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Aquifer 1 Flashcards

1
Q

4 most common causes of death for males 55 and above?

A

Cancer, heart disease, unintentional injury and URI

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2
Q

Good med to use to help smokers quit?

A

Buproprion

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3
Q

Underweight, normal, overweight and obese BMI levels?

A

Below 18.5
18.5-24.9
25 - 29.9
30 and up

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4
Q

Adults who smoke should get what vaccine?

When to get zoster vaccine?

A

Pneumococcal 23

50

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5
Q

ABCDI grades for screening recommendation?

A 
Do it, its awesome
Do it, its good
Selectively do it for certain patients
Don’t do it
No evidence either way
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6
Q

5 A grade screenings?

A

Colorectal, BP, tobacco smoking, HIV, syphilis

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7
Q

What is the recommendation for colorectal screening?

A

50 to 75

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8
Q

What is recommended as first line treatment for insomnia in adults?

A

CBT

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9
Q

Which gender more commonly will follow through with suicide?

A

Males

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10
Q

Criteria to diagnose MDD?

A

At least 5 symptoms for at least 2 weeks and one symptom must be depressed mood or loss of interest or pleasure.
Sleep, interest, guilt, energy, concentration, appetite, psychomotor depressed, suicidal ideation

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11
Q

Top 2 screening exams for dementia?

A

Mini cog

MMSE

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12
Q

PH, plasma glucose, dehydration and ketone levels in HHS and DKA?

A

No acidosis, 600 +, 10 liters +, no ketones

Yes acidosis, 250, 3 liters, ketones

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13
Q

Most common setting precipitating HHS?

A

Infections with decreased fluid intake

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14
Q

4 diagnostic criteria of diabetes?

A

Random glucose over 200 with symptoms
Fasting glucose over 126
A1c over 6.5
Two hour glucose over 200 during oral glucose test

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15
Q

What is the hallmark of proliferative retinopathy for a diabetic?

A

Neovacualrization

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16
Q

3 important parts of diabetic foot exam?

A

Sensory, including Achilles reflex
Pedal pulses
Inspection of skin

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17
Q

3 vaccines for diabetic patients?

A

Flu, pneumococcal 23, and hep b

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18
Q

When should type 1 and type 2 diabetic patients have first eye exam?

A

Type 1 five years after diagnosis

Type 2 right away

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19
Q

Fasting blood glucose for diabetic pets should be what and postprandial should be what?

A

80-120

Below 180

20
Q

When should BP start being screened for, age?

21
Q

Diagnosing HTN criteria?

A

2 elevated measures, 5 minutes apart, 2 or more visits

22
Q

4 types meds for HTN?

A

CCB, ACE, thiazides, and ARBS

23
Q

3 side effects of thiazides?

A

Hypokalemia, no gout pts, and cause incontinence in oldies

24
Q

What are the three most common causes of LBP?

A

Strain, disc herniation, and degenerative disease

25
Q

Physical exam sign of pyelonephritis?

A

CVA tenderness

26
Q

FABER test looks for what pathology?

A

Sacroiliitis

27
Q

What position is disc herniation worse in?

A

Sitting and better in standing

28
Q

When is imaging for back pain usually indicated?

A

4-6 weeks after conservative treatment

29
Q

3 types of primary HAs?

A

Tension, migraine and cluster

30
Q

Number of HAs to diagnose tension HAs, migraines and cluster And medication overuse?

A

5,10,5, 15

31
Q

4 causes of secondary headaches?

A

Meningitis, hemorrhage, tumor and concussion or trauma

32
Q

Bilateral or unilateral for migraines and tension headaches?

A

Migraines unilateral

Tension bilateral

33
Q

2 types of meds to use for prophylaxis migraine treatment?

A

Beta blockers and amitriptyline

34
Q

Effective meds to treat a migraine when they come on?

35
Q

3 criteria for daily migraine meds?

A

6 HA days a month
4 HA days with impairment
3 HA days with severe impairment

36
Q

What med to use for mild to moderate BPH?

What meds to use for Large Prostates?

A

Alpha antagonists: osin family

5 alpha reductase blockers: finasteride

37
Q

What happens to pain with eating with GERD, PUD, and gastritis?

A

Worse
Improves
Either

38
Q

What is the most common form of GERD?

39
Q

What is the triple therapy for Hi pylori?
Quad therapy?
Triple for penicillin allergy?

A

PPI + amox + clarithromycin 10 -14 days
PPI + metro + tetracycline + bismuth
PPI + clarithro + metro

40
Q

Age range for lung cancer screening?

A

55-85 who have 30 pack year history

41
Q

Cervical cancer screening age?

A

21-65 every 3 years

42
Q

Breast cancer screening age range?

43
Q

In adult men and women, what is the most likely cause of iron deficiency?

A

GI blood loss

44
Q

An adult male with bright red blood and iron deficiency anemia suggests what three diagnosis?

A

Colorectal cancer, colon polyps, and diverticula

45
Q

Two conditions if men or women present with more brown blood stool?

A

PUD and gastritis

46
Q

3 tests recommended for colon cancer screening?

A

FOBT, colonoscopy every ten years, CT colon every five years

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