Mksa - Study guides, Class notes & Summaries

What FEV1/FVC ratio on spirometry is consistent with airflow obstruction? - 70% What is used to characterize the degree of obstruction? - the degree of reduction in FEV1 What is considered moderately reduced FEV1? - 50-80% What is considered severely reduced FEV1? - 34-49% What is considered very severely reduced FEV1? - less than 34% In patients with obstruction, what additional test on spirometry should be performed? - bronchodilator challenge (2-4 puffs of a short acting B2 ago...

MKSAP – Neurology 100% Accurate A+ Review Q&A 2023/2024 Haldol is absolutely contraindicated in Dementia with Lewy bodies. What medication is a safer alternative in these patients? - Answer-Donepezil. May improve behavioral and cognitive symptoms with dementia. Parkinson's: medication used is carbidopa-levodopa What are common levodopa-related complications? - Answer-Motor fluctuations (caused by wearing off of the beneficial effects before next dose is administered) Medication-indu...

Cardio MKSAP Questions & Answers 2023/2024 A+ 1. 19 yo M who underwent cardiac transplant 10 months ago for viral myocarditis. EKG shown - ANS-Endomyocardial biopsy 2. 69 yo M evaluated in hospital for 4 episodes of chest pain past 24 hours. An ECG demonstrates 2-mm ST segment depressions in leads V4 through V6. - ANS-Urgent angiography 3. 65 yo F evaluated during routine exam. Diagnosed with a cardiac murmur in early adulthood. Grade 3/6 holosystolic murmur preceded by multiple clicks p...

IM MKSAP Complete Solution Update Question And Answers 35 yo F evaluated after lab shows an elevated LDL during routine screening. Family hx remarkable for MI in father at 45. Most appropriate primary prevention for ASCVD in this patient? - Answer-High intensity rosuvastatin 40 yo F who seeks advice on whether she should undergo breast cancer screening with mammography. PT engaged in discussion of the potential benefits and harms of initiating mammography now. Most appropriate screenin...

MKSAP 19 for Internal Medicine 100% Verified Exam Solution Autoimmune Pancreatitis - Answer-Tx= Prednisone "Beaded appearance" or something similar on MRCP. Primary Biliary Cholangitis - Answer-Pruritis + increased Alk Phos +/- middle aged woman +/- elevated GGT Dx= Anti-IgM Cirrhosis Management - Answer-Ascities Tx= low salt diet -> spironolactone and lasix (no ACEi) HBV active subtypes - Answer-Active= Increased LFTs Vertical Tolerant= HBVeAg positive Reactivation (only immunoco...

MKSAP 18- GI and Hepatology 100% Correct Review Solution A+ ___ is a peripherally acting μ-opioid receptor antagonist that is FDA-approved for the treatment of opioid-induced constipation in adults with chronic noncancer pain. - Correct Ans-*Naloxegol* (oral) - if starting naloxegol, stop current maintenance laxative before initiation of naloxegol and can be added to the naloxegol after 3 days of mono therapy as needed methylnatrexone, naloxegol, alvimopan have been approved for opiod-...

MKSAP – Nephrology Questions And Answers 2023/2024 Graded A+ 1. Required to make diagnosis of glomerulopathy associated with nephrotic syndrome - Correct Ans-Kidney biopsy 2. KDIGO recommendations for metabolic acidosis in patients with CKD - Correct Ans-alkali therapy (sodium bicarb) if serum bicarb is chronically < 22 3. According to KDIGO guidelines treatment of metabolic acidosis with alkali therapy in patients with CKD when serum bicarbonate is chronically below what level? ...

When should one consider COPD? - chronic cough dyspnea sputum production Hx risk factors: smoking, alpha-1antitrypsin def., and workplace exposure to gasses and fumes How is COPD dx'd? - spirometry after appropriate tx w/bronchodilator (salbutamol) How does one dx COPD by spirometry and assess the severity of COPD? - Postbronchodilator FEV1/FVC for dx Postbronchodilator FEV1 for severity What values of FEV1/FVC and FEV1 dx COPD? - FEV1 < 80% of predicted FEV1/FVC < .70 The...

MKSAP - General Internal Medicine UPDATED ACTUAL Exam Questions and CORRECT Answers Screening for osteoporosis with DEXA scan - CORRECT ANSWER- - women age 65 older - younger women who have fracture risk of 9.3% or higher screening for lipid disorders - CORRECT ANSWER- - 5 years: all men 35 year or older and all women 45 years or older who are at increased risk of CAD. tailored to individual

The American College of Cardiology and American Heart Association recommend that patients aged 21 years or older with an LDL cholesterol level of 190 mg/dL (4.92 mmol/L) or higher should receive ___ for primary prevention of atherosclerotic cardiovascular disease. - ANS high-intensity statin therapy - atorvastatin - rosuvastatin When should screening mammography be started? - ANS 50 up to age 74 - biennial screening For patients undergoing orthopedic surgery without ...