Which of the following liver isoenzymes metabolizes cyclosporine?
a. CYP3A4
b. CYP2E1
c. CYP2D6
d. CYP2C9
a. CYP3A4 metabolizes cyclosporine.
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A massage therapist takes a new job at a clinic. The therapist finds herself standing a little straighter and paying close attention to what the clinic manager says, careful to respond in a respectful way
After each conversation, the therapist runs over the conversation in her head to see if what she said made sense. What is the term for this type of behavior? a) Active listening b) Taking a participant-observer stance c) Feeling shame d) Paraverbal communication
What insurance billing error message could affect refill times and reimbursements?
A) Incorrect days supply B) Incorrect provider C) Patient not covered D) Incorrect birth date
Thomas is a 58-year-old male with ASHD, DM type 2, HTN, and GERD who presents with c/o rectal bleeding. He states, "There was blood in the toilet after I had a bowel movement." He admits he was straining a lot to pass the stool
PMH: As noted, the patient has ASHD, DM type 2, which is well controlled with metformin and Byetta, HTN—controlled by Norvasc. He also takes omeprazole, Simvistatin, and Neurontin for diabetic neuropathy. He reports the ASHD is "stable at this time, according to my cardiologist." Temp: 99 Pulse: 76 BP: 130/74 Blood sugar: 110 Physical Exam: ENT—PERRLA, no PND Neck: WNL—no lymphadenopathy Cardiovascular—RRR, no JVD, no carotid bruits Lungs—normal breath sounds; no rales or crackles Abdomen —normal bowel sounds Digital Rectal Exam—stool on glove was brown. No evidence of blood. Hemorrhoids were noted. Fecal occult blood test was negative. EKG—WNL CBC—both H&H are within normal limits I discussed my findings with the patient. Since the fecal occult blood test was negative, and the EKG and H&H are normal, I do not think he is bleeding internally. He has both internal and external hemorrhoids. What I believe happened is that one of the hemorrhoids "popped" as he was straining to defecate. I am discharging him home with instructions to return to the ED should he experience any additional rectal bleeding, or if he notes any blood in his stool. Otherwise, I would like him to follow up with Dr. Jason Kittridge at our GI clinic within the next week. Impression: ASHD, Hemorrhoids, DM with neuropathy, GERD What will be an ideal response?
Which of the following is an output device?
A) Mouse B) Scanner C) Keyboard D) Camera E) Computer monitor