Exam (elaborations)
GAPNA/Pharmacogenomics/Ethics – Qs & As
GAPNA/Pharmacogenomics/Ethics – Qs & As
[Show more]
Content preview
GAPNA/Pharmacogenomics/Ethics – Qs & AsThe best way to practice medicine is by using ✔️Ans - Evidence based
medicine
Treatment of anorexia or cachexia in older adults ✔️Ans - Avoid using
prescription appetite stimulants or high calorie supplements
Instead optimize social supports, discontinue meds that interfere with eating,
provide appealing food
Mirtazapine can be used to ✔️Ans - Promote appetite and weight gain in
those with depression
NOT to be used without depression to promote weight gain
Vaccines the elderly should have ✔️Ans - Flu vaccine
Pneumonia
TD
Shingles
Treatment for asymptomatic bacteria in the elderly ✔️Ans - NONE
NEEDED
Glycemic targets in the elderly ✔️Ans - 7-7.5% in healthy w long life
expectancy
7.5-8.0% in those w moderate comorbidity and life expectancy <1 yr
8.0-9.0% in those w multiple morbidities and short life expectancy
Use of benzodiazepines should be reserved for ✔️Ans - Alcohol withdrawal
symptoms/delirium tremens
OR
Severe generalized anxiety disorder unresponsive to other therapies
NOT insomnia, agitation, or delirium
How often do you check blood sugars in a patient with type two diabetes on
metformin ✔️Ans - Only during titration of medication doses or during
periods of changes in diet and exercise routine
NOT DAILY
, Annually scheduled general health checks ✔️Ans - Have not been shown to
reduce morbidity, hospitalizations, or mortality
May increase frequency of non-evidence based testing
What are optimal doses of calcium and vitamin D to prevent fractures and
post menopausal women and men ✔️Ans - Insufficient evidence for any
benefit
USPSTF recommends against daily supplementation
How helpful our ABI, CRP, and coronary calcium scores in assessing
asymptomatic patients ✔️Ans - Evidence is insufficient to assess balance of
benefits and harms
Patient has CDiff and has successfully treated, recurrence of non foul-smelling
diarrhea two weeks later ✔️Ans - Only sx pts should be tested
CDiff tests may remain positive 30 days after
What is the best sliding scale insulin regimen in nursing facilities ✔️Ans -
NONE! No sliding scale is appropriate for nursing facilities unless old type one
diabetic isn't it
90 year old with dementia has stopped eating, when do you place the feeding
tube? ✔️Ans - Never! Instead offer oral assistant feedings
80-year-old patient with severe dementia is screaming and wandering in the
halls, what treatment is appropriate? ✔️Ans - Do not prescribe
antipsychotic medication for behavioral and psychological symptoms of
dementia and individuals without an assessment for an underlying cause of
the behavior
Most patients with acute sinusitis ✔️Ans - DO NOT require abx
50 year old presents to the ED with new onset syncope, physical exam and
Neuro exam are within normal limits. What test is appropriate ✔️Ans -
Labs, EKG
NO CT SCAN
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studycafe. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$13.25. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
57413 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now