EXAM 1-Smarty Pance Flashcards
PANRE
Tularemia
in acute infection that is transmitted by handling the flesh of infected animals, by the bites of insect vectors and by inoculation of conjunctiva-forms an ulcer at site of inoculation
uteroplacental insufficiency.
Late decelerations are from uteroplacental insufficiency. The decelerations have a smooth, gradual symmetrical decrease in FHR beginning at or after the peak of the contraction.
A 60 year-old female injured her right wrist when she slipped and fell onto her outstretched hand. Radiographs show a fracture through the metaphysis of the distal radius with dorsal displacement and angulation. Which of the following splints is the best method of temporary immobilization?
The volar forearm splint is best for temporary immobilization of forearm, wrist and hand fractures and is the splint of choice for Colles’ fracture.
Aortic dissection
sudden onset of severe chest pain that radiates to back and arms; Elevated bp ex 180/80; high pitched decrescendo diastolic murmur is heard along the left mid-sternal border;ECG shows sinus tachycardia with left ventricular hypertrophy
erythrasma
The diagnosis of this condition is made by demonstration of a coral red fluorescence.
People living in warm, tropical climate, people wearing occlusive clothing or shoes, obese patients, and those with hyperhidrosis are at increased risk for erythrasma
term for blue discoloration about the umbilicus
Cullen’s sign is a blue discoloration about the umbilicus and can occur in hemorrhagic pancreatitis and results from hemoperitoneum.
Which of the following types of pleural effusion result from increased production of fluid due to underlying inflammatory conditions?
Increased production of fluid due to inflammatory or malignant processes results in an EXUDATIVE PLEURAL EFFUSION.
abdominal aortic aneurysm presents with ?
pulsatile upper abdominal mass
A 16 year-old G0P0 patient presents complaining of lower pelvic pain that alternates from right to left side of her pelvis. She states that it is related to her cycle and occurs most commonly midcycle. She denies sexual activity. She reports that she has taken ibuprofen at the time of the discomfort with some relief. Her pelvic examination is unremarkable. Which of the following is the most likely diagnosis?
MITTELSCHMERZ
Women may experience pain at the time of ovulation, may alternate side to side.
medications decreases the exchange of hydrogen for potassium by inhibiting hydrogen, potassium-ATPase?
PPI
proton pump inhibitor, works by inhibiting hydrogen, potassium-ATPase
evaluation of the synovial fluid reveals only leukocytosis with a low glucose
Leukocytosis and a low synovial glucose are indicative of SEPTIC ARTHRITIS
patient states that he has been camping in the mountains of North Carolina for the past two weeks. He presents to the clinic complaining of “flu-like” symptoms for the past 10-14 days however he notes that he started to develop a slight rash on his wrist and ankles about seven days ago. Which of the following tests would provide a confirmatory diagnosis?
IMMUNOFLUORESCENT ASSAY ; confirm antibodies to Rickettsia
ho is most likely to require subacute bacterial endocarditis (SBE) prophylaxis prior to a dental procedure?
he AHA recommends that patients with prosthetic heart valves receive antibiotic prophylaxis. As should cardiac transplant recipients with valve disease, unrepaired cyanotic CHD, repaired CHD with prosthetic material or device during the first six months of the procedure and repaired CHD with residual defects at site of patch or prosthetic device
When evaluating jugular venous pulsations a prominent a wave represents which of the following?
The a wave corresponds to right atrial contraction
Bipolar disorder
haracterized by episodic mood shifts from depression to manic type moods which is often rapid with depression lasting longer than manic episodes. Bipolar disorder may initially present with a manic episode.