Immunology/ Misc

Question 1

the study of drug absorption, distribution, metabolism, and excretion. A fundamental concept is drug clearance, that is, elimination of drugs from the body

Answer 1

Pharmacokinetics

Question 2

the study of how a drug acts on a living organism, including the pharmacologic response

Answer 2

pharmacodynamics

Question 3

What schedule drug has the highest abuse potential?

Answer 3

Schedule 1

Heroin, PCP

Question 4

Legal to prescribe, high abuse potential

Answer 4

Schedule II

Morphine, methadone, opiods, anabolic steroids

Question 5

Schedule 3

Answer 5

hydrocodone, codeine

Question 6

Schedule IV

Answer 6

Sleep, short acting benzos, appetite suppressants

Question 7

Schedule V

Answer 7

Low abuse potential

Anti-tussives, lomotil (anti-diarrheal)

Question 8

term for incomplete dislocation

Answer 8

subluxation

Question 9

Only give ATB with this type of fracture:

Answer 9

Open fx

Also give tetanus

Question 10

During what time frame is fasciotomy effective for Compartment syndrome?

Answer 10

Within a few hours

Question 11

Causes of compartment syndrome?

Answer 11

Cast, snake bite

Question 12

Drugs that look like lupus?

Answer 12

thorazine, hydralazine, INH, methyldopa, procainamide, quinidine

Question 13

High fever, old person, normal WBC, high ESR, scalp tenderness?

Answer 13

Giant cell arteritis

Give prednisone

Question 14

Post-nasal gtt?

Tx?

Answer 14

Sinusitis

Analgesics, decongestants

(NOT anti-histamines)

Nasal steroids

Question 15

Most common eye disorder?

Causes?

Answer 15

Conjunctivitis

NOT painful

Caused by: Viral, allergies, bacteria, STD

Question 16

Eye pain is caused by:

Answer 16

Corneal abrasion

Retinal detachment

Acute/ closed angle glaucoma

Question 17

Stringy (ropey) discharge, usually bilateral:

Answer 17

Allergic,

give benadryl

Question 18

Copious / purulent discharge:

Answer 18

Gonococcal: Ceftriazone 250 IM

Chlamydia: azithromycin PO, erythromycin ointment

Question 19

Watery, usually unilateral discharge

Answer 19

viral

no tx

Question 20

Corneal abrasion tx:

Answer 20

• Anestitize for exam, then no more, pain is important, if it develops > 24 hrs, call opthomology
• Patch
• Heals quickly
• Consider tetanus
• ATB or sulfa drops

Question 21

Normal intraoccular pressure

Answer 21

10-20

Question 22

Is cupping acute or chronic glaucoma?

Answer 22

Cupping is Chronic

Chronic/Wide/Open

Question 23

Is acute glaucoma open or closed?

Answer 23

AC= Acute Closed

Closed/Acute/Narrow

Question 24

Telescoping vision?

Answer 24

Chronic/ open angle glaucoma

Question 25

Cup > 1/2 diameter of the disc?

Answer 25

Chronic or open angle glaucoma

Question 26

Symptoms of closed angle acute glaucoma?

Answer 26

Pain

Blurred vision with halos

Question 27

Tx for closed angle glaucoma?

Answer 27

Carbonic anyhydrase inhibitors: acetazolamide/Diamox

Osmotic diuretics: Mannitol

Surgery

Question 28

Double vision in a single eye?

Answer 28

=Diplopia

cataract

Question 29

Bugs that cause infection in the head and neck, ears, throat, sinuses?

Answer 29

Strep. pneumoniae, H. Flu, m. something

Question 30

What increases the risk of sinusitis?

Answer 30

Any type of instrumentation or tubes, allergies

Use a maxilofacial CT if unsure

Pseudomonas should be covered if pt is vented

Orbital cellulits, sinus thrombosis, osteomyelitis are complications

Question 31

Risk factors for chronic, open angle glaucoma

Answer 31

Older, DM, African American

Question 32

Gold standard tx for chronic glaucoma?

Answer 32

Beta-blocker drops (timolol)

Alpha-2 adrenergic agonists: alphagan, brimonidine

Cholinergic: pilocarpine-miotic agent (o=closed, pinpoint)

Question 34

what is the most common pathogen in the hosptial?

Answer 34

staph epi