Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fam med aquifer > Cases 16-20 > Flashcards

Cases 16-20 Flashcards

1
Q

Define primary skin lesions

A

lesions uninfluenced by secondary alterations such as infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define secondary skin lesions

A

changes that occur as consequences of progression of the disease, scratching, or infection of the primary lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Does the USPSTF recommend whole body screening for cancer?

A

not enough evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are symptoms of prostatitis?

A

pain (perineum, lower abdomen, testicles, penis, ejaculation), bladder iritation, bladder outlet obstruction (inflammation), blood in semen sometimes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which tinea infection(s) require(s) oral antifungals? Which one?

A

tinea capitis and tinea unguium

griseofulvin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name some behavior modifications to decrease lower urinary tract symptoms of BPH (4)

A

Avoiding fluids before bed

reducing consumptions of mild diuretics (coffee and EtOH)

limiting use of salt and spices

maintaining voiding schedules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some drugs for BPH

A

alpha-adrenergic antagonists (-osin drugs)

5-alpha-reductase (meant for large prostates)

combination if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Should men with BPH take decongestants like sudafed or antihistamines?

A

NO!

alpha agonist and antihistamine will cause urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What maxima urinary flow rate indicates prostatic or urethral obstruction?

A

<15mL/sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are vasomotor symptoms of menopause?

A

hot flashes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When should women get mammograms?

A

USPSTF recommend

50-74 every other year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When should colonoscopies start?

A

50-75

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What should be included in the PE in vagina bleeding?

A

pelvic exam

neck exam (thyroid)

skin (bleeding disorders)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

When should women be screened for osteoporosis?

A

65+

women <65 with a risk to the average 65yo should be screened

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

risk factors for osteoporosis (6)

A

steroid use
fam hx
smoking
heavy EtOH use
low body weight
White race

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are risks of hormone therapy in menopausal women?

A

breast and endometrial cancer

CAD

stroke

17
Q

name 4 drugs used for osteoporosis

A

bisphophonates

Parathyroid hormone (forteo)

raloxifene (SERM - only prevent vertebral fractures)

calcitonin

18
Q

What is the best way to treat hot flashes

A

hormone therapy

19
Q

besides hormone therapy, what other meds can help vasomotor symptoms?

A

less effective than HT:

SSRI/SNRIs

clonidine

gabapentin

20
Q

What are the 3 types of headaches?

A

migraine

tension-type

cluster

21
Q

What are symptoms of migraines?

A

associated with N/V, photophobia, hyperacusis (insentitivity to sounds), pulsating

22
Q

What are symptoms of tension-type headaches?

A

may occur with photophobia or hyperacusis

pressing, tightening, bilateral

23
Q

What are symptoms of cluster headaches?

A

severe unilateral orbital, periorbital, supraorbital, or temporal pain associated with rhinorrhea, lacrimation, facial sweating, miosis

24
Q

Name 4 causes of secondary headaches

A

meningitis

intracranial hemorrhage

brain tumor

TBI

25
Q

Can chronic use of ANY analgesic cause rebound headache (overuse headache)?

A

Hells yeah

26
Q

When assessing a headache, what should be involved in PE? (4)

A

papilledema (increased intracranial pressure)

altered mental status (increased intracranial pressure)

Kernig’s and Brudzinski’s sign (meningeal irritation)

focal neurologic deficits (unilateral loss of sensation, weakness o hyperreflexia)

27
Q

When should pharmacological treatment for headaches be initiated?

A

At least six headache days per month

OR
At least four headache days with at least some impairment

OR
At least three headache days with severe impairment or requiring bed rest.

28
Q

when should headache prevention be initiated?

A

Four to five migraine days per month with normal functioning

OR
Two to three migraine days per month with some impairment

OR
Two migraine days with severe impairment.

29
Q

Can ASA and NSAIDs cause peptic ulcer disease?

A

yeah

30
Q

is PUD typically relieved by eating?

A

yeah

31
Q

name 3 complications from PUD

A

hemorrhage

perforation

gastric oulet obstruction

32
Q

if GERD is suspected, what should you do? (ALL STEPS)

A

PPI trial

if sxs persist after 8 weeks with PPI, EGD

33
Q

when testing for H pylori, should you do IgG or urea breath test?

A

urea breath test cuz IgG only tells you exposure

34
Q

is urea breath test less accurate during PPI therapy?

A

yeah

35
Q

What is the triple and quadruple therapy for H pylori?

A

PPI, amoxicillin, clarithromycin

PPI, metronidazole, tetracycline, bismuth

36
Q

How do you determine eradicatio of h pylori? What if patient is positive? negative but still has sxs?

A

fecal antigen test or urea breath test

positive requires re-treatment

negative but still symptomatic requires GI consult with upper EGD and mucosal biopsy

Fam med aquifer (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions