AANP - Review Questions Flashcards
S&S of Serotonin Syndrome (SHIVERS)
Shivering Hyperreflexia/myoclonus +3 or > Increased temperature Vital sign instability (Increased HR, RR and decreased BP) Encephalopathy Restlessness Sweating
What class is aripriprazole and what is it used to treat?
Abilify/mood disorder/atypical antipsychotic
Cholinergic overdose (DUMBBELS)
diaphoresis/diarrhea urination miosis bronchospasm/bradycardia/bronchorrhea emesis lacrimation salivation
Fever, bradyreflexia, diffuse muscular rigidity
NMS - too high dopamine
Onset of postpartum depression following birth
Criteria:
4-6 weeks
Criteria: >/=2 weeks of SIGECAPS
CXR with reticulonodular infiltrates, low grade fever, dyspnea in school age person.
What bacteria and what ABX to treat?
Mycoplasma pneumonia
Azithromycin or respiratory fluroquinolone
Personality disorders:
1) suspicious distrustful hypervigilant
2) prefers to be a loner, detatched, unemotional
3) unusual thoughts, perceptions, behaviours
1) paranoid
2) schizoid
3) Schizotypal
With elbow held in extension passive flexion of the wrist reproduces pain in elbow
Lateral epicondylitis (overuse of extensor muscles)
What condition has the following and what is the treatment? Transient visual disturbance, Facial plethora Splenomegaly Acquagenic pruritis (itching following showering) Splenomegaly HTN \+/- gouty arthritis
Polycythemia vera - treated by phlebotomy
Which medications are indicated for manic features of bipolar disorder:
1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine
1,2,3
Which medications are indicated for depressive features of bipolar disorder:
1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine
1, 4
What to monitor for w/ SNRI high dose?
BP
Which of the following are gram + or gram -:
Strep pneumo
Moraxella catarhallis
H. flu
Strep pneumo +
Moraxella catarhallis -
H. flu -
Thick blood tinged currant jelly sputum and pneumonia in IVDU or alcohol use: name pathogen
Klebsiella pneumonia
Sugar tongue splint is used for…
Colles fracture (ie. from FOOSH)
Manic symptoms (DIGFAST)
distractability impulsivity grandiosity flight of ideas increased activity decreased need for sleep talkativeness
Lung cancer screening
50-80 years
Adjustment disorder occurs ____ months following stressful event
3 months
What do these antibiotics have in common? Clindamycin Fluoroquinolones Cephalosporins PCN
Increased risk of C.diff
What GI condition increases risk of lymphoma?
Crohns disease
Gastrinoma located on pancreas or stomach, secretes gastrin –> increased levels of acid in stomach –> multiple ulcers in stomach and duodenum
Epigastric and mid-abdominal pain
Tarry stools
Screening by serum fasting gastrin
Zollinger Ellison syndrome
Obturator sign
+ if inward rotation of hip causes RLQ pain
Rosvigs sign
Deep palpation of LLQ, results in referred pain to RLQ - + in appy and diverticulitis
Markle test/heel jar
+ = peritonitis
2 main S&S of GERD
Heart burn
Regurgitation
Which of the following meds have GERD SE: BB CCB alpha 1 adrengergic receptor antagonists alpha 2 adrengergic receptor antagonists
ALL
Long term PPI SE
fractures, pneumonia, C.diff
T/F
PPIs long term can/should be reduced abruptly
False
How is barrets esophagus diagnosed?
Upper endoscopy
What are the cullens sign and grey turner sign indicadive of?
Retroperitoneal hemmorhage ie. pancreatitis
T/F H pylori should have eradication test
T
H.pylori treatment regimen
14 days of : PPI BID Amoxcillin BID Clarithromycin BID Metronidazole BID
ABX treatment for diverticulitis
Ciprofloxacin + metronidazole x 5-7 days
OR
TMP/SMX + metronidazole x 5-7 days
C. diff infection tx
Metronidazole x 10 days
T/F a person must be infected w/ Hep B before getting Hep D
True
Creatinine may be falsely increased in elderly. T/F?
False, Cr may be falsely decreased as reduced muscle mass
RBC casts are diagnostic of
Glomerulonephritis
Most common pathogens (3) for meningitis
Strep pneumo
Nesseria meningitides
H. flu
Bacterial meningitis treatment in children
Ampicillin + cefoxtamine
Meningitis treatment for 1) adults < 50 and 2) adults > 50 yrs
< 50 = ceftriaxone and vancomycin
> 50 = ampicillin, ceftriaxone and vancomycin
What cranial nerve is involved in tic douloureux and what is the first line treatment of this condiition?
Trigeminal nerve (CN 5/V) Carbemazepine
What cranial nerve is involved with Bells Palsy
Facial nerve (CN 7/VII)
What medications is used for cluster headache prophylaxis?
Verapamil
T/F
Males with cluster headaches have a higher risk of suicide?
True
Name that condition:
Sever headache, N/V, photophoia, nuchal rigidity that is accompanied by hemiparesis and difficulty speaking
Hemmorhagic stroke
Broca’s aphasia
Difficulty w/ motor aspect of speech. NORMAL ability to comprehend
Wenicke aphasia
Difficulty w/ comprehension but no problem w/ producing speech
GET SMASHED mnemonic for pancreatitis
G allstone E thanol T rauama S teroids M umps A utoimmune S corpion/spider bites H yertiglyceridemia E RCP D rugs
How to treat C. diff infection?
Vancomycin
