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Which of the following antibiotics is associated with an increased risk of aortic aneurysm?
💊 Medication improve mortality in HFrEF:
1- ACEI / ARBs / ARNI
2- BB
3- SGLT2 inhibitors
4- Spironolactone
5- Hydralazine with nitrate (if kidney impairment / intolarance to ACEIs)
Patient known CHF present with SOB over 3 months,
His medications include fosinopril, carvedilol, and furosemide.
TTE: EF 30% Vital signs are stable. Which of the following drugs is indicated?
35F known SLE presents with lower limb weakness and urinary incontinence. paraplegia and hyperreflexia with no neck stiffness. CBC shows leukocytosis.
What is the most appropriate investigation?
Which of the following can be used to rule out heart failure if patient presents with SOB?
🔆 Remember, Relative (not absolute) contradiction to fibrinolysis includes:
- Pregnancy
- Current use of anticoagulants
- Active PUD
- Ischemic stroke >3 months
Which of the following is an absolute contradiction to fibrinolysis?
Patient with IHD and DM on metformin, which medication should be add?
🩸 Duration of DAPT in heart disease
- SIHD with BMS: 4 weeks
- SIHD with DES: 6 months
- ACS: 12 months
❄️ ATN causes:
- CIAKI
- Vancomycin
- Aminoglycosides
- Cisplatin
- Rhabdomyolysis
- Multiple myeloma
- Urate nephropathy / TLS
😷 Contrast-induced acute kidney injury “CIAKI”:
- Risk factors: CKD, DM, age, hypotension
- Onset: 1-5 days post contrast
- Resolved with 10 days
- Prevention (for patient with eGFR <30 mL/minute/1.73m): Pre-procedure 0.9% NS plus holding ACEIs, NSAIDs, diuretics and minimize contrast
elderly patient underwent a CT scan with contrast for possible transient ischemic attack and subsequently developed a high renal profile. What is the most likely cause?
Known case of HCV and liver cirrhosis presenting with a perforated peptic ulcer. Labs show low platelets and prolonged PTT. What is the most appropriate next step before laparotomy?
🔬 CRC screen tips:
- Average-risk individuals: Begin screening at age 45. If normal, repeat every 10 years.
- Patients with a first-degree relative diagnosed with CRC at ≤60 years: Start screening at age 40 or 10 years before the relative’s age at diagnosis, whichever comes first.
- IBD patients without PSC: Start CRC screening 8–10 years after diagnosis. If normal, repeat every 1–3 years.
- IBD patients with PSC: Screen annually.
- Hereditary nonpolyposis colorectal cancer “HNPCC” patients: Start screening at age 20–25, then repeat every 1–2 years.
- Familial adenomatous polyposis “FAP” patients: Start screening at age 10–12, then repeat every 1–2 years.
