BCPS ALL COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔treatment of choice for SBP - ✔✔NOT bactrim
third gen cephalo - cefotaxime or ceftriaxone
FQ considered if allergies
albumin as adjunct
✔✔prophylatic agent of choice for SBP - ✔✔norfloxacin or cipro
bactrim
treat indefinitely if pt had SBP - no treatment before
✔✔treatment goal of hep C - ✔✔Undetectable HCV RNA levels for 12 weeks post
treatment
✔✔preferred treatment options for hcv 1a - ✔✔LDV/SOF
SOF + SMV+ribavirin (RBV)
PVR/riton/omb/das + rbv
✔✔preferred treatment options for hcv 1b - ✔✔Harvoni [Ledipasvir/Sofosbuvir
(LDV/SOF)]
Simeprevir and Sofosbuvir (SMV-SOF)
PVR/rtion/ambi/das
✔✔preferred treatment options for hcv 2 - ✔✔Sofosbuvir [Sovaldi (SOF)] +RBV x 12 or
24 weeks
✔✔simpeprevir should NOT be used for - ✔✔poly geno1A
✔✔sofosbuvir ok for genotypes what - ✔✔1-4
,✔✔harvoni = what hcv meds - ✔✔sofosb/lepripas
only ok for genotype 1
✔✔viekira pak = what hcv meds, what genotype - ✔✔partitap, ombitus, riton, dasa
genotype 1
✔✔indications for treating HCV - ✔✔positive serum HCV RNA
fibrosis with moderate inflammation
compensated liver disease
willingness
no CI to therapy
✔✔meds that may induce pancreatitis - ✔✔valproic acid
diuretics
exenatide
pentamidine
estrogens
tetracyclines
bactrim
sitagliptin
Azathioprine
Steroids
Erythromycin
(VEry DEEP STABS)
✔✔hallmark of chronic pancreatitis - ✔✔irreversible strucutral and functional loss of
pancreatic function - long standing inflammation, injury
lipase may be normal
✔✔acute pancreatitis diagonsis - - ✔✔lipase greater than 3 x ULN
✔✔treatment options for irritable bowel disease - ✔✔TCAs, SSRIs
lupiprostone
tegaserod
alsoerton
loperamide
rifaxamin (short term)
✔✔hyperthyroidism - common name, serum levels, med of choice - ✔✔Grave's disease
hight t4, low TSH
ablation # 1, methimazole/PTU
sometimes propanolol, iodine (1-2 weeks max)
, ✔✔hypothyroidism - common name, causes. serum levels - ✔✔hasimoto's disease,
iodine deficiency most common cause world wide
2 causes - pituitary , drug induced
low T4, high TSH
✔✔drugs that can cause hypothyorids - ✔✔amiodarone, lithium
✔✔treatments for acromegaly - ✔✔dopanmine agonists - bromocriptine, cabergoline
somatostatin analog = octreotide
✔✔treatment for thyroid storm - ✔✔PTU, iodine therapy 1 hr after PTU initiation
beta blockers - esmolol
apap for fevers
corticosteroids
✔✔treatment for hyperprolactinemia - ✔✔dopamine agonists - cabergoline,
bromocriptine
surgical resection if possible
✔✔cushings syndrome = what condition - ✔✔hypersecrtory cortisol disease
diagnosed with 24 h urine free cortisol collection
HTN!
✔✔addison's disease = what condition, how diagnose, treat - ✔✔primary adrenal
insufficency (hyposecrtory)
diagnosis with acth stim test
from chronic steroid suppression therapy (one cause)
treat with steroids
✔✔glucose values to diagnose diabetes (non-preg)
fasting
random
OGTT
A1C - ✔✔fastin >126
random >200
OGTT - 2 hrs post 75 g test = >200
a1c 6.5% or more
✔✔glucose values to diagnose gestitational diabetes - ✔✔post OGTT (75G) test
>153 at 2 hours
> 180 at 1 hr
>92 at fasting
✔✔treatment goals for DM management
A1C
QUESTIONS SET A+
✔✔treatment of choice for SBP - ✔✔NOT bactrim
third gen cephalo - cefotaxime or ceftriaxone
FQ considered if allergies
albumin as adjunct
✔✔prophylatic agent of choice for SBP - ✔✔norfloxacin or cipro
bactrim
treat indefinitely if pt had SBP - no treatment before
✔✔treatment goal of hep C - ✔✔Undetectable HCV RNA levels for 12 weeks post
treatment
✔✔preferred treatment options for hcv 1a - ✔✔LDV/SOF
SOF + SMV+ribavirin (RBV)
PVR/riton/omb/das + rbv
✔✔preferred treatment options for hcv 1b - ✔✔Harvoni [Ledipasvir/Sofosbuvir
(LDV/SOF)]
Simeprevir and Sofosbuvir (SMV-SOF)
PVR/rtion/ambi/das
✔✔preferred treatment options for hcv 2 - ✔✔Sofosbuvir [Sovaldi (SOF)] +RBV x 12 or
24 weeks
✔✔simpeprevir should NOT be used for - ✔✔poly geno1A
✔✔sofosbuvir ok for genotypes what - ✔✔1-4
,✔✔harvoni = what hcv meds - ✔✔sofosb/lepripas
only ok for genotype 1
✔✔viekira pak = what hcv meds, what genotype - ✔✔partitap, ombitus, riton, dasa
genotype 1
✔✔indications for treating HCV - ✔✔positive serum HCV RNA
fibrosis with moderate inflammation
compensated liver disease
willingness
no CI to therapy
✔✔meds that may induce pancreatitis - ✔✔valproic acid
diuretics
exenatide
pentamidine
estrogens
tetracyclines
bactrim
sitagliptin
Azathioprine
Steroids
Erythromycin
(VEry DEEP STABS)
✔✔hallmark of chronic pancreatitis - ✔✔irreversible strucutral and functional loss of
pancreatic function - long standing inflammation, injury
lipase may be normal
✔✔acute pancreatitis diagonsis - - ✔✔lipase greater than 3 x ULN
✔✔treatment options for irritable bowel disease - ✔✔TCAs, SSRIs
lupiprostone
tegaserod
alsoerton
loperamide
rifaxamin (short term)
✔✔hyperthyroidism - common name, serum levels, med of choice - ✔✔Grave's disease
hight t4, low TSH
ablation # 1, methimazole/PTU
sometimes propanolol, iodine (1-2 weeks max)
, ✔✔hypothyroidism - common name, causes. serum levels - ✔✔hasimoto's disease,
iodine deficiency most common cause world wide
2 causes - pituitary , drug induced
low T4, high TSH
✔✔drugs that can cause hypothyorids - ✔✔amiodarone, lithium
✔✔treatments for acromegaly - ✔✔dopanmine agonists - bromocriptine, cabergoline
somatostatin analog = octreotide
✔✔treatment for thyroid storm - ✔✔PTU, iodine therapy 1 hr after PTU initiation
beta blockers - esmolol
apap for fevers
corticosteroids
✔✔treatment for hyperprolactinemia - ✔✔dopamine agonists - cabergoline,
bromocriptine
surgical resection if possible
✔✔cushings syndrome = what condition - ✔✔hypersecrtory cortisol disease
diagnosed with 24 h urine free cortisol collection
HTN!
✔✔addison's disease = what condition, how diagnose, treat - ✔✔primary adrenal
insufficency (hyposecrtory)
diagnosis with acth stim test
from chronic steroid suppression therapy (one cause)
treat with steroids
✔✔glucose values to diagnose diabetes (non-preg)
fasting
random
OGTT
A1C - ✔✔fastin >126
random >200
OGTT - 2 hrs post 75 g test = >200
a1c 6.5% or more
✔✔glucose values to diagnose gestitational diabetes - ✔✔post OGTT (75G) test
>153 at 2 hours
> 180 at 1 hr
>92 at fasting
✔✔treatment goals for DM management
A1C
