ABFM In Exam Pearls (Latest 2023 - 2024) With Complete Verified Solution Pre-exposure prophylaxis (Prep), what meds, and what do you have check first? - Emtricitabine/tenofovir got to check Hep B first -apparently, they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver disease entry to balloon time for PCI! - 120 minutes time limit from onset of MI to balloon time - should get it done w/in 12 hours Absolute contraindications to Fibrinolysis - Previous hemorrhage stroke Previous ischemic stroke (4.5hrs-3months prior) Suspected aortic dissection Active bleeding (except menstruation) BP >180/110 (severe hypertension) Streptokinase 6 months prior acute cholecystitis - Acute inflammation of the gallbladder wall Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - NO! can make things worse -maximize heart failure treatment! Savers Disease - Calcaneal apophysitis, also called Seviers disease, is a common cause of heel pain in young athletes, especially those who participate in basketball, soccer, track, and other sports that involve running. Typically, the heel apophysis closes by age 15. Treatment options include activity modification, the use of ice packs and/or moist heat, stretching, analgesics, and orthotic devices.