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JT is a 58-year-old women who is on vancomycin empirically for pyomyositis confirmed by MRI. Surgical debridement has successfully removed infected tissue and pus. C&S of the infected tissue comes back MSSA sensitive to everything on the panel. JT is allergic to PCN (rash), she has had cephalosporin for her UTI in the past with no problem.

What would be the most appropriate antibiotics to switch to while JT is still in the hospital?

A.

Oxacillin

B.

Doxycycline

C.

Ceftaroline

D.

Daptomycin

E.

Cefazolin

A fasting blood glucose level greater than what value is an indicator of type 2 diabetes?

A.

5 mmol/L

B.

6 mmol/L

C.

7 mmol/L

D.

8 mmol/L

E.

9 mmol/L

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.

His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN’s medication includes Dexamethasone 8mg iv q6h with taper dosing, Ondansetron 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram 20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125mls/hour and Hydromorphone PCA at 0.2mg/hour of basal rate, demand dose 0.1mg. lock-out

every 6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/ dl, K 5.0mmol/L, Na 135mmol/L.

Which of the following medication’s dose are adjusted for poor renal function?

A.

Famotidine

B.

Metoclopramide

C.

Lisinopril

D.

Citalopram

E.

Ondansetron

You need 51.3 mEq of NaCl to make 1/3 NS 1 liter bag. How many ml of 23.4% NaCl would you need? (Molecular weight of Na is 23 and Cl is 35.5)

A.

12.82ml B. 16.82ml

B.

23.4ml

C.

58.5ml

D.

10ml

WM did not receive influenza vaccine prior to the start of this season, it’s now December. He did get influenza vaccine last year. Which of the following is correct course of action?

A.

Skip influenza vaccine for this year since it’s too late.

B.

Skip influenza vaccine for this year since he received vaccine last year.

C.

Start WM on Tamiflu to prevent him from getting influenza.

D.

Vaccinate him with influenza vaccine since influenza season lasts until March in your community.

E.

Start Amantadine 200mg daily

What is the standard loading dose for clopidogrel in the treatment of ACS?

A.

75mg

B.

100mg

C.

150mg

D.

200mg

E.

300mg