3/20/21 Flashcards
Who gets a Rh anti-D immunoglobulin injection (rhogam) during pregnancy?
All Rh D neg (-) pregnant women
When in pregnancy does a Rh D neg (-) mother get the anti-d immunoglobulins?
at 28 weeks gestation
What is the dose of Rh anti-d immunoglobulin for Rh D negative mother?
300 mcg
If an Rh D neg (-) mother has an event that could cause fetal-maternal bleeding, what is the treatment?
Rh anti-d immunoglobulin 300 mcg within 72 hours of event
A Rh D positive (+) infant is born to a Rh D neg (-) mother, what is the appropriate treatment?
Rh anti-d immunoglobulin 300 mcg
You treat 2 body regions with OMT, what is the CPT code?
for 1-2 regions the code is 98925
You treat 4 body regions with OMT, what is the CPT code?
for 3-4 body regions the code is 98926
You treat 5 body regions with OMT, what is the CPT code?
for 5-6 body regions the code is 98927
You treat 8 body regions with OMT, what is the CPT code?
for 7-8 body regions the code is 98928
You treat 10 body regions with OMT, what is the CPT code?
for 9-10 body regions the code is 98929
What is the typical presentation of peritonsillar abscess
sore throat, fever, “hot potato” or muffled voice, drooling, trismus
What are the classic exam findings of peritonsillar abscess
enlarged and fluctuant tonsil with deviation of the uvula to the opposite side
What studies are needed to diagnose a peritonsillar abscess?
none – clinical diagnosis, may use US if needed
Treatment for peritonsillar abscess
needle aspiration, antibiotics (Augmentin or Clindamycin) x 14 days
What is the recommended breast screening guidelines from the USPSTF?
The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
What is a junctional rhythm?
no P waves seen before the QRS complexes; instead, they occur either simultaneously with the QRS complexes or more commonly are retrograde
When Rate > 100 bpm called junctional tachycardia
Mobitz type I second degree AV block
progressive PR interval prolongation precedes a non-conducted P wave
Mobitz type II second degree AV block
PR interval remains unchanged prior to a P wave that fails to conduct to the ventricles.
OMT findings: Positive standing flexion test on the right and restricted compression test at ASIS on the right Right inferior ASIS Right superior PSIS Right tight quadriceps
Right anterior innominate
OMT findings: Positive standing flexion test on the left and restricted compression test at ASIS on the left Left superior ASIS Left inferior PSIS Left tight hamstrings
Left posterior innominate