Exam Review 1.1

Question 1

vitamin K and bleeding time/INR

Answer 1

vitamin K will decrease INR by decreasing bleeding times

Question 2

signs of temporal arteritis/giant cell arteritis
3

Answer 2

acute headache in one temple area
indurated, reddened temporal artery
scalp tenderness

Question 3

a major complication of temporal arteritis is

Answer 3

transient blindness (amaurosis fugax)

Question 4

moderate otitis externa w/ intact membrane - what does aluminum acetate solution do

Answer 4

apply prn, provides soothing, effective relief of minor skin irritations and inflammation

Question 5

otitis externa - what may be prescribed for non intact membrane

Answer 5

levofloxacin

Question 6

what med is generally reserved for severe, diffuse nodular acne

Answer 6

isotretinoin

Question 7

first line tx for acne vulgaris
2

Answer 7

OTC medicated soap and water with topical antibiotic gels

Question 8

next step after first line for tx in acne vulgaris

Answer 8

oral tetracyclines

Question 9

medication to give to reduce uric acid deposits and ease joint inflammation in acute phase of flare up of gout

Answer 9

colchicine

Question 10

which BP med should be avoided in patients with a history of breast cancer

Answer 10

captopril

Question 11

types of obstructive dysfunctions caused by reduction in airflow rates
3

Answer 11

asthma
bronchiectasis
emphysema

Question 12

examples of restrictive airway dysfunction caused by reduction in lung volume due to decreased lung compliance
3

Answer 12

pulmonary fibrosis
pleural disease
diaphragm obstruction

Question 13

beta thalassemia minor - what is decreased
3

Answer 13

hemoglobin A, MCV, MCHC

Question 14

cushigns syndrome is associated with
2

Answer 14

delayed puberty
growth failure

Question 15

delayed puberty and growth failure are to

Answer 15

cushings syndrome - excess of androgens

Question 16

which lifestyle factors is associated with secondary polycythemia vera and why

Answer 16

smoking as is causes hypoxia and hypoxia causes an increase in erythropoietin, which stimulates the production of mature RBCs from the bone marrow

Question 17

percussion - normal sound heard over lungs

Answer 17

resonance

Question 18

percussion - what is heard over lungs with emphysema

Answer 18

hyperresonance

Question 19

which medication can be used to treat HTN and BPH

Answer 19

terazosin - it is a quinazoline used to treat both

Question 20

EKG finding for someone who took too much amitriptyline

Answer 20

sinus tachy

Question 21

obese female, abscesses and pustules in axilla and groin, drain purulent green discharge - what is the condition

Answer 21

hidradenitis suppurativa

Question 22

carbuncles

Answer 22

collection of multiple furuncles that are treated with systemic antibiotics

Question 23

hidradenitis suppurativa is treated with

Answer 23

topical abx or oral abx, warm compresses, and pain medications

Question 24

gram positive and gram negative pathogens that cause meningitis

Answer 24

positive - s. penumoniae
negative - N. meningitidis, H. influenzae, K., pneumoniae

Question 25

cauda equina syndrome preferred test to evaluate

Answer 25

MRI

Question 26

ear infection in which small, fluid filled blisters form on the eardrum

Answer 26

bullous myringitis

Question 27

HPV vaccine is recommended for what age

Answer 27

preteens up to 26

Question 28

CDC recommends what vaccines for 65 and older
3

Answer 28

shingles/zoster
influenza
pneumococcal vaccine for those whose previous vaccination histories are unknown

Question 29

smoke - absolute contraindication for OC

Answer 29

35 and older and smoking; under 35 they can still take OC

Question 30

liver - oral contreceptive

Answer 30

liver tumors or impaired liver function such as hepatitis is an absolute contraindication for OC

Question 31

emboli - OC

Answer 31

any history of an emboli is as absolute contraindication