From Mentor Flashcards
1
Q
What is chornic, has a sudden onset and primary seen in childern?
A
Asthma
2
Q
If someone presented with this what might they have?
A
Lupus
3
Q
If someone presents with this what might be the cause?
A
Alcohol
spider angioma
4
Q
What type of Asthma is allergic Asthma?
A
Extrinsic
5
Q
What type of Athsma can be caused be psychological and phiosological stress?
A
Intrisnic
non- allergic
6
Q
What is the Triad asthmaticus?
A
- Asthma
- nasla polyps that recur
- sesnitivy to aspirin and NSAIDS
7
Q
What are the symptoms of Asthma?
A
Wheezing and coughing
Cyanosis
Chest congestion
Increased blood pressure
Anxiety and agitation
Dyspnea and tachypnea
WCCIAD
8
Q
Asthma Managment
A
end procedure
postion upright
calm pt
give bronchodilator (ventolin)
give Oxygen if that doesnt work
summon medical help
9
Q
If you give a pt who has asthma bronchodilator and it does not work what would you do next?
A
give O2
10
Q
What is the leading cause of blindness?
A
Diabetes
11
Q
Which type of diabetes is seen more in chlidren?
A
Type 1
12
Q
Which type of diabetes has a sudden onset?
A
Type 1
13
Q
Which type of diabetes is insulin dependent?
A
Type 1
14
Q
What type of diabetes has a slow onset?
A
Type 2
15
Q
What type of diabetes is non-insulin dependent?
A
Type 2
16
Q
When are glucose level most stable?
A
the morning
17
Q
Kussamual’s Repistaions are seen in
A
Diabetic Ketoacidosis
(and hyperglycimia)
type 1 is more common
18
Q
Diabetic Ketoacidosis often is seen with
A
Kussamual’s Repistaions
type 1 diabetes more common
19
Q
Polyuria, polydipsia, and polyhagia are seen in
A
Hyperglycimia
20
Q
Sign and Symptoms of Hyperglycimia
A
3 poly
dry warm skin
dry mouth
fruity breathe
rapid weak pulse
confusion
3P 2D FRC
21
Q
Sign and Symptoms of Hypoglycimia
A
hypertension
nausea
changes in mood
anxiety
lethargy
tachycardia
Sweating (full body)
HN MALTS
22
Q
What has a sudden onset
A
Hypoglycemia
23
Q
Where would you place somthing sugary fi someone was unconsious due to hypoglycemia?
A
under the tongue
24
Q
What is the ideal HBA1c?
A
6.5 of below
25
What is the clinic cut of for HBA1c?
8%
26
What is the main concer with moderate insulin shock?
that they will injure themselves or someone else
27
Oral complications with Diabetes
xerostomia
poor wound healing
increase caries
candidasis
28
What is the progression of anaphylactic rxns?
skin
eyes
nose
GI
Respiratory
Cardiovascular
29
What do you do if a pt has a RAPID allergic reaction?
place them supine
BCLS
oxygen
monitor vitals
30
What are the DELAYED signs and symptoms of Allergic reactions?
Rash
Pruritis (itching)
Uricaria
Edema
31
If you have an delayed allergic reaction when should you continue benadryl?
untill 24 hours after symptoms disappear
| don't stop taking it right away
32
If your family member is allergic to a drug does that mean you will be too?
NO
33
What is a symptom seen in men for cardiovasuclar diease?
cheat pain
34
What is a symptom seen in women for cardiovasuclar diease?
shortness of breath
35
Which is more strongly related to CVD systolic or dystolic?
systolic
36
37
Minor Risk Factors CVD
Excessive alcohol use
Stress
Age
38
What is Orthopnea?
difficult breathing when lying down
39
What are general symptoms of CVD?
extreme fatigue
chest pain
nausea
difficulty breathing
40
What are the ABCs
A1c
Blood Pressure
Cholestrol
STOP SMOKING
41
Chest pain can casue
Hyperventalation
42
What is the most important symtom in Angina Pectoris?
chest pain
43
What is stable Angina Pectoris?
pain is predictable
symptoms are relived
44
What is unstable Angina Pectoris?
new-onset
increasing frequency
can'tbe relieved
45
Which type of Angina Pectoris can be relieved by nitroglycerin?
STABLE
46
What are the side effects of nitroglycerin?
pounding head
flushing
tachycardia
possible hypotension
47
Where do you place nitroglycerin for angina pectoris?
sublingual
48
When do you give someone with angina pectoris aspirin?
After you are done giving the nitroglycerin
49
When should you check BP after giving nitroglycerin?
After each dose
| to prevent hypotension and tachycardia
50
What are the signs and symptoms of Myocardial infraction?
cyanotic
cold sweats
chest pain
weakness
pale
| 3C WP
51
Can a MI be relieved by nitroglycerin?
NO
52
Post MI when can a pt be treated?
Must be over 8 weeks and will need a Med Consult
53
What is range of INR for someone on anticoagulants?
2-3
54
What is the normal range for INR?
1.1 or below
55
What has pitting edema, fatigue, weakness clubbing of digits, syncope, breathing problems, and increased urination?
Congestive heart failure
56
What are things associated with Congestive heart failure?
breathing problems
clubbing of digits
pitting edema
fatigue
weakness
increased urination
syncope
| B(CD)EF WIS
57
What two disease encompass COPD?
Chronic Bronchitis
Emphysema
58
What is Blue Bloaters related to?
Chronic Bronchitis
59
What is pink puffer related to?
Emphysema
60
Chronic Bronchitis symptoms
sedentary
overweight
cyanotic
breathless
61
Emphysema signs
weight loss
dyspnea
pursing lips
| lack of cyanosis
62
COPD needs ________
LOW FLOW O2
63
What diease develops from strep throat?
Rheumatic Fever
64
What is primary Adrenal insufficiency?
Addison's
| destuction of adrenal cortex (noramlly autoimmune)
65
Addison's Disease
Decreased cortisol
66
What might you see pigmentation in the lips and gums?
Addison's
67
What is secondary Adrenal insufficiency?
due to pituitary disease or critical illness
68
What is tertiary Adrenal insufficiency?
cause by process that impair the function of the hypothalamus
69
What is the most common cause of tertiary Adrenal insufficiency?
chronic use of corticosteroids
70
Crushing Sydrome is caused by
excess of cortisol
71
Crushing Disease is
caused by a tumor to the pituitary gland or adrenal gland
72
What is moon face associated with?
Crushing's
73
What is spider angiomas associated with?
Alcohol Abuse
74
What is classifed as binge drinking?
5oz in 4 hours
75
What combination causes an increase in oral cancer?
Drinking and Smoking
76
In what would you see a smooth, burning, red tongue?
anemia
77
What are the symptons of anemia?
pale
fatigue
**low BP**
SOB
**rapid heart rate**
| one of the only times you see these together
78
What is pagophagia?
chewing ice
79
If someone was iron deficent they may
chew ice
| pagophagia
80
Somone who has thin brittle hair may have
anorexia
81
Somone who has neck swelling may have
anorexia
82
If someones amalgams are raised they may have
bulimia
83
What is peromylolysis?
loss of enamel and dentin on the lingual surface from acid
84
what is loss of enamel and dentin on the lingual surface from acid?
peromylolysis
85
When someone is on blood thinner what test would you want to use?
INR
| not PT
86
Is osteoarthritis an autoimmune diesease?
NO!!!!!
87
What are 3 autoimmune conditions?
Hyperthyroidism
Sjogren
Rheumatoid Arthritis
88
If you see a butterfly shaped rash what might the person have?
Lupus
89
dry mouth and eyes, as well as candidiasis are most prevalent in
Sjogrens
90
When someone starts to have a seizures you may hear
epileptic cry
91
What percent of people with epilepsey are able to have complete control within 5 years?
60-80%
92
epilepsey management
protect pt
DO NOT move to floor
put in supine
remove instruments
O2 if needed
4444
93
What are causes of GERD?
pregnancy, bad sphincter, obesity, alcohol, and smoking
94
What are the two things you see lingual erosion on the teeth?
GERD and Bulimia
95
What do you use to treat GERD?
Erythromycin
96
What is Tic Douloureux?
Trigeminal Neralgia
| stabbing pain in side of cheek of jaw
97
Who would need a med consult?
* Rheumatic Fever
* MI in last 6 months
* Hypertension
* Congential Heart Defect
* Chemo
*** 5 of more meds **
* organ transplant
* joint replacement
98
What are true allergies?
itching
rash
hives
swelling
wheezing
99
What are drug intolerances?
Nausea
Vomiting
Palpitations
| aviod drug anyway (not true allergy)
100
If someone presented with this what might be the cause?
GERD or Bulimia
| peromylolysis!!!!
101
What are medications you would not want to give to someone with GERD?
codeine
erythromycin
102
What insulin shock is characterized by hunger, weakness, tachycardia, and pallor?
mild
103
What 2 things that are characterized by poorly controlled urination
congestive heart failure
Diabetes
104
What are two things you would see an enlarged parotid gland?
Excess alcohol use
Sjorgen syndrome
105
If you administer bronchodilators (Ventolin) to a patient during an asthma attack and there is no improvement despite administering it 3 times already. What should you administer next?
Epinephrine
106
what are the 3 polys related to Hyperglycemia?
-uria
-dipsia
-phagia
107
Hyperglycemia symtoms (?)
warm skin, fruity-smelling breath, and Kussmaul’s breathing
108
What is SLE?
Lupus
109
What is not a symptom of Anorexia?
Tachycardia!!!!!
110
Which of the following is not a side effect of nitroglycerin?
being tired
111
What would be an ideal HbA1c level if you are pre-diabetic?
6 or less
