Leik 2 Flashcards by Ashlyn Taylor

visual fields by confrontation is used to evaluate for

peripheral vision

How well did you know this?

Not at all

Perfectly

A tonometer is used to evaluate

glucoma

How well did you know this?

Not at all

Perfectly

What causes condylomata acuminata?

genital warts
HPV

How well did you know this?

Not at all

Perfectly

What findings are consistent with syphilis?

painless chancre
maculopapular rash of palms and soles
lymphadenopathy
condylomata lata

How well did you know this?

Not at all

Perfectly

When evaluating for coarctation of the aorta, the BP in the ____ is higher than in the ____

higher in the arms than in the legs

How well did you know this?

Not at all

Perfectly

The NP is reviewing a patient’s lab results and notes a normal ferritin, high serum iron, elevated TIBC, normal MCHC, & abnormal hemoglobin electrophoresis….what diagnosis is most likely?

Thalassemia

How well did you know this?

Not at all

Perfectly

What diagnosis is most likely?
low ferritin
decreased serum iron
elevated TIBC
decreased MCHC
normal hemoglobin electrophoresis

iron deficiency anemia

How well did you know this?

Not at all

Perfectly

Patients on atypical antipsychotics are at risk for:

obesity
hyperglycemia
T2DM
hyperlipidemia

How well did you know this?

Not at all

Perfectly

The acronym TORCH stands for:

Toxoplasma gondii
Other infections
Rubella
CMV
Herpes

How well did you know this?

Not at all

Perfectly

The anti-hepatitis C virus (HCV) test of a 60 y/o F is positive. What test is a appropriate for f/u?

HCV RNA

anti-HCV detects antibodies but cannot distinguish between active and previous HCV infection

How well did you know this?

Not at all

Perfectly

Treatment for acne
1st:
2nd:
3rd
4th

1st topical agents
2nd Retin-A 0.25%
3rd Tetracycline oral
4th Accutane

How well did you know this?

Not at all

Perfectly

When does an infant triple it’s birth weight?

12 months

How well did you know this?

Not at all

Perfectly

What are adverse effects of atypical antipsychotics

orthostatic hypotension
sedation

EX zyprexa, Seroquel, Risperdal

How well did you know this?

Not at all

Perfectly

Characteristics of Osgood-Schlatter disease

pain over the tibial tuberosity with palpation of a bony mass over the anterior tubercle of one or both knees

How well did you know this?

Not at all

Perfectly

What do you prescribe for a patient with acute epididymitis most likely caused by chlamydia/gonorrhea as well as the probability of enteric organisms obtained by men who practice anal sex?

Ceftriaxone IM AND ofloxacin orally BID x10days

How well did you know this?

Not at all

Perfectly

CN IX

glossopharyngeal

How well did you know this?

Not at all

Perfectly

CN X

vagal

How well did you know this?

Not at all

Perfectly

CN XI

spinal accessory

How well did you know this?

Not at all

Perfectly

CN XII

hypoglossal

How well did you know this?

Not at all

Perfectly

Which of the following antibiotic regimens is recommended as 1st line tx for CAP in patients with no comorbidities?

doxycycline 100mg PO BID

How well did you know this?

Not at all

Perfectly

For patients with comorbidity and CAP what’s the treatment?

Beta-lactam AND macrolide or doxy
OR
monotherapy with fluoroquinolone

How well did you know this?

Not at all

Perfectly

What are the hematologic changes with pernicious anemia?

hypersegmented granulocytes
elevated MCV
decreased cobalamin
elevated MCHC

How well did you know this?

Not at all

Perfectly

The first permanent teeth erupt at 6 years…what’s the first teeth?

First molars

How well did you know this?

Not at all

Perfectly

how to determine fundal height

after 20 weeks gestation fundal height in cm = number of weeks gestation

How well did you know this?

Not at all

Perfectly

What are people with PMR at high risk for?

giant cell arteritis (temporal arteritis)

A 5 y/o pt is up-to-date on immunizations. He has not had chickenpox. What following immunizations are indicated on this visit?

DTaP IPV MMR varicella

The Tdap is reserved for patients older than ____ years

11 years

a 40 y/o man c/o severe stabbing pains behind his left eye for the past 2 days. They are accompanied by nasal congestion and rhinorrhea, which is clear in color. The pt denies pharyngitis and fever. What condition is most likely?

cluster headache

What are symptoms of a cluster headache? 5

-excruciating, unilateral pain -orbital or supraorbital and/or temporal pain -Attack ranges from 15mins to 3+hrs The following symptoms on one side of the face -Ptosis (drooping eyelid) -Miosis (pupil constriction) -lacrimation -rhinorrhea in

What are symptoms of trigeminal neuralgia (tic douloureux)

unilateral headache from compression or inflammation of the trigeminal nerve (CN5)

What causes infectious mono? how to make clinical diagnosis? what will labwork show?

EBV Dx: -fever -pharyngitis -lymphadenopathy lasting 1 to 4 weeks Lab: -Elevated WBC -Increased lymphocytes ->10% abnormal lymphocytes -positive monospot test

An elderly man is diagnosed with conductive hearing loss in the left ear by the NP. What is the expected result when performing a Rinne test on this patient?

BC > AC normal Rinne: AC > BC

Erythromycin ___ (inhibits or induces) the CYP450 system...what drugs should be avoided

inhibits Avoid: Theophylline, coumadin, valium

What medication increases the risk of bleeding for patient's receiving coumadin? bactrim sucralfate Losartan Lasix

Bactrim

What would you expect on a wet mount slide ofa patient diagnosed with BV?

A large # of squamous epithielial cells who surfaces and edges are coated with large #s of bacteria along with a few leukocytes

Dx of BV

3 out of 4 Amsel criteria 1) white, thick adherent discharge 2) pH >4.5 3) positive whiff test (mixed with KOH) 4) clue cells >20%

A pt is diagnosed with acute strep pharyngitis. Her throat is bright red with no tonsillar exudate, and clear mucus on lower nasal turbinates. The UA shows a large amount of WBCs & is positive for nitrites. The patient has a sulfa allergy and thinks she is also allergic to penicillins. Whats the best treatment? augmentin Levaquin Bactrim Clarythromycin

This patient has strep pharyngitis and a UTI Give Levaquin treats UTI and strep pt is allergic to augmentin and bactrim

What is the most common site for female breast cancer?

Tail of Spence The upper outer quadrant of the breast

An elderly women was found on the floor after she passed out. Shes been ordered an EKG and xray. What labs would you order next? UA electrolytes glucose H and H

Blood glucose

An adult patient's lab work reveal macrocytosis and reticulocytopenia. You will evaluate for... alcoholism thalassemia hypothyroidism liver disfx

thalassemia these findings are associated with vit B12 deficiency Thalassemia is a hemolytic anemia that causes excessive destruction of RBCs

A 76 y/o male with a history of CVD presents with hyperlipidemia...what intensity statin do you prescribe?

Moderate intensity This is because the patient is >75 years with ASCVD if he was less than 75 then he would be prescribed a high intensity statin like atorvastatin or rosuvastatin

What is the most common type of cancer in young children?

acute lymphoblastic leukemia (ALL) malignancy of bone marrow

The Somogyi effect is characterized by what?

high fasting blood glucose in the morning caused by the secretion of glucagon by the liver -nocturnal hypoglycemia

What is secondary prevention and secondary prevention activities?

Detecting disease at an early stage to halt or slow its progression All screening and lab tests (mammography, pap smears etc) are secondary activities

What foods do you recommend for a patient with folic acid deficiency?

Liver dark leafy vegetables beans pasta breads cereals

The ELISA and Western blot test are used to detect what?

HIV antibodies only

How does malignant neuroleptic syndrome present?

high fever muscular rigidity BP changes urinary incontinence AMS

how does acute serotonin syndrome present?

sudden onset high fever muscular rigidity clonus uncontrolled shivering AMS

A patient with normocytic hemolytic anemia who has electrophoresis results of hemoglobin S with a 20% concentration of hemoglobin F has what??

sickle cell anemia

What is tertiary prevention?

Any type of rehab for a particular condition -swimming -cardiac rehab -speech therapy

Koilonychia is associated with what condition?

"spoon-shaped nails" iron deficiency anemia

What medication is a treatment option for BPH and htn?

Terazosin (Hytrin)

what is bipolar II characterized by?

not associated with impairment of social function and able to maintain work and family requirements

what is bipolar I characterized by?

significant impairment with social function and work life

what is schizoaffective disorder characterized by?

schizophrenia and major depression

Roseola infantum cause onset rash course

Cause: herpes Onset: 6 months to 2 years Rash: maculopapular that first appear on trunk then spread to extremities Fever >>>> rash

What lab value is elevated in ETOH abusers?

Serum GGT

What drug class is recommended for the treatment of postherpetic neuralgia?

Tricyclic antidepressants anticonvulsants

Hand food mouth disease cause tx

Cause: Coxsackievirus Tx: symptomatic

What part of the DTaP vaccine causes a fever?

pertussis component