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Family med > deck 6 > Flashcards

deck 6 Flashcards

1
Q

tylenol, NSAID?

A

NO

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2
Q

tylenol generic name

A

acetaminophen

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3
Q

ibuprofen is…

A

advil

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4
Q

motrin is…

A

ibuprofen

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5
Q

dyslipidemia algorithm

A
  • if LDL-C not achieved or statin not tolerated –> don’t add nonstatin lipid-lowering drug.
  • whether to treat with statin really depends on estimating patient’s underlying CVD risk rather than lipid levels.
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6
Q

rales are also called

A

crackles

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7
Q

rhonchi is another term for…

A

wheezing

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8
Q

description for lung findings

A

no wheezing, rales, rhonchi.

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9
Q

rhonchi sound

A

rattling, signifies pathology in bronchi

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10
Q

gastroparesis presentation

A

erratic glucose control + nonspecific GI complaints

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11
Q

BP and cholesterol goals for diabetic patients

A
  • BP less than 140/90
  • ## moderate intensity statin therapy or high-intensity statin therapy if 10-year cardiovascular risk is greater than 7.5%
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12
Q

aspirin indications for diabetic patients

A

MI history, stroke or TIA, PAD, claudication, or angina

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13
Q

recommendation for HbA1c measurements

A

q6 months

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14
Q

other labs to order in diabetics annually

A
  • lipid panel
  • spot urine test for albuminuria
  • annual foot exam
  • annual funduscopis exam
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15
Q

how to differentiate dysuria from STD vs. UTI

A

abrupt onset –> UTI
- probability of UTI increases significantly if no discharge or irritation.
gradual –> STD

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16
Q

order a UA for healthy woman wit acute cystitis?

A

order a culture only if complicating factors (unclear ddx, pregnant, med intolerance, underlying complication)

17
Q

factor that should make you reconsider UTI ddx

A

absent pyuria

18
Q

treatment for uncomplicated cystitis/UTI

A

empiric bacterium x 3 days

19
Q

low back pain management

A

conservative management with

1) return to normal activities, exercise
2) weight control
3) acetaminophen or NSAID

20
Q

drugs to avoid with low back pain management

A

muscle relaxants and opioids (CNS SE’s and addiction potential)

21
Q

radiculopathy management

A

anticonvulsants (gabapentin)

22
Q

CAGE questionnaire

A

Have you ever felt you needed to Cut down on your drinking?
Have people Annoyed you by criticized your drinking?
Have you ever felt Guilty about drinking?
Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or get rid of a hangover?

23
Q

interpreting CAGE questionnaire

A

1-2 mean should investigated further

24
Q

depression screen

A

“Over the past 2 weeks, have you felt down, depressed, or hopeless?”

“Over the past 2 weeks, have you felt little interest or pleasure in doing things?”

25
Q

most effective treatment for insomnia

A

CBT

26
Q

treatment for depression + pain syndrome

A

SNRI

27
Q

headache algorithm

A

red flags? –> no then are criteria for episodic migraine met? Yes, manage as migraine, No. Rest on page 313.

28
Q

headache red flags

A
  • focal neuro deficits
  • papilledema
  • fever
  • nick stiffness, meningeal signs
  • TTP or diminished pulse over temporal artery
  • diastolic greater than 120
  • decreased visual acuity
  • new onset after age 50
  • worst headache o life
  • progression or fundamental change in headache pattern
  • triggered by exertion, sexual activity, or valsalva maneuver
29
Q

migraine mnemonic

A

Pulsatile quality, One day duration (can last up to 3 days), Unilateral in location, N/V, Disabling intensity
- 3 or more is 90% predictive of migraine

30
Q

migraine treatment

A

mild –> NSAID or acetaminophen

severe –> triptan

31
Q

triptan contraindications

A

1) ischemic vascular disease

2) uncontrolled HTN

32
Q

what to tell people about HA meds

A

don’t take more than 2-3 days per week to avoid medication-overuse (rebound) HA’s

33
Q

5 R’s to motivate patients unwilling to quit smoking

A

1) Encourage patient to think of Relevance of quitting smoking to their lives.
2) Assisst patient in identifying the Risks of smoking
3) Assist the patient in identifying the Rewards of smoking cessation
4) Discuss with patient Roadblocks or barriers to attempting cessation
5) Repeat the motivational intervention at all visits

Family med (48 decks)

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