Which medication is considered to be the drug of choice for children with acute otitis media? Assume no drug allergies or recent antibiotic therapy.

Which of the following medication (s) is a xanthine oxidase inhibitor and can therefore be beneficial in hyperuricemia?

Angela is a 79yo Caucasian female with a history of heart failure with reduced ejection fraction (HFrEF) and hypertension.  Her BP is 142/76 and heart rate is 73 bpm.  Medications include carvedilol (Coreg*) 25mg twice daily, lisinopril (Zestril*) 40 mg daily, Empagliflozin (Jardiance*) 10mg daily and furosemide (Lasix*) 40 mg daily. She has been fairly compliant with the recommended lifestyle modifications.  Angela returns to your clinic 2 months later with a new complaint of a dry cough.  Her lungs are clear, weight and labs are unchanged, and she has no other symptoms.  Which of the following is most appropriate?

The use of metoprolol (Lopressor* / Toprol XL*), a cardioselective (also known as β1 selective) beta blocker, is absolutely contraindicated in patients with COPD (or asthma) despite any possible compelling indications (e.g. stable heart failure or IHD).

A 67 yo woman presents with pain in her left thigh muscle, duplex ultrasonography indicates the presence of DVT in the affected limb. The decision was made to start enoxaparin (Lovenox*). Relative to unfractionated heparin, enoxaparin (Lovenox*)…

Which of the following statements regarding warfarin (Coumadin*) is correct?

A 45-year-old female presents to the clinic with complaints of chronic lower back pain that has been ongoing for the past two years following a motor vehicle accident. She has tried various nonpharmacologic therapies such as physical therapy and acupuncture with limited relief. She expresses interest in exploring opioid therapy for her pain management. Which of the following statements regarding opioid therapy for chronic pain aligns with current CDC recommendations? 

Tess is a 55yo African American female with a PMH of HTN, DM and hyperlipidemia.  She weighs 175 lbs and is 5’4″. She sometimes eats processed foods and admits to having trouble with portion control. She does not exercise regularly and she does not smoke.  Her mother had a MI at the age of 70.  Her fasting lipid profile shows TC 200 [

Tyson is a 50 yo black male with a past medical history significant for hypertension and a heart attack (resulting in reduced LVEF) one year ago.  He is currently taking lisinopril (Zestril*) and a higher dose of amlodipine (Norvasc*).  He says he is having ankle edema over the past couple months since amlodipine (Norvasc*) was started.  His kidney function is normal, and he has no other signs/symptoms of fluid accumulation (e.g. pulmonary congestion, weight gain).  His BP is 138/70, and HR 72. His laboratory values are normal. Considering not only hypertension, but his past medical history ( prior MI / stable HFrEF) and most recent complaint (ankle edema), which of the following recommendations is most appropriate for Tyson to correct the edema and optimize heart failure therapy?

Nancy is a 78 yo Caucasian female with a past medical history of heart failure (Class I, Stage B), hypertension and diabetes who arrives for a regular follow-up visit.  She monitors her weight daily and has kept her weight consistent for several weeks.  She avoids salt and is very careful with her fluid intake. She swims for 20-30 minutes each day.  Her current medications include: Candesartan (Atacand*) 32mg daily Metoprolol succinate XL (Toprol XL) 100mg twice daily Furosemide (Lasix*) 40mg twice daily K-dur (potassium supplement) 20mEq once daily Insulin glargine (Lantus*) 35 units at bedtime Insulin aspart (Novolog*) 10 units with meals.  Her physical exam shows no JVD, clear lung sounds, and minimal edema of her feet.  Her labs and vitals include Na 139 [136-145], K 2.9 [3.5-5], Cl 109 [98-106], Mg 2.0 [1.8-3], BUN 14 [10-20], Cr 1.2 [