.2°F) - Observation only, with close follow-up, is Children 29-90 days old who appear to be nontoxic and have negative screening laboratory studies, including a CBC and urinalysis, - an be sent home with precautions and with follow-up in 24 hours (SOR B) Thus, the American HeartAssociation and the American College of Cardiology recommend that asymptomatic patients with mild aortic stenosis - undergo repeat echocardiography every 3-5 years. Treatment for postoperative delirium - Reorientationand pain management are important management strategie Management for Dequverian tensonyvitis - Conservative therapy with immobilization andNSAIDs is recommended if there are no contraindications to NSAIDs. A corticosteroidinjection is helpful but is typically reserved for severe cases or if conservative therapy fails.Surgery may be beneficial but is generally not recommended unless the course is severe,given the na