Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Advanced Clinical Reasoning > Exam #2 > Flashcards

Exam #2 Flashcards

1
Q

Tx for Tension Headaches

A 
ASA
Acetaminophen
Ibuprofen
Naproxen
Excedrin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tx for migraines

A 
NSAIDs
Acetaminophen
Triptans
Excedrin
Fioricet
Opiates
Antiemetics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Tx for cluster headaches

A

O2

Ergotamines at first signs of sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SIRS Criteria

A
  1. Temp > 38, < 36
  2. HR > 90 bpm
  3. Tachypnea > 20 bpm
  4. WBC > 12,000, < 4,000 or presence of 10% immature neutrophils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Signs of end organ damage

A 
SBP < 90 mmHg
Platelets < 100 K
Lactate > 2
Bilirubin > 2
AMS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Within 6 hours of presentation in septic shock bundle

A

Repeat volume status and tissue perfusion assessment

Give vasopressors if hypotension persists after fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

DDX for stroke

A 
Seizure
Hypoglycemia
Drug toxicity
Wernicke's encephalopathy
CNS abscess or tumor
Migraine with aura
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Inclusion criteria for tPA

A
  1. Dx of ischemic stroke
  2. Onset of sx < 3 hours before tx
  3. Aged >/= 18 y/o
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Exclusion Criteria for tPA:

A
  1. Significant head trauma/prior stroke < 3 mo
  2. Elevated BP (S > 185 or D > 110)
  3. Sx suggesting subarachnoid hemorrhage
  4. Current anticoagulant use
  5. Active internal bleeding
  6. Glucose < 50 mg/dL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Relative Exclusion Criteria for tPA:

A
  1. Pregnancy
  2. Seizure at onset
  3. Major surgery or serious trauma within 14 days
  4. Recent acute MI
  5. Recent GI or urinary tract hemorrhage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Physical Exam findings with OA

A 
Tenderness
Crepitus
Swelling
Restricted joint movement
Bony enlargement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

XR findings with OA

A

Narrowing of joint space
Increased density of subchondral bone
Osteophytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tx for OA

A

Acetaminophen or NSAIDs
Weight reduction
Daily stretching
Orthotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dx for RA

A

Anti-citrullinated peptide antibodies
XR
RF
CBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Heel Walk

A

L4, L5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Toe Walk

17
Q

Rectal Exam

18
Q

Red Flags for Low Back Pain

A 
> 50 y/o
Night pain
Fever
IV drug use
Chronic steroid use
Saddle numbness
Bladder/Bowel incontinence
> 6 weeks duration
19
Q

Risks with estrogen progestin

A 
MI
Stroke
HTN
VTE
Hepatic adenoma
Increased risk of breast CA
20
Q

CI to estrogen progestin

A 
Smoker > 35 y/o
Uncontrolled HTN
Hx of stroke or ischemic heart dz
Hx of VTE
Inherited thrombophilia
Migraine with aura
Liver tumor
Breast CA
21
Q

Tx for CKD

A 
Attain blood pressure goal
Glycemic control
Reduce sodium and protein
Supplemental bicard if metabolic acidosis
Furosemide
Torsemide
22
Q

Physical sx of anxiety

A 
Sleep disturbance
Restlessness
Muscle tension
GI sx
Chronic headaches
23
Q

DDX for anxiety

A 
Hyperthyroidism
Pheochromocytoma
Hyperparathyroidism
Arrhythmia
TIA
Substance abuse (caffeine)
Substance withdrawal

Advanced Clinical Reasoning (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions