MedU Case 2

Question 1

top 3 causes of death of 55 yo male

Answer 1

cancer
heart disease
accidents

Question 2

mechanism of varenicline

Answer 2

nicotine receptor blocker

Question 3

what is CI with varenicline

Answer 3

nicotine replacement

Question 4

what raises HDL

Answer 4

moderate alcohol
exercise
niacin

Question 5

eye change assoc with dyslipidemia

Answer 5

corneal arcus (golden ring on outside of iris)

Question 6

who to prescribe statin to

Answer 6

anyone over age 21 who has LDL >190

Question 7

when to screen for DM

Answer 7

when BP > 135/80

Question 8

findings associated w/ dyslipidemia and atherosclerosis

Answer 8

arcus corneus
acanthosis nigricans
xanthelasmas

Question 9

fasting only affects what part of cholesterol

Answer 9

triglycerides

Question 10

how to take bupropion for smoking cessation

Answer 10

start 1 week before quit date
QD for 3 days then BID for 4 days
continue BID for 2 months, then gradually stop

Question 11

have tubular adenoma with low grade dysplasia… when to FU?

Answer 11

repeat colonoscopy in 5-10 years

Question 12

indication for exercise stress test

Answer 12

asymp males > 45 w/ at least 1 risk factor

HTN, HLD, smoking, fam hx premature CAD

Question 13

when are U waves abnormal?

Answer 13

> 1.5 mm in any lead

Question 14

U waves associated with

Answer 14

bradycardia
hypokalemia
hypercalcemia
hypomagnesemia
digitalis, quinidine, procainamide
CNS dz
hyperthyroid
LVH
MVP

Question 15

short PR interval differential

Answer 15

WPW
AV junctional rhythym w/ retrograde p wave
Lown-Ganong-Levine

Question 16

can do bariatric surgery if

Answer 16

BMI >40 or >35 if complication related to obesity

Question 17

when is a patient considered a “new” patient according to billing

Answer 17

haven’t seen in > 36 months

Question 18

high ASCVD, tx with

Answer 18

81 ASA and mod/high intensity statin

Question 19

USPSTF recommendation for prostate CA screening

Answer 19

recommends against PSA screening