** Flashcards

1
Q

**normal lab value of IgA-tTg

A

0 - 3 U/mL, or 0.00 - 100.00 ug/g

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2
Q

**normal lab value of total IgA

A

80 – 350 mg/dL

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3
Q

**What is Sjogren’s syndrome

A

disorder of your immune system identified by its two most common symptoms: dry eyes and mouth

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4
Q

**What is Hypoplastic Left Heart Syndrome (HLHS)

A

birth defect where you’re born with an open foramen ovale and ducturs arteriosus

↓ developed L ventricle & ↓ developed valves (mitral, aortic) (hole between L&R atria)

  • ASD
  • PFO
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5
Q

**Treatment of Hutchinson-Gliford Progeria

A
  • NSAIDS
  • Statins
  • Bone health meds
  • OT/PT
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6
Q

**Pneumothorax vs hemothorax

A
  • both decrease lung sounds
  • pneumothorax: air between lungs and chest cavity = ↑ percussion
  • hemothorax: blood between lungs and chest cavity = ↓ percussion
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7
Q

**_____ PPD induration = positive

A
  • > 5mm immunocompromised
  • > 10mm for high risk/from countries with TB, prisons, nursing homes, etc.
    15mm everyone
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8
Q

**Meds for TB

A
  • isoniazid
  • *- Rifampin (avoid oral contraceptives)
  • Ethambutol
  • Pyrazinamide
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9
Q

**What 2 diseases cause thyroid peroxidase antibodies (TPO)

A
  • hashimotos

- graves disease

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10
Q

**hypothyroidism causes _____ TSH and low _____

A
  • high

- low T3/T4

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11
Q

**Tx sickle cell

A
  • pain meds
  • hydration
  • O2
  • hydroxyurea (prevents abn RBCs)
  • avoid iron meds
  • PCN prophylaxis for newborns
  • *- don’t give diuretics
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12
Q

**UTI meds: pregnancy & pediatrics safe

A

Pregnancy:

  • fosfomycin (Monurol)(one-time dose)
  • Floxin
  • PCN
  • Nitrofurantoin

Pediatrics Safe:

  • *- Bactrim (Trimethoprim-Sulfa)
  • Augmentin
  • Cephalosporins
  • Suprax
  • Cefzil
  • Keflex
  • if vomiting = IV dose cephalosporins
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13
Q

**What is tamsulosin (fosamax) used for

A

BPH

  • relaxas muscles
  • alpha-1 antagonist (hypotension education!!!!!)
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14
Q

**5 s/s pleural effusion

A
  • chest pain
  • dry/nonproductive cough
  • dyspnea
  • orthopnea
  • fever
  • *- NO SOB
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15
Q

**when do migraines become chronic

A

**15x/mo

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16
Q

**treatment for migraines

A

botox

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17
Q

**Treatment of antibiotics-induced cellulitis

A
  • *- Start IV antibiotics or continue PO antibiotics
  • Treat fever
  • Educate medication regimen
  • Wrap wound
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18
Q

**What is clonazepam (klonipin) used for

A

anxiety

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19
Q

**What is MS

A

Most common Demyelinating disease that results in damage to the protective covering (myelin sheath) that surrounds nerve fibers in the brain, optic nerves, and spinal cord.

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20
Q

**Name 3 hormones

A
  • *- ADH (antidiuretic hormone)

- aldosterone (casuses the body to release salt and water = ↓ blood volume = ↓ BP) via Renin-angiotensin system

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21
Q

**What should you monitor when on doxycycline and/or warfarin

A

INR!!!

22
Q

**What affect does doxycycline have on warfarin (coumadin)

A

increases the affect of it = increase bleeding risk

23
Q

**3 muscle spasm meds

A
  • Antispasmotics:
    • Baclofen (Gablofen)
  • Tizanidine (Zanaflex)
  • Gabapenting (neurontin) d/t it being and anticonvulsant and nerve pain medication
24
Q

**What is Tay-Sachs (GM2 gangliosidosis)

A
  • Lack of enzyme that breaks down fatty substance, building up toxic levels in the brain and affect the function of the nerve cells in the brain and spinal cord.
  • *- destroys nerve cells in brain/spinal cord
  • Loss of muscle control, cherry-red spots in the eyes
  • Loss of motor skills, such as turning over, crawling, and sitting up.
  • loss of vision/hearing loss
25
Q

**Who does Tay-Sachs affect the most & why

A

Ashkenazi Jewish

- b/c they lack enzyme that ↓ down fatty substances/allows toxic build up in the brain

26
Q

**s/s asthma

A
  • *- dry cough & wheezing
  • breathing through the mouth
  • chest pressure
  • increased HR
  • throat irritation
27
Q

**First line meds for uncomplicated HTN

A

Hydrochlorothiazide (Microzide)

28
Q

**If CKD in stage 3, start on _____

A

amlodipine (norvasc)

29
Q

**Depression:

what should you add to meds

A

cognitive behavior therapy (CBT)

30
Q

What is tamoxifen and what can is cause

A

It is a hormonal tx for breast cancer:

It can cause cancer of the uterus (womb), strokes, and blood clots in the lungs

31
Q

Cystic fibrosis is a hereditary disease that impacts the lungs and digestive system and…

A

pancreas

32
Q

Can you have BB with lung conditions

A

No! Beta-2 blockers result in bronchoconstriction

33
Q

Ulcerative Colities affects the _____ and _____ colon and is diagnosed through a _____

A
  • rectum
  • sigmoid
  • colonoscopy
34
Q

GFR is rated as severe when it is in the range of _____

A

15-19 (stage 4)

35
Q

What medications to give for UTI in young and healthy

A

trimethoptrim/sulfamethoxazole (bactrim)

36
Q

Cystic fibrosis leads to

A
  • ↓ serum sodium
  • CF-associated DM
  • pancreatitis.
37
Q

Treating insomnia:

  • stop _____ by 5pm, decrease distractions, and use a _____ _____ tablet at bedtime
A
  • caffeine

- 5mg melatonin

38
Q

What to use for migraines

A

botox

39
Q

T/F: Studies to date clearly indicate the effectiveness of acupuncture for alleviating cancer pain

A

False. Studies do not clearly indicate

40
Q

Cystib fibrosis affects the _____ causing secretions into the _____

A
  • pancreas

- lungs

41
Q

Start initial dose of warfarin _____ _____ to monitor the effects, titrate dose to INR to _____, and make sure to monitor closely with _____ tx.

A
  • at half
  • 2.1
  • abx
42
Q

T/F: thiazide diuretics are used in CKD and sickle cell patients

A

FALSE! Do NOT use diuretics to treat htn in CKD or sickle cell pts

43
Q

What conditions does TPO check for

A
  • graves (hyperthyroid)

- hashimotos (hypothyroid)

44
Q

Describe TSH and T3/T4 levels in hypo/hyperthryroid

A
Hypo = ↑TSH = ↓T3/T4
Hyper = ↓TSH = ↑T3/T4
45
Q

Fragile X syndrome can cause _____

A

ataxia

46
Q

Prader Willi Sx is caused by deletions of chromosome _____ from _____

A
  • 15

- father

47
Q

Treat pediatric UTI with…

A

bactrim

48
Q

Medication used for neuropathic pain

A
  • cymbalta

- lyrica

49
Q
  • main lab test for celiac

- how to dx celiac

A
  • IgA

- small intestinal bx through EGD

50
Q

patient experiencing rigors with immunoglobulin infusion, give _____

A

demerol (meperidine)

51
Q

Parathyroid gland regulates _____

A

calcium

52
Q

Kidney stimulates erythropoietin when blood volume is _____

A

low