Clinic medication has increased past the perform of inner medication to co-manage sufferers within the fields of orthopedics, neurosurgery and basic surgical procedure. This concise consultant covers the evolution and increasing scope of health facility drugs and the range of scientific, moral and administrative occasions a Hospitalist encounters. 500 questions about inpatient care, co-management of sufferers and health facility method administration are supplied with the target of assessing medical and educational competency. Questions characteristic real instances with evidence-based recommendations. worthwhile to physicians, residence employees and complex nurse practitioners, this up to date referenced studying textual content encompasses all elements of health facility care.
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Additional info for Absolute Hospital Medicine Review: An Intensive Question & Answer Guide
Laboratory studies reveal a urine sodium of 44 mEq. Her fractional excretion of sodium is 2 %, and her fractional excretion of urea is 50 %. Which of the following is the most likely cause of this patient’s acute renal injury? A) Cholesterol emboli B) Acute interstitial nephritis C) Prerenal azotemia D) Normotensive ischemic acute kidney injury E) Contrast dye-induced kidney injury Answer: D This patient has normotensive ischemic kidney injury. The findings of elevated fractional excretion of sodium, fractional excretion of urea, and granular casts seen on urinalysis are all consistent with this diagnosis.
The patient reports that he was out late the night before and drank more than usual over the course of the evening. He reports having sudden jerks of his arms this morning before the generalized seizure was witnessed. He has had similar muscular jerks in the previous mornings. This has particularly occurred on days when he has little sleep. He reports no history of excessive alcohol use or illicit substance abuse. He takes no medications. Neurologic examination is normal. He is oriented and feeling well the day after admission.
A) Haloperidol B) Olanzapine C) Risperidone D) All of the above Answer: D Delirium and psychosis occur in about one-third of patients with Parkinson’s disease. There have been no conclusive studies on the best approach in the treatment of delirium in patients with Parkinson’s disease. There is a strong contraindication for haloperidol, olanzapine, and risperidone because of potential exacerbation of extrapyramidal symptoms. There is also a lack of efficacy reported with olanzapine. Other atypical antipsychotics such as quetiapine have been commonly used with caution and slow titration.
Absolute Hospital Medicine Review: An Intensive Question & Answer Guide