Grand Rounds

Thank you for your interest in this Grand Rounds workshop. In order to contact you with reminders and updates, please supply your name and email address below. Additionally, we would like you to take a brief (8 question) pre-test, so we can assess your current knowledge. This should only take 3 minutes. Thanks!


Event Date: Monday, September 30th, 2019 at  8am - 10am 
Kent Hospital 
Auditoriums A+B

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* 1. What is your first and last name?

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* 2. Please list your email address:

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* 3. What is your current role?

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* 4. What is your specialty?

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* 5. What hospital is your primary practice site?

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* 6. Mrs. Smith is a 75 year old female presenting to the emergency department with complaints of burning on urination and urinary frequency. She has a past medical history of hypertension and atrial fibrillation. Her medications include hydrochlorothiazide, lisinopril, calcium supplements, and warfarin (Coumadin). She has no known drug allergies. You perform a urinalysis which is remarkable for nitrites and greater than 25 WBC per high powered field. Based on the above information, select the medication that would be most appropriate for treatment:

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* 7. Which of the following medications is generally considered appropriate for use in older patients?

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* 8. A 69 year old male presents to the emergency department complaining of neck pain and stiffness after a motor vehicle accident he sustained the day before. After a thorough evaluation, you diagnose the patient with neck strain. His most recent creatinine level (one week ago) was 0.7mg/dl. He has taken acetaminophen at home with minimal relief. He takes no other medications. Which of the following choices is most appropriate for symptomatic relief?

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* 9. Which of the following conditions is most highly associated with the risk of receiving an inappropriate prescription medication as defined by Beers explicit criteria during discharge from an emergency department?

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* 10. You are prescribing a medication for an 80 year old female with an estimated weight of 60kg and a creatinine of 1.4mg/dl. The medication you have selected based on best treatment evidence is primarily eliminated by the kidneys. What medication adjustments should be considered?

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* 11. A 75 year old man presents to the emergency department complaining of severe back pain after lifting a heavy chair. He has tried acetaminophen at home without relief. His past medical history includes diabetes and hypertension. After a thorough evaluation, a diagnosis of back strain is made. Which of the following medications is most appropriate for the management of this patient’s symptoms?

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* 12. A 68 year old man presents to the emergency department after an episode of syncope in atrial fibrillation. On physical examination he is tachycardic with a blood pressure of 80/48mmHg. You decide to pursue DC Cardioversion for unstable atrial fibrillation. Which of the following is the best choice for procedural sedation in this patient?

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* 13. A 69 year old female presents to the emergency department after falling on her right knee. She notes mild to moderate pain in the knee and is able to ambulate with minimal difficulty. Her past medical history includes high blood pressure. She has no history of peptic ulcer disease or renal insufficiency. After a thorough evaluation you diagnose her with a knee contusion. Which of the following choices is most appropriate for outpatient management of her pain?

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