Kerathootics Exam I

Tapinarof (VTAMA) Minimum age to treat dermatitis?

Protopic

Which nonpharmacologic treatments are common to Psoriasis, Rosacea, and Dermatitis?

Which antiarrhythmic drugs need hospitalization for initiation due to QT monitoring?

If a patient has gout and hyperkalemia which meds should not be used for hypertension?

PDE4 inhibitor used in plaque psoriasis and psoriatic arthritis:

First line for mild to moderate symptomatic atrioventricular tachycardia.

Which P2Y12 inhibitors are reversible

Minimum age for Tapinarof (Vtama)

psoriatic disease worsens/increases the chance of getting all of these comorbidities except:

A subacute stent thrombosis is one that occurs ___ after a stent is installed.

A patient comes into the hospital without a PCI lab and EKG shows it's a NSTEMI.

Which one is ST segment depression?

which treatment option is done in office and uses zinc to surround the plaque in order to protect healthy skin?

High intensity statins lower LDL by

Roflumilast (Zoryve) Minimum age to treat dermatitis?

How do you diagnose peripheral artery disease?

For a patient with heart failure which options are not usable for hypertension?

Which of these are part of the 4D of classification?

patient is anticipating knee surgery 5 months from now. This patient is getting a stent, what type of stent is best?

17% ASCVD risk would fall under this category. assuming age:40-75, and LDL is 70-189mg/dL.

It is acceptable to to allow patients to remain in AF if they are rate controlled and:

Talkoinumab (Adbry) Minimum age to treat dermatitis?

which conditions are likely to lead to Psoriasis in specifically pediatrics?

what is the lifetime risk of hypertension?

Tazarotene (Tazorac) is teratogenic and application covering more than 20% BSA can result in systemic absorption.

Why is fibrate therapy given to patients with TG >500mg/dL other than to lower the TGs?

Which med will help A patient with elevated BP, bilateral renal stenosis, renal failure, T2 diabetes, and ankle edema.

Which class of antiarrhythmic drugs cannot be used in atrial arrythmias?

How long after initiating DAPT would a patient be able to change to a single medication?

If atopic dermatitis is unresponsive to topical corticosteroids, what is the second line?

For very high risk individuals what threshold should be the goal of LDL levels?

Of the topical treatments for rosacea with inflammatory papules/pustules, which is flammable?

how long after initiation or dose adjustment of a statin should adherence and lipid measurements be assessed?

After starting a statin and lifestyle changes Tervor is experiencing muscle pain. LDL: 95, HDL: 60, TG: 136, CK: 1400

Rate control in hemodynamically stable patients with decompensated HF should be?

What is the first line for hemodynamically unstable Afib or flutter with 34% LVEF?

What level is optimal for LDL

An arrythmia is an abnormal rhythm of cardiac conduction accompanied by rapid or slow HRs

Adverse effect of Sotyktu

For every 1% decrease in HDL there is a 2-3% increase in the risk of CHD.

which is contraindicated in hemorrhagic or ischemic stroke

What arrythmia is this?

Which LDL lowering agents increase the risk of tendon rupture and benign prostatic hyperplasia?

Of these, which are subQ injections?

Which agent would be able to help a patient with relatively normal lipid panel except elevated TG of 864mg/dL

Hypertensive patient with stable angina, which treatment would best benefit this patient? (including add on therapy)

Diastolic BP is determined during contraction of the ventricles.

Thickened skin and surface nodularities

Chronic NSAID use and ACE inhibitors cause damage to the kidney.

Anticoagulation is preferred in stroke risk patients if their score is greater than 1 for males and 2 for females.

If a high ASCVD risk patient is on a max dose high intensity statin without improvement what are the next options?

Black box warning for calcineurin inhibitors?

Low and slow dosing does not matter when it comes to severe hypercholesterolemia.

Photosensitivity that can spread to spots not exposed is:

Masked hypertension is:

What Medications or changes can be made to help prevent the flushing due to niacin?

Topical steroids are rated on a scale of 1-7 (7 being most potent)

A patient has psoriasis covering 12% BSA, PASI of 11 and a DLQI of 11

which is not a defining characteristic of rosacea?

Rate control is favored in younger patient populations.

Rate control, Rhythm control, Anticoagulants, and lifestyle modifications are the goals for treating afib.

which statin undergoes glucuronidation with negligible CYP450 metabolism?

which of these just treat the redness symptom of rosacea erythema

if the EKG appears to show multiple vessel occlusions. What medications should not be given?

Which calcineurin inhibitor can be used for a 17yo with mild psoriasis?

Primarily composed of TG and carries TG and lipids to skeletal muscle and adipose tissue.

A patient has BP 150/90mmHg and HR 95 bpm with chest pain not resolving on nitroglycerin.

Vit D3 analogs can have systemic absorption past application greater than 30% BSA

Atrial contraction occurs in what interval?

Goals of Psoriasis treatment are:

Most potent topical corticosteroid:

which types of Psoriasis are potentially life threatening?

Aspirin can be used for primary prevention of ASCVD events.

Betablockers effects are less pronounced in elderly due to decreased sympathetic tone.

Bob is meeting his BP goal while taking 4 antihypertensive agents. Does Bob have resistant hypertension?

which TNFa inhibitor is for only UC and psoriatic arthritis but not psoriasis?

A 55 year old person with an LDL of 84mg/dL and 6% ASCVD risk should:

For resistant rosacea:

Troponin will be elevated in both unstable angina and an NSTEMI or STEMI.

what factor indicates arterial wall tension?

At what levels do TGs have to be at for calculating LDL to no longer be accurate?

What are the first line agents of stable angina?

DLQI is a measure how impactful psoriasis has been over the past week on a scale of 1-30.

Treatment of supraventricular tachycardias depend on range of the QRS interval and severity of symptoms.

Minimum age for Roflumilast (Zoryve)

What conditions are necessary to recommend a lifestyle modification and monotherapy?

Major carrier of cholesterol in circulation. Carries 60-70% of total blood cholesterol.

Main side effect of Prazosin

Ruxolitinib (Opzelura) Minimum age to treat dermatitis?

Primary/ essential hypertension is commonly caused by disease states and medications.

What additional benefits do statins have besides their LDL lowering?

In both nonstructural heart disease and structural, catheter ablation is an option if nothing else works

which atopic dermatitis agent has a black box warning for TB HCV/HBV infection reactivation?

What are acceptable BSA values for treatment of psoriasis?

A patient has a PASI score of 8.5, what category does this fall under?

Symptoms of pre eclampsia are?

What is the onset time of steven johnson syndrome and toxic epidermal necrolysis after exposure to the offending drug?

A patient with a BP of 117/83 falls under what classification?

PASI scoring is categorized by Mild: less than 8, Moderate: 8-10, severe: greater than 10

What is the first thing other than CPR that is done in management of acute VF

a patient has trouble taking meds PO but doesn't struggle with aspirin what is the best option for DAPT

A patient is having flushing and cannot figure out which of their meds are causing this, below are the meds:

When is thrombolytic/fibrinolytic therapy considered?

Very high risk ASCVD is categorized as:

dermatologic drug reaction occurs within 30min - 2 hours of administration and is characteristic of anaphylaxis.

Which lifestyle modification has a large impact on BP and is easy to keep track of?

If a patient using nitroglycerin does not get a headache, it may be old or not working.

Guttate psoriasis is caused by strepto infections.

2nd generation Stents are made of:

Elidel

Which of these disease states will result in increased TG and increased HDL?

What labs or test should be ordered for a patient complaining of chest pain?

which BRM can treat pustular arthritis?

Sensitivity to UV unrelated to dosing is:

A patient is not responding well to their past dose increases of lisinopril (current medium dose). Next action?

Which condition is hyperproliferative and results in skin turnover happening 10-20x normal skin?

Choose what treatment best fits a patient with psoriatic arthritis, Crohn's and a latex allergy.

what are the 2 factors in choosing treatment for hypertension?

Which Il-17 inhibitor may decrease CV risk but can exacerbate Crohns and UC?

non Biologic psoriasis treatments increase the risk of reactivation for TB, HBV, HCV, and HIV.

Patients who have afib for greater than 48 hours are at great risk of throwing a clot.

What is the max score for PASI

First line topical agents: Psoriasis.

This patient has diabetes mellitus and an ASCVD risk of 23%. what therapy is best?

A patient would like to improve their moderate psoriasis but does not trust prescription meds, what options may help?

Which one of these conditions if met would warrant systemic therapy?

What monitoring is common to all BRMs?

Fibrin rich clots (Red clots) are primarily veinous and best treated by:

how many adults in the US have hypertension?

Dupilumab (Dupixent) Minimum age to treat dermatitis?

other than exercise to stress the heart in order to visualize occlusions, what meds can be used to simulate exercise?

Reentrant tachycardias are caused by an abnormality in impulse generation.

Which Il-17 inhibitor increases chances of suicidal ideation?

On an EKG, Atrial fibrillation will have:

Crisaborole (Eucrisa) Minimum age to treat dermatitis?

If a patient chooses to try lifestyle changes, how long do you wait before checking in again?

What type of arrythmia is this?

which type of fish oil does not have the adverse effect of fish burps?

Which drug would best treat psoriasis in a patient who has class III HF

what is the MAP and pulse pressure of a patient whose BP is 150/120

Which are indicated for homozygous familial hypercholesteremia?

A patient with these comorbidities: ankle edema, hypertension, and Raynaud's phenomenon would best be treated by

which have the highest reduction in cardiac events?

a patient with chest pain was given nitroglycerin and now has a SBP of 70mmHg and is cold to the touch.

Which treatment would be best for a patient who is currently pregnant and has an allergy to latex?

If mild or moderate plaque psoriasis cases are unresponsive to topical agents what is the next suggestion?

Type 2 MI is based on O2 demands and no coronary artery thrombosis is present.

which Il-17 inhibitor is not indicated for psoriatic arthiritis and is contraindicated in crohns

Approximately how many adults 20 years or older have a total cholesterol higher than 200mg/dL?

in adults 40-75 years old regardless of ASCVD risk with diabetes, moderate intensity statin therapy is indicated.

To manage chest pain in ACS when can IV Morphine not be used?

If suspected fungal infections do not use steroids for treatment of psoriasis.