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AANP > AANP - Review Questions > Flashcards

AANP - Review Questions Flashcards

1
Q

S&S of Serotonin Syndrome (SHIVERS)

A 
Shivering 
Hyperreflexia/myoclonus +3 or >
Increased temperature
Vital sign instability (Increased HR, RR and decreased BP)
Encephalopathy 
Restlessness
Sweating
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2
Q

What class is aripriprazole and what is it used to treat?

A

Abilify/mood disorder/atypical antipsychotic

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3
Q

Cholinergic overdose (DUMBBELS)

A 
diaphoresis/diarrhea
urination
miosis
bronchospasm/bradycardia/bronchorrhea
emesis
lacrimation
salivation
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4
Q

Fever, bradyreflexia, diffuse muscular rigidity

A

NMS - too high dopamine

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5
Q

Onset of postpartum depression following birth

Criteria:

A

4-6 weeks

Criteria: >/=2 weeks of SIGECAPS

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6
Q

CXR with reticulonodular infiltrates, low grade fever, dyspnea in school age person.
What bacteria and what ABX to treat?

A

Mycoplasma pneumonia

Azithromycin or respiratory fluroquinolone

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7
Q

Personality disorders:

1) suspicious distrustful hypervigilant
2) prefers to be a loner, detatched, unemotional
3) unusual thoughts, perceptions, behaviours

A

1) paranoid
2) schizoid
3) Schizotypal

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8
Q

With elbow held in extension passive flexion of the wrist reproduces pain in elbow

A

Lateral epicondylitis (overuse of extensor muscles)

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9
Q 
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
A

Polycythemia vera - treated by phlebotomy

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10
Q

Which medications are indicated for manic features of bipolar disorder:

1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine

A

1,2,3

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11
Q

Which medications are indicated for depressive features of bipolar disorder:

1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine

A

1, 4

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12
Q

What to monitor for w/ SNRI high dose?

A

BP

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13
Q

Which of the following are gram + or gram -:
Strep pneumo
Moraxella catarhallis
H. flu

A

Strep pneumo +
Moraxella catarhallis -
H. flu -

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14
Q

Thick blood tinged currant jelly sputum and pneumonia in IVDU or alcohol use: name pathogen

A

Klebsiella pneumonia

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15
Q

Sugar tongue splint is used for…

A

Colles fracture (ie. from FOOSH)

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16
Q

Manic symptoms (DIGFAST)

A 
distractability
impulsivity
grandiosity
flight of ideas
increased activity
decreased need for sleep
talkativeness
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17
Q

Lung cancer screening

A

50-80 years

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18
Q

Adjustment disorder occurs ____ months following stressful event

A

3 months

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19
Q 
What do these antibiotics have in common?
Clindamycin
Fluoroquinolones
Cephalosporins
PCN
A

Increased risk of C.diff

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20
Q

What GI condition increases risk of lymphoma?

A

Crohns disease

21
Q

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

A

Zollinger Ellison syndrome

22
Q

Obturator sign

A

+ if inward rotation of hip causes RLQ pain

23
Q

Rosvigs sign

A

Deep palpation of LLQ, results in referred pain to RLQ - + in appy and diverticulitis

24
Q

Markle test/heel jar

A

+ = peritonitis

25
Q

2 main S&S of GERD

A

Heart burn

Regurgitation

26
Q 
Which of the following meds have GERD SE:
BB
CCB
alpha 1 adrengergic receptor antagonists
alpha 2 adrengergic receptor antagonists
A

ALL

27
Q

Long term PPI SE

A

fractures, pneumonia, C.diff

28
Q

T/F

PPIs long term can/should be reduced abruptly

A

False

29
Q

How is barrets esophagus diagnosed?

A

Upper endoscopy

30
Q

What are the cullens sign and grey turner sign indicadive of?

A

Retroperitoneal hemmorhage ie. pancreatitis

31
Q

T/F H pylori should have eradication test

A

T

32
Q

H.pylori treatment regimen

A 
14 days of :
PPI BID
Amoxcillin BID
Clarithromycin BID
Metronidazole BID
33
Q

ABX treatment for diverticulitis

A

Ciprofloxacin + metronidazole x 5-7 days
OR
TMP/SMX + metronidazole x 5-7 days

34
Q

C. diff infection tx

A

Metronidazole x 10 days

35
Q

T/F a person must be infected w/ Hep B before getting Hep D

A

True

36
Q

Creatinine may be falsely increased in elderly. T/F?

A

False, Cr may be falsely decreased as reduced muscle mass

37
Q

RBC casts are diagnostic of

A

Glomerulonephritis

38
Q

Most common pathogens (3) for meningitis

A

Strep pneumo
Nesseria meningitides
H. flu

39
Q

Bacterial meningitis treatment in children

A

Ampicillin + cefoxtamine

40
Q

Meningitis treatment for 1) adults < 50 and 2) adults > 50 yrs

A

< 50 = ceftriaxone and vancomycin

> 50 = ampicillin, ceftriaxone and vancomycin

41
Q

What cranial nerve is involved in tic douloureux and what is the first line treatment of this condiition?

A 
Trigeminal nerve (CN 5/V)
Carbemazepine
42
Q

What cranial nerve is involved with Bells Palsy

A

Facial nerve (CN 7/VII)

43
Q

What medications is used for cluster headache prophylaxis?

A

Verapamil

44
Q

T/F

Males with cluster headaches have a higher risk of suicide?

A

True

45
Q

Name that condition:

Sever headache, N/V, photophoia, nuchal rigidity that is accompanied by hemiparesis and difficulty speaking

A

Hemmorhagic stroke

46
Q

Broca’s aphasia

A

Difficulty w/ motor aspect of speech. NORMAL ability to comprehend

47
Q

Wenicke aphasia

A

Difficulty w/ comprehension but no problem w/ producing speech

48
Q

GET SMASHED mnemonic for pancreatitis

A 
G allstone
E thanol
T rauama
S teroids
M umps
A utoimmune
S corpion/spider bites
H yertiglyceridemia
E RCP
D rugs
49
Q

How to treat C. diff infection?

A

Vancomycin

AANP (2 decks)

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