CASE: Adult children express concern their 78 yo father is increasingly forgetful. Which screening test for cognitive impairment should be used?

  • General Practitioner Assessment of Cognition (GPCOG) [Patient and informant] (12%, 5 Votes)
  • Memory Impairment Screen (MIS) [Patient] (0%, 0 Votes)
  • Mini-Cog [Patient] (21%, 9 Votes)
  • Mini-mental status exam (MMSE) [Patient] (67%, 28 Votes)

Total Voters: 42

Start Date: February 21, 2024 @ 12:31 PM
End Date: No Expiry

CASE: 75 yo frail female and hx of HTN, Afib, DM type 2, and TIAs (x3) in past 6 months. Apixaban for stroke prevention. Colonoscopy scheduled for +guiac stool. Recommendation?

  • Continue apixaban before and after the colonscopy (16%, 17 Votes)
  • Discontinue apixaban now (permanently) (0%, 0 Votes)
  • Switch apixaban to warfarin after colonoscopy (2%, 2 Votes)
  • Stop apixaban for 1 day before and restart 2 days after colonoscopy (82%, 85 Votes)

Total Voters: 104

Start Date: January 3, 2024 @ 7:57 PM
End Date: No Expiry

CASE: 71 yo female lives in assisted living facility. Meds valsartan/HCTZ, diclofenac gel, and vitamin D 2000 IU. Completed pneumoccocal vaccine series. Health maintenance recommendations now?

  • Stop vitamin D supplement (2%, 3 Votes)
  • Influenza vaccine (47%, 86 Votes)
  • Respiratory Syncytial Virus (RSV) vaccine (42%, 76 Votes)
  • Mammogram (10%, 18 Votes)

Total Voters: 96

Start Date: November 29, 2023 @ 9:46 AM
End Date: No Expiry

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