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Clinical Practice & Guidelines Flashcards

7 cards from real DHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Clinical Practice & Guidelines flashcards as text
  1. According to DHA guidelines, what is the recommended first-line treatment for uncomplicated community-acquired pneumonia in a healthy adult without comorbidities?

    Answer: Amoxicillin 500mg TID for 5 days

    Amoxicillin is the preferred first-line agent for uncomplicated CAP in otherwise healthy adults per DHA antimicrobial stewardship guidelines.

  2. A patient presents with a blood pressure of 160/100 mmHg on two separate occasions. Per DHA hypertension guidelines, which classification does this represent?

    Answer: Stage 2 hypertension

    A sustained BP ≥140/90 mmHg qualifies as Stage 2 hypertension under DHA/JNC classification, requiring prompt pharmacologic intervention.

  3. Under DHA clinical guidelines, which screening interval is recommended for colorectal cancer using fecal immunochemical testing (FIT) in average-risk adults aged 50–74?

    Answer: Annually

    Annual FIT is the recommended non-invasive colorectal cancer screening strategy for average-risk adults per DHA cancer screening protocols.

  4. When managing a patient with type 2 diabetes and established cardiovascular disease, DHA guidelines recommend which medication class as a preferred add-on to metformin?

    Answer: SGLT-2 inhibitors

    SGLT-2 inhibitors (e.g., empagliflozin) have demonstrated cardiovascular mortality benefit and are preferred in T2DM patients with established CVD per DHA/ADA-aligned guidelines.

  5. A pregnant woman at 28 weeks gestation tests positive on the 50g glucose challenge test (GCT) with a value of 155 mg/dL. What is the appropriate next step per DHA antenatal guidelines?

    Answer: Perform a 75g oral glucose tolerance test (OGTT)

    A GCT value between 140–199 mg/dL is a positive screen requiring confirmatory 75g OGTT (or 100g 3-hour OGTT) to diagnose gestational diabetes.

  6. Per DHA sepsis management guidelines (Sepsis-3), which combination of interventions must be completed within the first hour of sepsis recognition (Hour-1 Bundle)?

    Answer: Lactate measurement, blood cultures, broad-spectrum antibiotics, and 30 mL/kg IV crystalloid

    The SEP-1 Hour-1 Bundle requires measuring lactate, obtaining blood cultures, administering broad-spectrum antibiotics, and giving 30 mL/kg IV crystalloid for hypotension or lactate ≥4 mmol/L.

  7. According to DHA stroke guidelines, what is the maximum time window for administering IV alteplase (tPA) in eligible acute ischemic stroke patients from symptom onset?

    Answer: 4.5 hours

    IV alteplase can be administered up to 4.5 hours from confirmed symptom onset in eligible ischemic stroke patients per DHA/AHA guidelines.