To reduce the risk of cardiovascular events (including MI and stroke) in elderly patients with known cardiovascular disease and diabetes:

Which medication is first-line antibiotic therapy for a 19-year-old with no known drug allergies who is diagnosed with strep pharyngitis?

The incidence of hypertension in the African American population is greater than any other race/ethnicity group. What is the suggested initial pharmacological mono-therapy with African American Hypertensive patients?

A 40-year-old man with a history of uncontrolled diabetes presents to the clinic for his yearly follow-up. His recent laboratory tests show sodium 132 mEq/L (normal 136–145 mEq/L), creatinine 1.4 mg/dL, GFR 55 mL/min/1.73 m2, and glucose 450 mg/dL. His urinalysis is positive for glucose. He is asymptomatic. Which of the following is high priority and next step in his management?

93. A 70-year-old male with past medical history of mild-moderate mitral regurgitation and moderate-severe tricuspid regurgitation, COPD, and secondary pulmonary hypertension presents to the Emergency Department with a fever and new cough. Vitals on presentation are notable for a blood pressure of 80/43, temperature of 38.7°C, and oxygen saturation of 80% on room air, which improves modestly with 6 L oxygen by nasal cannula. Chest radiograph shows multifocal airspace opacities suggestive of pneumonia, but not pulmonary edema. He is transferred to the ICU for intubation. Examination is also notable for cool extremities with +1 symmetric lower extremity edema. In determining whether to administer fluids to this patient to augment his mean arterial pressure, which of the following techniques would be LEAST helpful?

23. A 27-year-old man presents to the emergency department complaining of muscle pain, weakness, and reddish-brown urine. He states that while moving furniture yesterday he got pinned under a dresser. He has large areas of bruising over his bilateral thighs. Which additional finding would confirm the suspected diagnosis?

22. When treating myasthenia gravis, what major side effect can excessive use of anticholinesterase medication cause that results in paradoxical weakness?

66. Ms. T.G. is an 80 y/o female initially admitted to the ICU for septic shock due to UTI. She developed acute respiratory failure and was intubated for airway protection. After 2 weeks on the ventilator she became febrile, tachycardic and tachypneic; Lactate was 3.1. You would prescribe 

92. A patient is intubated, quickly regains his baseline level of alertness, and is extubated 4 hours later. He is alarmed by his need for mechanical ventilation and before discharge he asks you about his life expectancy. Which of the following is the best predictor of survival in COPD.

26. What is the first-line and most effective drug for the symptomatic treatment of the above neurologic disorder (#25)?