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OSCE

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jsuper512's version from 2015-04-28 14:25

Section 1

Question Answer
Albuterol1-2 puffs q4-6h PRN
Ipratropium 2 puffs PRN
Ipratropium/albuterol1 puff PRN
Tiotropium1 cap inh daily
Salmeterol1 inh BID
Fluticasone50mcg 1 inh BID
Advair DPI250/50 1 inh BID
memorize

Section 2

Question Answer
CCHF / LVH
HHypertension
A2Age > 75
DDiabetes
S2Prior stroke, TIA, TE
VVascular disease (MI, PAD, aortic plaque)
AAge 65-74
ScSex category (female)
memorize

Section 3

Question Answer
Xarelto20mg QD (15mg QD if CrCl < 50)
Eliquis5mg BID
Initial warfarin bridge from heparin5-10mg PM
Initial warfarin dose2-5mg PM
memorize

HTN

Question Answer
Lisinopril initial10mg PO daily (5mg PO daily with diuretic)
Lisinopril maint20-40mg PO daily (MAX 80mg PO daily)
Valsartin initial80-160mg PO daily
Valsartin maint80-320mg PO daily
HCTZ initial25mg PO daily (single or divided)
HCTZ maint25-50mg PO daily (single or divided)
Chlorthalidone initial25mg PO daily
Chlorthalidone maint25-50mg PO daily (MAX 100mg PO daily)
Amlodipine initial5mg PO daily
Amlodipine maint5-10mg PO daily
memorize

HTN monitoring

Question Answer
ACESCr and K+ 1-2 weeks after initiation and titration, cough, angioedema
ARBSCr and K+ 1-2 weeks after initiation and titration, cough, angioedema
ThiazidesSCr, K+ and Na+ 1-2 weeks after initation and titration, Ca++
CCBperiph edema
memorize

Statin monitoring

Question Answer
Check lipids after initiation1-3 months after initiation
Check lipids after steady3-12 months
LFTbaseline, s/sx of hepatotox
Musclept reported, CK not necessary
Cogdc 1-3 months and reassess MMSE
memorize