Final review in short with key emphasis Flashcards
Which adults will you screen for diabetes?
Select all that apply
BMI >25 for Asian Americans >23
If the person has 1st DEGREE relative with DM
African American
Asian American
Native American
Latino
Pacific Islander
If the person has history of CVD
If pt’s HDL< 35
If pt’s triglycerides > 250
If pt has PCOS
Over 35
People with HIV?
Inactivity
All of them are correct
Which children will you screen for DM? select all that apply
Maternal HX for GDM during gestation
OW 85th percentile or obese 95th percentile
If you see signs such as acanthosis nigricans, HTN, PCOS,
Small for gestational age birth weight
After puberty or at age 10 ( whichever is earlier)
ALL OF THESE
Your patient has HgA1c 5.8, FBS 122, 2H GTT 155.
Is this normal if not then are these findings are consistent with diagnosis of diabetes?
This pt lab findings are elevated but they still fall within pre-diabetic category
Fill in the blank.
Normal HgA1Cc—
FBS—
2H GTT–
HgA1c <5.7
FBS <100
2H GTT <140
What are some s/s. of severe hypoglycemia?
blurred vision
visual disturbance
confusion
LOC
seizure
DKA is most common in which type of diabetes I or II?
DKA is common predominantly in type I Diabetes.
When should you order films for lower back pain?
Trauma
Neurologic deficits
Fever
Weight Loss
Hx. of cancer
Bowel or urinary symptoms
Diagnose sinusitis clinically or order CT?
Diagnose clinically
For rib series what will you order? Why?
Chest xray risk for pneumothorax
If you worry of GI obstruction order….
KUB
When is MRI indicated ?
Headache in children
Non-traumatic headaches
multiple sclerosis diagnosis
detecting soft tissue injuries meniscal ligamentous
Most common STI in USA
What is the treatment?
Chlamydia
Doxycycline 100 mg x 7 days bid
zithromax 1 gm x 1
