BIO TCM Flashcards
the right side of the heart pumps blood to the…
lungs
2
menstrual bleeding occurs when..
estrogen increases and progesterone decreases
3
the chain of blood pressure regulating hormones is
renin-angiotensin-aldosterone
4
what is indicative of right sided heart failure
distended jugular vein
5
LH is secreted by..
the anterior pituitary
6
in a urinalysis what is present in a possible bacterial infection
nitrites
7
the mechanism of vasotec, an ACE inhibitor, is to..
inhibits the production of angiotensin II
8
Which cranial nerve is involved in sensing taste
CN 9
9
what innervates the palmer aspect of the middle and index finger and distal thumb
median nerve
10
a 64 year old female has bells palsy all of the following can confirm diagnosis except:
- EMG
- physical exam of facial ptosis
- MRI with contrast agent of 7th CN
- facial biopsy of 7th CN
- physical exam
11
What tests can confirm hashimoto’s thyroiditis?
TSH, T3, T4
12
Normal shoulder flexion ROM
170-180
13
what are the most common side effects of antiarrythmic drus
bradycardia and dizziness
14
using a microcentrifuge, Hct measures the precentage of blood volume that is composed of
RBCs
15
Schedule 2 drugs are..
high risk potential resulting in severe physical and psychological dependence
16
Mxyedema refers to under active
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thyroid
17
a blood tests the shows elevated creatinine indicates a disorder of
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the kidneys
18
symptoms of Osteoporosis
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back pain, fractures in hips, spine, or femur, loss of height, kyphosis
19
what is the medication for Hashimotos
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levothyroxine
20
reduced bile production will result in what in the feces
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fat
21
which hormone raises body temperature during the luteal phase
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progesterone
22
Personnel with HBV vaccine …
- need to receive a new vaccine every 3 years
- develop immunity with no risk
- can still transmit the infection through sex
- also develop immunity to HIV
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2
23
which of the following is not a tx for Benign Prostatic Hyperplasia
- Suprax
- Flomax
- Avodart
- Proscar
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2
24
which dermatome innervates the anterior ankle and foot
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L5
25
KUB x ray assesses the Kidneys, Bladder, and
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Ureters
26
which form of Hepatitis is the most significant infectious occupational risk int he US
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Hep C
27
which of the following is a primary responsibility a health care worker has for his their patients?
1. Assess for colon cancer
- Assess for TB
- Assess for Hep C
- Assess for alcohol and substance abuse
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4
28
What is the CD4 count on a HIV infected person to acquire AIDS
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<200
29
What as the s/s for Stage 1 endometrial cancer
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abdominal bloating, pelvic pain, back pain, cachexia
30
a myelogram provides radiographic visualization of the
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spinal cord
31
bouchards nodes occur in the ..
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PIP
chloramphenicol, tetracycline
decreases protein
2
PET scan
parkinson’s, epilepsy, mental illness, heart attack
laproscopy
abdomen & pelvis
4
What two things effect metabolism of a pharmaceutical
age, immunity
Pregnancy Categories A- B C D E
A- no risk
B- no risk in humans
C- indeterminate risk, benefits may outweigh risk
D- high risk, benefits may outweigh risk
E- contraindicated
Controlled Substance Schedule I II III IV V
I- high abuse, no medical necessity
II- high abuse and dependency (opoids, amphetamines)
III- low abuse may cause dependence (steroids, analgesics, barbiturates, antidiarreal)
IV- low abuse, limited dependence (benzos)
V- low abuse, limited dependence (antitussive, anti diarrheal)
Anthelmintic
kills parasites and their eggs
anticholinergic
blocks parasympathetic nerve impulses
9
Antidepressants (tricyclic, MAOI, SSRI, SNRI)
end in -ine
- fluoxetine (prozac)
- sertaline (zoloft)
Common Anticoagulants
aspirin, heparin, warfarin (coumadin)
11
Ma huang shouldn’t use used with MAOI because…
it intensifies the effect of medication and side effects (stomachache, headache, tremors, hypertension)
12
Ren shen shouldn’t be used with antihyperglycemics, asprin, corticosteroids, digoxin, estrogen, MAOIs, opoids, warfarin
Increases hypoglycemia, increases bleeding, increases adverse effects of anti inflammatories, increases digoxin levels, intensify adverse effects of estrogen, can cause headaches, tremors, and manic episodes (MAOIs), reduces the effects of opoids, and increases bleeding
13 Green Tea (lu cha) should be avoided with which medication
warfarin- increases thromboembolism
14
Gan cao should be avoided with digoxin and diuretics because
with digoxin it decreases K+, and increases digoxin toxicity
- with diuretics it increases K+, wasting effects and interferes with effectiveness
15
St Johns Wort should be avoided with digoxin, iron supplements, MAOIs, OCPs, protease inhibitors, SSRIs, Tricyclic antidepressants, and warfarin
Digoxin- increases toxicity
iron- reduces iron absorption
MAOIs- augments maois, can cause traumatic hypertension
OCPs- increases metabolism of drugs, reduces effectiveness
Protease inhibitors- reduces blood level and efficacy
SSRIs- augments effects of drugs
Tricyclics- augments effects
Warfarin- increases risk of thromboembolism
16
Food-drug interactions- grapefruit
inhibits or slows metabolism of drugs
17
Food-drug interactions- tyramine
can cause hypertensive crisis if taking MAOI
18
Food-drug interactions- black tea
inhibits iron absorption
19
Food-drug interactions- alcohol
impairs thiamin, niacin, pyridoxin
20
Drug-mineral interactions: opoids, anticholinergics
decreases GI motility, constipation
21
Drug-mineral interactions: diuretics (thiazides, corticosteroids)
depletes K+ (can lead to arrhythmia)
22
Drug-mineral interactions: cortisol, aldosterone
increases sodium and water retention
23
Drug-mineral interactions: birth control
impairs zinc and increases copper levels (can lead to dementia)
24
Drug-mineral interactions: phenytoin, primidone
creates Vitamin B9 (folate) deficiency
25
Aminosalicyclic acid, slow release K+ iodide, colchicine, ethanol, OC
creates B12 (cobalamin) deficiency
26
High progestin dose
can cause depression by reducing tryptophan
27
Orlistat
prevents fat absorption
29
adrenal corticosteroids, ethanol
increases lipids
30
aspirin, colchicine, glucagon
decreases lipids
31
antibiotics, fiber, digoxin
decreases appetite
32
Sodium (NA-)
Hypernatremia (elevated Sodium levels)
Causes:
Sx: Usually due to dehydration; excess diuretics w/ salt intake; N/V with high salt intake,
Sx: confusion, neuromuscular excitability, hyperflexia, seizures, cerebrovascular damage with subcortical or subarachnoid hemorrhage
33
Sodium (NA-)
Hyponatremia (decreased sodium levels)
Causes:
Sx: extrarenal fluid loss; renal fluid loss; diuretics; pancreatitis; rhabdomylosis; opioids, NSAIDS, Addisons disease, hypothyroidism
Sx: lethargy, confusion, altered mental status, stupor, hyperexcitability, hyperreflexia
RED FLAG- refer to ER immediately- saline drip, fluid restriction, removal of diuretics
34
Potassium (K+)
Hyperkalemia (K+) (for muscle and cell contraction)
Causes:
Sx: EKG
rhabdomylosis, GI bleed, bleeding ulcers
SX: flaccid paralysis, cardiac tonicity with weakness or paralysis (mostly asymptomatic)
Caution: ACE inhibitors, potassium sparing diuretics, urinary obstruciton, renal failure, heart failure
**EKG: short QT wave which will be tall, peaked T wave
Red Flag: Lithium, NSAIDS, trimethoprim, Heparin, cyclosporine, ace inhibitors, digoxin, beta blocker, adrenal insufficiency, IV insulin or glucose
Potassium (K+)
Hypokalemia (K+)
Causes:
Sx: EKG
clay (betonite) ingestion, vomiting, heavy gan cao, chewing tabacco, CUSHINGS,
Sx: muscle weakness, cramping, paralytic ileus, hypoventilation, hypotension, rhabdomylosis
**EKG: depression of T wave, elevated U wave
Calcium (Ca+)
Hypercalcemia (calcium) (note: important for hormone release, blood coagulation, muscle and nerve contraction
Causes:
Sx: Causes: pagets, osteoporosis, Vit A & D toxicity, Myxedema, Cushings, Addisons
Sx: constipation, polyuria, polydipsia, pancreatitis
Calcium (Ca+)
Hypocalcemia (calcium)
Causes:
Sx:
Causes: hypoparathyroidism, Vit D xu, renal disease, acute pancreatitis, hypoproteinemia
Sx: carpopedal spasm, parasthesia of lips, fingers and feet, general muscle aching, facial spasms, dry scaly skin, brittle nails
38
Hyperphosphatemia (phosphorus = Ph+)
Causes:
Sx:Causes: hypoparathyroidism; rhabdomylosis
Sx: hypocalcemia, tetany, soft tissue calcemia
39
Hypophosphatemia (phosphorus = Ph+)
Causes:
Sx: Acute alcoholism, undernutrition, hyperparathyroidism, cushings, hypothyroidism, diuretic use, chronic fasting
Sx: anorexia, muscle weakness, osteomalacia, *hemolytic anemia = phosphorus leads to
40
Hypermagnesemia (Magnesium = Mg+)
Causes:
Sx: usually uncommon and/or asymptomatic
- respiratory depression, excess antacid use, excess laxative use
Sx: hyporeflexia, hypotension, cardiac arrest = too much Mg+
41
Hypomagnesemia (magnesium)
Causes:
Sx: alcoholism (reduces Mg+0, steatorrhea, preeclampsia, lactation, thyroid hormone sue, ADH use, polyurea
Sx: anorexia, N/V, lethargy, weakness, personality change, tetany, carpopedal spasm
*caffeine can reduce Mg levels when using in excess
42
what can cause right upper quadrant pain
cholecystitis and billiary colic; hepatitis, retrocecal appendicitis (rare)