Comquest Family Med Flashcards
EKG finding for Afib
narrow QRS, irregularly irregular P-P interval, and some conducted P-waves
EKG findings for A flutter
narrow QRS, regularly irregular P-P interval, and some conducted P-waves
EKG findings for 1st degree AV block
narrow QRS, regular P-P interval, and slowed conduction of P-waves
EKG findings for Mobitz II 2nd degree heart block
wide QRS, regular P-P interval, and some conducted P-waves (defect is below the level of the AV node)
EKG findings of 3rd degree heart block
wide QRS, regular P-P interval, and some conducted P-waves
Diagnosis of schizoaffective disorder
Pt has experienced a prolonged episode of a mood disorder, symptoms of schizophrenia, and at least two weeks of delusions or hallucinations that occur in the absence of a mood episode
What is the most important first step in management of epiglottitis?
protection of the airway with endotracheal intubation
Risk factors for brachial plexus injuries
Forceps delivery Multiparity Large for gestation age Maternal diabetes Breech presentation Previous child with birth related brachial plexus injury Shoulder dystocia Prolonged second stage of labor
What is the most effective first step in the treatment of insomnia?
cognitive behavioral therapy
When can a pt return to school or work following diagnosis of Strep throat?
After completing a full 24 hours of antibiotic therapy if they are afebrile and otherwise feeling well.
What medication should be used for a pt in asystole?
Epinephrine is the only medication that should be used for asystole
What SSRIs are safe for use in pregnancy?
fluoxetine, sertraline, and citalopram
Describe Smith and Colles fractures
Smith: fracture of distal radius with ventral displacement (flexed wrist)
Colles: fracture of distal radius with dorsal displacement (FOOSH)
Enzyme affected in Gilbert’s
UDP-glucuronosyl transferase (30% of normal)
leads to increased indirect bilirubin
Enzyme affected in Crigler-Najjar
1: absence of bilirubin UGT
2: partial activity of bilirubin UGT (black liver)
What screening should diabetics receive annually?
urinary spot microalbumin/creatinine ratio to screen for neuropathy
if >30 should start ACE or ARB
Also, should get eye exam
Asplenic pt with unknown vaccination history should receive which vaccinations?
Haemophilus influenzae type B Monovalent meningitis B (MenB) Pneumococcal conjugate (PCV13) Quadrivalent meningococcal (MenACWY)
Predominant cell seen in pts with Reactive Airway Dysfunction Syndrome (RADS) or irritant-induced asthma
Neutrophils on bronchoalveolar lavage
Which clotting factor is affected in Von Willebrand disease and what bleeding test will it affect?
Factor VIII (8) PTT
Treatment options for migraines
- NSAIDs are first line but should avoid in pts who are or wanting to get pregnant, GI bleed, renal failure
- Triptans are next if NSAIDs fail
- Oral contraceptives but avoid in pts trying to get pregnant, hx of clotting disorder, smokers over 35
When should pregnant pts with HSV start to receive daily antiviral treatment?
36 weeks
***non-pregnant need daily if >10 episodes in a year
Dx criteria for Chronic Bronchitis
chronic obstructive cough for >3 months in 2 consecutive years with evidence of airway obstruction
Clinical features of Nevus simplex
benign skin lesion that appears as a flat pink or salmon-colors blanching skin patch between the eyebrows or on the nape of the neck
Clinical features of cutis marmorata
symmetric mottling of the skin that involves the trunk and extremities. Vascular response to the cold that resolves upon warming
