HB Kim Review II

Question 1

Dermatome C6 is:

Answer 1

Thumb

Question 2

Dermatome T4 is:

Answer 2

Nipples

Question 3

Dermatome T10 is:

Answer 3

Umbilicus

Question 4

Dermatome L4 is:

Answer 4

Knee

Question 5

Dermatome L5 is:

Answer 5

Top of foot

Question 6

Dermatome S1 is:

Answer 6

Bottom of foot

Question 7

Dermatome S2- S4 is:

Answer 7

Perinieum

Question 8

What is the MOA of Warfarin?

Answer 8

mechanism of Action is that it inhibits synthesis of Vitamin K. (Extrinsic pathway)

Question 9

What pathway does heparin use for anticoagulant?

Answer 9

Intrinsic path. Activates anti-thrombin and factor Xa.

Question 10

For a-fib Tx is ___. With check of ___ test every ___ weeks.

Answer 10

Warfarin. Check INR every week (2-3 range.)

Question 11

A-Fib is increased risk of ____ d/t _______ Circulation.

Answer 11

Stroke. Incomplete/poor circulation leading to clots.

Question 12

“CHADS” for estimating risk for stroke in A-Fib patients

Answer 12

Congestive heart failure.
Hypertension
Age 75 Years
Diabetes Mellitis
prior Stroke (or TIA or Thromboembolism)

Question 13

Thrombus is;

Answer 13

Blood clot attached to wall of vein or artery.

Question 14

Embolus is:

Answer 14

Blood clot circulating in blood stream.

Question 15

Anticoagulants/names/MOA

Answer 15

Heparin, warfarin/Supress coagulation, block growth of clot (Thinners)

Question 16

Antiplatelets/ Names/ MOA

Answer 16

Aspirin, Clopidogrel (Plavix)/Block formation of clot, inhibit platelet aggregation

Question 17

Thrombolytics/Fibrinolyitics/Names/MOA

Answer 17

tPA/ Dissolution of formed thrombus

Question 18

what hormone at elevated levels confirms menopause?

Answer 18

FSH

Question 19

DEXA Scan is for _____ and is at normal ranges at ___.

Answer 19

Osteopenia ( t- score bet -1 and -2.5) Osteoporosis (t-score between -2.5 or below)

Question 20

Acute Pancreatitis “ I Get Smashed”

Answer 20

I- Idiopathic
G-gallstone
E- ETOH
T- Trauma
70-80%
S- Steriods
M- Mumps Virus
A- Autoimmune Disease
S- Scorpion Sting
H- Hypertryglycerides
E- ERCP
D- Drugs

Question 21

Elevated Lipase and Amylase are indications of:

Answer 21

Acute Pancreatitis

Question 22

Tx for Acute Pancreatitis;

Answer 22

NPO, IV Fluids

Question 23

Chronic Pancreatitis vs. Acute Pancreatitis

Answer 23

Acute is Inflammation d/t over secretion of enzymes. Chronic is atrophy and calcification of pancreas d/t long term inflammation.

Question 24

Chronic Pancreatitis causes :
Adult:____
Child:______

Answer 24

Adult : Alcohol/ Smoking

Child: Cystic Fibrosis

Question 25

The Triad for Chronic Irreversable Pancreatitis:

Answer 25

1. DM (high glucose) 2. Steatorrhea 3. Pancreatic calcification on CT