Which of the following is a precaution to the RSV vaccine in older adults?
CV disease (eg, CHF, CAD)
diabetes mellitus
moderate or severe acute illness with or without fever
neurologic conditions
residence in a nursing home or other facility
lung disease (eg, COPD, asthma)
You are correct. According to the CDC, the decision to vaccinate an individual patient should be based on a discussion between the healthcare provider and the patient. It may be informed by the patient’s risk of severe RSV disease and their characteristics, values, and preferences; the healthcare provider’s clinical discretion; and the characteristics of the vaccine.

RSV vaccines are contraindicated for and should not be administered to persons with a history of severe allergic reaction, such as anaphylaxis, to any component of the vaccine.

As with all vaccines, RSV vaccination should be delayed for persons experiencing moderate or severe acute illness with or without fever (precaution).

GSK's Arexvy PI

Pfizer's Abrysvo PI
When will patients infected with tick-borne alpha-gal syndrome start to show allergic sx?
24-48 hours after eating meat or dairy products
immediately upon eating meat or dairy products
30 minutes to 1 hour after eating meat or dairy products
2-6 hours after eating meat or dairy products
12 hours after eating meat or dairy products
You are correct. Sx typically appear 2-6 hours after eating meat or dairy products, or after exposure to products containing alpha-gal (eg, gelatin-coated meds). However, AGS reactions can differ among individuals and can range from mild to severe or life-threatening (anaphylaxis). Some people may not have an allergic reaction after every alpha-gal exposure. CDC reports that AGS reactions can include:

- Hives or itchy rash
- N/V
- Heartburn or indigestion
- Diarrhea
- Cough, SOB, or difficulty breathing
- Hypotension
- Swelling of the lips, throat, tongue, or eye lids
- Vertigo or syncope
- Severe stomach pain

A CDC report showed that between 2010 and 2022, more than 110,000 suspected cases of AGS were identified. However, cases of AGS are not nationally notifiable to CDC, so it's not known how many cases of AGS exist in the U.S.

See CDC's Alpha-gal Syndrome page for more info.
Can you identify this pill?
entecavir
alprazolam
enalapril
lisinopril
You are correct. Entecavir is an antiviral medicine used to treat chronic HBV in adults and children at least 2 years of age and weigh at least 22 pounds (10 kilograms).

As a reminder, you can use the Pill ID feature to identify a pill based on its imprint code or physical characteristics, including shape, color, and scoring. Find Pill ID in the epocrates app or on epocrates Web.
Can you identify this pill?
ziprasidone
acitretin
omeprazole
cyclobenzaprine
You are correct. Omeprazole is used to treat symptoms of GERD and other conditions caused by excess stomach acid and is also used to promote healing of erosive esophagitis. Omeprazole may also be used in combo with antibiotics to treat gastric ulcer caused by infection with H. pylori.

As a reminder, you can use the Pill ID feature to identify a pill based on its imprint code or physical characteristics, including shape, color, and scoring. Find Pill ID in the epocrates app or on epocrates Web.
By rray, 21 July, 2023
Can you identify this pill?
clozapine
oxycodone
amlodipine/valsartan
atorvastatin
You are correct. Atorvastatin is an HMG-CoA reductase inhibitor used together with diet to lower LDL-cholesterol levels and risk of atherosclerotic CV events.

As a reminder, you can use the Pill ID feature to identify a pill based on its imprint code or physical characteristics, including shape, color, and scoring. Find Pill ID in the epocrates app or on epocrates Web.
Of the diseases listed, five account for 38.7% of serious harms related to diagnostic error. Which of the following isn’t in the top 5?
lung cancer
myocardial infarction
stroke
pneumonia
sepsis
venous thromboembolism
You are correct. According to a new study published in BMJ Qual Safe, stroke, sepsis, pneumonia, venous thromboembolism, and lung cancer account for 38.7% of total serious harms.

Researchers suggest that reducing diagnostic errors by 50% for stroke, sepsis, pneumonia, pulmonary embolism, and lung cancer could cut permanent disabilities and deaths by 150,000 per year.