Summer CME 2023 July 24 Quiz SPC2024 July 8 Quiz Name First Last Email Delirium, Dementia, and a Discussion on the New Dementia Infusions – Ryan Lynch, D.O.(Required)What is the most common dementia seen in patients over the age of 65? A. Diffuse Lewy Body Dementia B. Alzheimer’s Dementia C. Frontotemporal Dementia D. Parkinson’s Disease plus Dementia E. Vascular Dementia Guideline Update for the Management of Atrial Fibrillation – Carmine D'Amico, D.O.(Required)A 68-year-old female presents to her primary care physician’s office for a follow-up visit for occasional dizziness, not accompanied by any other symptoms. Her medical history is significant only for hypertension. Her only medications are lisinopril/hydrochlorothiazide 20/12.5 mg PO daily and a calcium supplement with vitamin D daily. Physical examination reveals: blood pressure 126/84 mmHg, pulse 68 bpm, and respirations 12 per min. There is no jugular venous distension, lungs are clear to auscultation bilaterally (no crackles or wheezes), cardiac rhythm is regular, a soft S4 is present, and there is no S3 or murmur. Abdominal exam is unremarkable. There is no peripheral edema and distal pulses are intact in both the upper and lower extremities. Orthostatic blood pressure measurements are negative for orthostatic hypotension. Her lab work (including a CBC, CMP, thyroid function panel, and hemoglobin A1C) is within normal limits. An echocardiogram obtained last month revealed normal left ventricular systolic function and no significant structural abnormalities. A 30-day event monitor, completed last week, revealed a total of four atrial high- rate episodes, the longest of which lasted four minutes and thirteen seconds. None of these episodes correlated with patient reported symptoms. Based on the above information, which of the following is the most appropriate recommendation for the management of this particular patient? A. Continue current medications only. B. Add an oral anticoagulant to the current medications. C. Add aspirin to the current medications. D. Refer her to an electrophysiologist for consideration for atrial fibrillation catheter ablation. Primary Care Approach to the Treatment of Subclinical Hypothyroidism – Nicole Temofonte, D.O.(Required)A 75 year old female has thyroid functions obtained as part of an annual physical. Her TSH is 6.5 mIU/L and her free T4 is 1.1 (reference range 0.7-1.9 ng/l). She has no personal or family history of thyroid disease. She has a history of gastroesophageal reflux disease which is well controlled on Omeprazole. She reports no symptoms of hypothyroidism at the office visit. What is the most appropriate next step? A. Repeat TSH and free T4 in 8-12 weeks with TPO Ab B. Repeat TSH and free T4 in one year with TPO Ab C. Start Levothyroxine 25 mcg po daily D. Start Levothyroxine dose calculated by body weight daily E. Order thyroid ultrasound 2024 Florida Laws & Rules Update: What a Doctor Needs to Know – Richard Ferretti, Esq. & Aaron Susmarski, J.D.(Required)What is an example of an unintentional tort law ? A. Battery B. Inflection of Emotional Distress C. Fraud D. Negligent Misrepresentation Sleep Deficit – An Epidemic Health Spiral – Christopher Rial, D.O.(Required)A 48 y/o Caucasian Male is here to establish care, after moving for a work promotion. His medical history includes hypertension, recently started on Lisinopril. His father died of a heart attack at age 55. As an executive, he now oversees three additional projects. In addition to diet and exercise counseling, what is the most appropriate intervention that can decrease all-cause mortality? A. Add Amlodipine (Norvasc) in response to elevated BP in office B. Detailed sleep and social histories to guide next visit C. Osteopathic Manipulation of lumbar spine D. Suggest Vit D3 5000 IU / Day
