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Fam med aquifer > Cases 21-25 > Flashcards

Cases 21-25 Flashcards

1
Q

What is the centor criteria? (Give the criteria)

A

Tonsillar exudate or erythema (+1)

Anterior cervical adenopathy (+1)

absent cough (+1)

fever present (+1)

Age 3-14 (+1)

Age 15-45 (+0)

Age >45 (-1)

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2
Q

Should you perfoem a rapid antigen test on an adult with a score of 2? Children with a score of 2?

A

Adults with a score of 2 = no

Children with a score of 2 = yes

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3
Q

If rapid strep comes back negative for an adult, what do you do? children?

A

Adult = symptomatic treatment

children = culture to make sure

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4
Q

What is a healthy BMI range for children? overweight range? Obese?

A

healthy = 5 - 85th percentile

overweight = 85 - 95th percentile

obese = > 95th percentile

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5
Q

When should you screen children for DM?

A

age 10 if they have a BMI >85th percentile with risk factore or 95th percentile without risk factors

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6
Q

What are 5 physical exam findings indicating consolidation?

A

Egophony (E –> A)
Tactile fremitus (feel 99 or toy boat louder with hand)
Dullness to percussion
Crackles
Whispered pectoriloquy (hear it louder)

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7
Q

Define orthostasis

A

a reduction in systolic BP by at least 20mmHg

OR

a reduction in diastolic BP by at least 10mmHg

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8
Q

Name the 4 mechanisms of TIA or possible stroke

A

embolic

thrombotic

cardiogenic (decrease in perfusion)

hemorrhagic

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9
Q

When can tPA be given fro stroke? Intra-arterila therapy?

A

tPA within 3 hours

Intra-arterila within 6 hours

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10
Q

should thrombolytic therapy be given if they are bleeding in the brain? have thrombocytopenia? on warfarin or heparin? unknown use of anticoagulants?

A

NO

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11
Q

How do you rate control someone with AF?

A

IV diltiazem, beta-blockers, or verapamil

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12
Q

A right parietal infact would present with what type of symptoms?

A

left hemiplegia

spatial and perceptual abilities

may ignore people and objects in their LEFT visual field

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13
Q

middle cerebral artery stroke woud cause what type of symptoms? (3)

A

Expressive aphagia

Receptive aphasia

right facial weakness

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14
Q

Name 3 common complications of strokes

A

Aspiration pneumonia

malnutrition/dehydration

pressure sores

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15
Q

What is the difference between IADLs and ADLs?

A

IADLs are thing that allow a person to live independently:

housework

preparing meals

taking meds

shopping

using the phone

managing money

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16
Q

What is the FAST test for strokes?

A

Face (asymmetry)

Arm (look for arm weakness)

Speech (slurred speech)

test

17
Q

A patient at risk for stroke from AF should be considered for what type of therapy?

A

warfarin

antiplatelet with ASA

duel antiplatelet with ASA

18
Q

What calculator should you use to assess risk of stroke in someone with AF?

A

CHADS2

19
Q

Name 5 abx that can treat GBS pharyngitis

A

Pen V

Pen G IM

Amoxicillin

first gen ceph

macrolide

20
Q

When does significant volume of milk production begin?

A

48-72 hours after birth

21
Q

What is the wessel definition of a colicky or fussy baby?

A

crying lasting at least 3 hours a day

at least 3 times a week

longer than 3 weeks

22
Q

How many hours a day does a healthy 2 week old cry? 6 week? 3 month?

A

2 week = 2 hours/day

6 weeks = 3 hours/day

3 months = 1 hour/day

23
Q

How long does postpartum blues last?

A

10 days

24
Q

What two joint diseases cause restriction in both active and passive ROM of shoulder?

A

adhesive capsulitis

glenohumeral arthritis

25
Q

Name the four muscles of the rotator cuff

A

SItS

Supraspinatus

Infraspinatus

Teres minor

Subscapularis

26
Q

What does the labrum do?

A

adds stability by increasing the articulating surface of the glenoid fossa

27
Q

tendonitis vs tendonopathy

A

tendinitis is acute and inflammatory

tendinopathy is chronic and degenerative pathology

28
Q

What does a posterior disloaction of the shoulder look like?

A

arm adducted and internally rotated

29
Q

What does impingement syndrome of the shoulder look like?

A

protracted scapulae

30
Q

What does a fracture or sprain of the AC joint look like?

A

bone deformity in the area of the lavicle or AC joint

31
Q

What does an anterior dislocation of the shoulder look like?

A

fullness of the anterior shoulder with large dimple in the posterior shoulder

32
Q

what does resistance to internal rotation of the shoulder test?

A

subscapularis muscle

33
Q

what does resistance to external rotation of the shoulder test?

A

it tests infraspinatous and teres minor muscles

34
Q

What does a wall push up test?

A

winged scapula

Fam med aquifer (8 decks)

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