CCS

Question 1

Nursing orders to order on every patient

Answer 1

UPDATE

Question 2

dysuria female orders

Answer 2

Physical exam – abdominal + genital
UPT
Repeat culture if pregnant

Question 3

pregnancy orders in general

Answer 3

Complete physical exam
*STAT beta-Hcg
Transvaginal ultrasound
Order prenatal labs
Prenatal counseling
Prenatal therapy
Followup in 4 weeks
Pelvic Ultrasound

Question 4

UTI treatment

Answer 4

Bactrim x 3 days

Question 5

UTI in pregnancy treatment

Answer 5

nitrofurantoin x 7 days, repeat UCX

Question 6

prenatal labs for pregnant patient

Answer 6

Blood type
Antibody screen (atypical antibody)
Rhesus type
CBC with differential
BMP
Pap smear
ID: Rubella antibody + RPR + Hbs antigen + chlamydia + HIV (Elisa)

Question 7

prenatal counseling

Answer 7

High calorie diet

Question 8

prenatal therapy to order

Answer 8

Prenatal vitamins
Iron sulfate
Folic acid

Question 9

Ulcerative colitis orders in general

Answer 9

Order basic labs
Send patient home
Schedule appointment in a week
Advance to obtain results
Order colonoscopy
Bring patient back to office
Order treatment
Send patient home
Schedule follow-up in 2 weeks

Question 10

UC workup

Answer 10

Colonoscopy with biopsy***
ESR
CBC
BMP
Stool ova and parasistes
Stool fecal leukocytes
Stool culture
LFTs
PT-INR
PTT

Question 11

UC therapy

Answer 11

Mesalamine
Loperamide
Dicyclomine
nutrition consult

Question 12

steps in ectopic

Answer 12

Complete physical
beta-HCG
transvaginal US
Transfer to ward
STAT Other orders
Admit patient
Consult Ob-gyn
Therapy
Followup in 4 days  + monitor serum Hcg

Question 13

unstable ectopic orders

Answer 13

IV access
Normal saline
Continuous BP monitoring
PT-PTT-INR
Consult Ob-gyn

Question 14

ectopic work up

Answer 14

CBC
BMP
vitals q1 hour
Blood group and Rh
type and cross
PT-INR-PTT
LFTs
gonorrhea  culture
chlamydia culture

Question 15

ectopic therapy

Answer 15

MTX
NPO
IV access
NS
bed rest
morphine
OB gyn consult

Question 16

steps in IBS

Answer 16

Physical exam

Steps

Question 17

IBS orders

Answer 17

CBC
BMP
TSH
FOBT
ESR
Stool O&P
Stool leukocytes
Stool culture
Pap smear
72 hr stool fat

Question 18

IBS therapy

Answer 18

Lactose free diet
High fiber diet
Loperamide
Biofeedback
Patient counseling

Question 19

Depression steps

Answer 19

Labs
Therapy
Follow-up every 2 weeks for first 8 weeks

Question 20

Depression orders

Answer 20

CBC
BMP
TSH
B12

Question 21

Depression therapy

Answer 21

SSRI
Exercise
Psychotherapy
patient education

Question 22

RF’s for candidiasis

Answer 22

Steroids, antibotics

Question 23

Vaginitis steps

Answer 23

Orders
Follow up on orders
Therapy once diagnosed

Question 24

vaginitis orders

Answer 24

Vaginal pH
Wet mount
Gram stain
Pap smear
UA
GC culture
Chlamydia culture

Question 25

vaginitis therapy

Answer 25

Anti-fungal counseling (patient education, no alcohol, safe sex)

Question 26

AD therapy

Answer 26

``` donepezil memantine vitamin E IF psychotic symptoms -- olanzapine IF depressed - SSRI Counseling Occupational rehab Advanced directive ```

Question 27

dementia orders

Answer 27

``` TSH CT-head B12 CBC-BMP LFTs ONLY if RF's -- RPR ```

Question 28

COPD exacerbation steps

Answer 28

``` Emergency orders Physical exam BREATHING TREATMENT Workup Therapy Transfer to ward Monitor ```

Question 29

Emergency orders for COPD exacerbation

Answer 29

``` Elevate head of bed Cardiac monitor IV access pulse ox Oxygen ```

Question 30

COPD workup

Answer 30

``` PEFR Q 1 H CXR ABG ECG CBC BMP ```

Question 31

COPD therapy

Answer 31

``` STAT ORDERS albuterol ipratropium IV methylpred azithromycin counseling Influenza + pneumococcal vaccines ```

Question 32

breast mass orders

Answer 32

Mammogram US Pap smear FNA biopsy

Question 33

benign breast mass therapy

Answer 33

Reassurance | Counseling

Question 34

breast mass steps

Answer 34

``` Exam Mammography, FNA Follow up in 1 week Reassurance-counseling-pap smear Follow up in 4 months ```

Question 35

Hypertensive crisis steps

Answer 35

``` Emergency orders Exam CT-head IV-nitroprusside Workup Therapy Monitoring ```

Question 36

emergency orders in hypertensive crisis

Answer 36

``` IV access oxygen pulse ox cardiac monitor BP monitor ```

Question 37

hypertensive crisis workup

Answer 37

``` ECG Non-con CT CBC BMP CXR UA lipid profile ```

Question 38

hypertensive crisis therapy

Answer 38

NPO Bed rest IV antihypertensive Counseling

Question 39

monitoring for hypertensive crisis

Answer 39

cardiac monitor A-line Pulse ox

Question 40

Foreign body aspiration in baby management

Answer 40

rigid bronchoscopy

Question 41

Foreign body aspiration steps

Answer 41

Emergency orders (IV access, Oxygen, pulse ox) Physical Exam Therapy (bronchoscopy, counseling)

Question 42

Foreign body workup

Answer 42

CXR Plain film neck Rigid bronchoscopy CBC

Question 43

panic attack steps

Answer 43

Emergency orders (IV access, pulse ox, oxygen, cardiac monitor, blood glucose)

Question 44

panic attack workup

Answer 44

``` *STAT CBC BMP CXR TSH UA cardiac enzymes UDS ```

Question 45

panic attack therapy

Answer 45

Benzos Reassurance Counseling (no caffeine, nicotine, alcohol)