Blog

A 68-year-old male with a history of chronic heart failure presents to the clinic with worsening shortness of breath and peripheral edema. On examination, his blood pressure is 140/85 mmHg, and he has bilateral pitting edema up to the knees. His heart rate is 88 beats per minute, and lung auscultation reveals crackles at the bases. Laboratory tests show elevated Btype natriuretic peptide (BNP) levels. Which of the following is the most appropriate initial pharmacologic treatment for this patient’s fluid retention? 

If you have $100,000 in a 401(k) growing 10% per year on average, how much will this be worth in 35 years when you retire approximately?

If the government reports in the first quarter of the year an annualized GDP growth rate of 4%, which statement is TRUE?

PS is a 52 yo female status post total hysterectomy and double oophorectomy. She has no significant cardiovascular medical history, and her only medication is gemfibrozil (Lopid) 600mg bid for hypertriglyceridemia. She comes to the clinic with complaints of night sweats, hot flashes every 20 minutes, and vaginal irritation with sexual intercourse. Which is the BEST menopausal hormone therapy option?

The acute pediatric pain patient should be treated with the following hierarchy of treatments:

A 55-year-old female with a history of chronic kidney disease presents with fatigue and pallor. Her hemoglobin is 9.0 g/dL, and her serum ferritin is 10 ng/mL. She weighs 60 kg. The patient is currently on a regimen of darbepoetin 500 mcg SC every three weeks. The decision is made to initiate parenteral iron therapy. Which of the following is the most appropriate treatment plan for this patient?

A 28-year-old female presents to the clinic with complaints of feeling on top of the world for the past week. She reports sleeping only 2-3 hours each night but feels fully rested. Her husband reports that she has been spending excessively and has been more talkative than usual. Her past medical history is notable for episodes of severe depression. On examination, her mood is elevated, and speech is rapid with flight of ideas. Her thought process is goaldirected, and no hallucinations or delusions are noted. Which of the following is the most appropriate medication for this patient?

Which route of administration is rapid with water soluble drugs, slow with poorly soluble drugs, but easily crosses capillary wall?

Lactulose’s mechanism of action in pediatric constipation is:

BJ is a 55 yo female with a uterus and ovaries. She is experiencing night sweats, hot flashes, and vaginal dryness. The night sweats are causing palpitations leading to insomnia. Which of the following is most appropriate for menopausal hormonal therapy would be appropriate for BJ?