Author: Anonymous

A 17-year-old young man is seen with severe itching of his hands and feet. He has no lesions between his fingers and no one else in the family is itching. He has seen multiple clinicians in the past 5 months and has been given many types of topical steroids and antihistamines. The last clinician referred him for psychotherapy, thinking that this must be psychogenic. On close examination, there are multiple burrows on the hand which confirmed Scabies. What is the first line therapy?

Surveillance for e.g. vaccine preventable diseases is important to  provide policy makers  with guidance for developing and implementing the best strategies for disease prevention and control only in rural areas.

A possible side effect from the use of lisinopril is:

What is the mechanism of action of glipizide?

A 48-year-old man with type 2 diabetes is treated with glargine insulin once daily and lispro insulin with each meal. The main clinical difference in these 2 types of insulin is in their

Conducting surveillance systems in developing countries may not be hampered by hard-to-reach areas, appropriate and relevant resources

KD is a 63-year-old, 77-kg male with a history of diabetes mellitus type 2, hypertension, and end-stage renal disease. He is dependent on hemodialysis, and he receives dialysis every Monday, Wednesday, and Friday. Over the past 6 months, he has become more fatigued overall, and tires much more easily during his daily activities. Therapy was initiated with oral ferrous sulfate 325 mg 3 times daily, but KD’s symptoms have not improved. Over the last two weeks, his hemoglobin and hematocrit levels have been low, and he has required two blood transfusions (one each week) after the Wednesday dialysis sessions. His nephrologist is initiating erythropoietin 8000 units subcutaneously every Wednesday. Which factor(s) is (are) critical to consider prior to initiation of erythropoietin therapy? 

Acetylcholine is the neurotransmitter mediating ganglionic transmission. Which of the following receptors mediate acetylcholine effects at the autonomic ganglia?

A 73-year-old man with no other health issues developed a rash on his back yesterday. He now complains of considerable pain in the area. You suspect varicella zoster virus (VZV) infection (shingles). What is the best treatment option for this patient? 

After treating a 2-year-old for iron deficiency anemia (IDA) for 1 month, laboratory tests show that his hemoglobin level has returned to normal.  Which of the following actions is important?