Hydralazine/Isosorbide Combination Therapy
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Questions and Answers

What is the first-line treatment for urticaria?

  • Levocetirizine and famotidine (correct)
  • Systemic prednisone
  • Omalizumab
  • Epi-pen

What is the initial management strategy for patients with urticaria according to the text?

  • Order immediate lab work including CBC, ESR, and LFTs
  • Start treatment with Omalizumab (Xolair) in all cases
  • Refer all patients with urticaria to the ER for assessment
  • Identify and avoid triggers, prescribe antihistamines, consider systemic prednisone (correct)

Which condition presents with swelling of the subdermis and may be associated with colicky abdominal pain, nausea, vomiting, and diarrhea?

  • SLE (lupus)
  • Mast cell disorders
  • Schnitzler syndrome
  • Hereditary angioedema (correct)

Which type of angioedema is not associated with other symptoms of an allergic reaction?

<p>Bradykinin-induced angioedema (C)</p> Signup and view all the answers

Which lab test may show possible vasculitis in patients with urticaria?

<p>Cryoglobulin levels (D)</p> Signup and view all the answers

Which medication is prescribed for acute or chronic idiopathic urticaria that does not respond to other treatments?

<p>Omalizumab (Xolair) (C)</p> Signup and view all the answers

What is considered the 'gold standard' for assessing the health of the liver?

<p>Liver biopsy (A)</p> Signup and view all the answers

Which of the following is NOT a typical presentation of cirrhosis?

<p>High blood pressure (B)</p> Signup and view all the answers

What risk do patients with fatty liver disease face in relation to cardiovascular events?

<p>Increased risk (B)</p> Signup and view all the answers

What is a possible limitation of a liver biopsy in assessing liver health?

<p>Sampling error (D)</p> Signup and view all the answers

Which test measures sound waves to estimate the scarring of the liver?

<p>Fibroscan (A)</p> Signup and view all the answers

What is the main reason for prescribing a combination of Hydralazine and Isosorbide in African American patients?

<p>To increase survival and quality of life (A)</p> Signup and view all the answers

What is a significant side effect of prolonged use of Hydralazine?

<p>Lupus-like syndrome (D)</p> Signup and view all the answers

When is Ivabradine/Corlanor indicated for use?

<p>In patients with chronic heart failure and specific criteria (B)</p> Signup and view all the answers

What is the recommended initial dosing for Ivabradine/Corlanor?

<p>5 mg twice daily with meals (A)</p> Signup and view all the answers

Which side effect is associated with Ivabradine/Corlanor?

<p>Bradycardia (D)</p> Signup and view all the answers

Why might a physician choose to prescribe BiDil instead of the combination of Hydralazine and Isosorbide separately?

<p>BiDil is more cost-effective (A)</p> Signup and view all the answers

Which of the following symptoms is NOT commonly associated with tuberculosis disease (active TB)?

<p>Sore throat (A)</p> Signup and view all the answers

What is the preferred initial screening test for tuberculosis?

<p>Mantoux test (D)</p> Signup and view all the answers

Which group of individuals has a lower threshold for a positive TST (Tuberculin Skin Test)?

<p>Persons who are HIV positive (B)</p> Signup and view all the answers

What is the most rapid and inexpensive diagnostic tool for tuberculosis?

<p>Sputum AFB (acid-fast bacilli) test (B)</p> Signup and view all the answers

Which of the following conditions does NOT warrant a TB skin test result of <5 mm to be considered positive?

<p>Persons with no known risk factors for TB (B)</p> Signup and view all the answers

What is the typical management approach for tuberculosis based on the provided information?

<p>Adherence to a treatment regimen with first-line medications (C)</p> Signup and view all the answers

Which symptom is NOT associated with anaphylaxis?

<p>Peripheral edema (C)</p> Signup and view all the answers

What is the most common cause of exudative pleural effusion?

<p>Pneumonia (D)</p> Signup and view all the answers

When should a patient with pleural effusion be referred to the emergency department?

<p>In case of hypoxia and respiratory compromise (B)</p> Signup and view all the answers

How does tuberculosis primarily spread?

<p>Through inhalation of aerosol droplets in the lungs (D)</p> Signup and view all the answers

Which condition is NOT listed as a risk factor for increased risk of tuberculosis reactivation?

<p>Influenza (A)</p> Signup and view all the answers

What is the recommended route for administering epinephrine in case of anaphylaxis?

<p>Intramuscular injection into the lateral thigh (D)</p> Signup and view all the answers

What is the time frame within which food allergy can progress to cardiac or respiratory arrest if epinephrine is not given promptly?

<p>30 minutes (C)</p> Signup and view all the answers

'Idiopathic anaphylaxis' refers to a condition where anaphylaxis occurs without:

<p>Allergic triggers being identified (A)</p> Signup and view all the answers

'Tuberculosis infection' (TBI) is also known as:

<p>'Latent TB' (D)</p> Signup and view all the answers

What is the primary diagnostic procedure for evaluating pleural effusion when chest X-ray results are inconclusive?

<p>Ultrasound (US) (A)</p> Signup and view all the answers

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