Definitions/Normals

Question 1

Direct Hyperbilirubinemia

Answer 1

> 2mg/dL or >20% T. bili

Question 2

Normal JVP

Question 3

Pressure for Compartment Syndrome

Answer 3

> 30mmHg

Question 4

DKA

Answer 4

Glucose >250

pH

Question 5

Pressure for Compartment Syndrome

Answer 5

> 30mmHg

Question 6

Post-Op fever

Answer 6

> 100.4 F

Question 7

Urine Osmol in DI

Answer 7

Partial: 300-600

complete :

Question 8

Uremia–>Pericarditis

Answer 8

BUN >60

Question 9

Normal Cardiac pressures

Answer 9

LV: 90-100 mmHg
RV: ~25 mmHg
LA: ~9mmHg
RA: ~4mmHg

Question 10

Urine Osmol in DI

Answer 10

Partial: 300-600

complete :

Question 11

Nephrotic Syndrome

Answer 11

> 3.5g/24 hrs protein
Hyperlipidemia
Edema
Hypoproteinemia

Question 12

Prolonged rupture of membranes

Answer 12

> 24 hrs between ROM and delivery

Question 13

Rh Sensitized

Answer 13

Maternal titers >1:4

If 1:16 or greater - serial amnio indicated for evaluation of fetal bilirubin

Question 14

Gestational HTN

Answer 14

140/90 after 20 weeks gestation WITHOUT proteinuria or edema

Question 15

Macrosomia

Answer 15

Weight >4500 gm

indicated C-section

Question 16

IUGR

Answer 16

Bottom 10th%

Question 17

Fetal Acceleration (on NST)

Answer 17

elevation of 15 bpm lasting 15-20s over 20-min period

should happen twice in 20 min to be reassuring

Question 18

Biophysical Profile

Answer 18

NST
Respirations (chest movement)
AFI
Fetal muscle tone
Fetal movement (>3/30min)

Question 19

Prolonged Latent Stage of Labor

Between labor onset and 4cm dilation

Answer 19

> 20 hours = prolonged

Rest and hydrate

Question 20

Protracted/Arrested Cervical dilation

Answer 20

Dilating

Question 21

Postpartum blues

Answer 21

Birth - 2weeks, sadness, tearful

Question 22

Postpartum depression

Answer 22

1-3 months of birth, anxiety +/- negative feelings toward baby [give antidepressants]

Question 23

Postpartum psychosis

Answer 23

2-3 weeks s/p birth : delusions/thoughts of harming baby

Question 24

Somatization Disorder

Answer 24

At least 4 pain sxs, 2 GI, 1 sexual, 1 neuro/pseudoneuro

Question 25

Silent MI | *seen in elderly and DM with neuropathy!

Answer 25

No chest pain | CHF, shock, confusion, delirium

Question 26

Neck Zones

Answer 26

Zone 1: angle of mandible to base of skull Zone 2: 2cm above clavicle to angle of mandible (to OR) Zone 3: clavicle to 2 cm above it

Question 27

Infantile Colic

Answer 27

>3 hrs/day, >3 days/week, >3 weeks

Question 28

Chronic Hep B

Answer 28

Surface antigen + > 6 mos

Question 29

Inactive Carrier State chronic Hep B

Answer 29

Determined by 3 normal ALTs Anti-HBe positive, HBeAg negative * Immune tolerant = +HBeAg, Anti-HBe Negative, low ALT * Immune clearnce = HIGHT ALT, as body clears HBeAg and develops Anti-HBe

Question 30

CF diagnosis: Sweat Test (better than genotype)

Answer 30

>60 meq/L