Seborrheic dermatitis
Question 60
John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?
Actinic keratosis
Eczema
Psoriasis
Seborrheic dermatitis
· Question 61
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 17089. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?
Increase her Lisinopril to 20mg daily
Add a thiazide diuretic to the Lisinopril 5mg daily
Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker
Discontinue the Lisinopril and start a diuretic
· Question 62
An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to:
defer any further dental work until his valve replacement is completed
instruct him to have dental extraction done cautiously, having no more than 2 teeth per visit removed.
suggest he consult with his oral surgeon about having all the teeth removed at once and receiving appropriate antibiotic prophylaxis
coordinate with his cardiac and oral surgeons to have the tooth extractions and valve replacement done at the same time to reduce the risk of anesthetic complications.
