Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ACNP REVIEW > More Fitzgerald > Flashcards

More Fitzgerald Flashcards

1
Q

Testing for H. pylori

A

Histology (requires EGD) and Serology
Urea breath test good for early follow-up
rapid urease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

H. pylori Testing if patient on PPI

A

Histology

Serology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

H. Pylori testing if previously infected and concerned for reinfection

A

fecal antigen testing

can have false negative with recent PPI use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Treatment of H. pylori

A

10 days of PPI, amoxicillin, and clarithromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pretreatment of H. pylori

A

7-10 days PPI plus levofloxacin plus amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Perforated ulcer

A

duodenal ulcers tend to perforate into pancreas causing acute pancreatitis
emergent surgical consult
begin enteric covering antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

bleeding ulcer

A

80 percent resolve spontaneously
FFP if coagulopathic
platelets if less than 50K
lavage pending GI or surgical consult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gerd diagnosis is based on

A

clinically diagnosed by symptoms

Pyrosis must be present with other symptoms

endoscopy if no response to PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If patient fails PPI therapy with GERD

A

manometry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Can add what if no response to PPI throughout the day

A

Add PPI before dinner

IF this doesn’t work, refer to GI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Incubation period for Hep A and E

A

2-6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Incubation period for Hep B and C

A

6 weeks to 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Serology for Hep A

A

Anti-HAV and Immunoglobulin IgG IgM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Serology for Hep C

A

Anti-HCV and HCV RNA means active disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hepatitis D indications

A

must have hepatitis B plus Hepatitis D IgM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hepatitis E

A

no serology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hepatitis G

A

Only serology is HGV RNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

IgG and IgM time frame

A

IgG previously infected longer than 6 months ago

IgM based on incubation period less than 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Immune due to Hep B vaccine

A

Anti-HBs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Acutely infected Hep B

A

HBsAg, Anti-HBc, IgM anti-HBc,

21
Q

Chronically infected

A

HBsAg, Anti-HBc No IgM

22
Q

Hepatitis B e antigen HBeAg

A

serum found during acute and chronic Hepatitis B

means virus is replicating and has high levels of HBV

23
Q

Hepatitis B e antibody HBeAB or anti-HBe

A

produced by immune system during acute HBV infection

predictor of long term clearance of HBV undergoing antiviral therapy and indicates lower levels of HBV

24
Q

Patients with hepatitis are hospitalized due to

A

complications from chronic infection or progression of chronic infection

25
Q

Treatment of hepatitis

A 
supportive
hydrate 3-4 liters a day
lactulose for increased ammonia levels
loop diuretics for ascites
paracentesis to relieve intraabdominal pressure
replace albumin losses
chemotherapeutic options for hep B and C
26
Q

In cholecysitits, leukocytosis for more than 24-48 hours suggests

A

severe infection and possible gangrene

27
Q

in appendicitis start antibiotics

A

when decision to operate is made

can feel constipation in appendicitis

28
Q

bowel obstructions caused by

A

mechanical or functional causes

tumore
strictures
ileus due to narcotics

29
Q

clinical presentation of bowel obstruction

A

time between pain and vomiting suggests location of obstruction

starts with cramping periumbilical pain

30
Q

Radiographic findings of obstruction

A

horizontal pattern in SBO

frame pattern in LBO

31
Q

Management of obstruction

A

Fluids

treat medically with partial obstruction
surgical intervention complete obstruction

32
Q

Perforated ulcer finding

A

leukocytosis
free air on radiographic findings
quiet, rigid abdomen with rebound tenderness

33
Q

Autoimmune thrombocytopenia purpura

A

clotting impaired when platelets fall less than 50K
Steroid therapy to boost platelets
only give platelets when actively bleeding

34
Q

Aspirin induced coagulopathy

A

inactivates platelets

35
Q

HIT

A

induced by antibodies

treatment is to discontinue heparin and start direct thrombin inhibitors

36
Q

uremia induced coagulopathy

A

platelets inactivated in uremic plasma

treatment DDAVP

37
Q

DIC

A 
preceded by trauma and sepsis
release of thromboplastin
clotting then bleeding
use heparin
treatment is evaluated by increased fibrinogen
38
Q

Anticoagulation effect of warfarin observed when

A

3-5 days

39
Q

Sideroblastic anemia

A

increased TIBC, ferritin, iron

low MCV

40
Q

Thalessemia

A

Normal iron

low MCV

41
Q

BP reduction in stoke only if BP is

A

above 185/110 if TPA is a candidate
above 220/110 if TPA is not a candidate
goal is to lower BP 15-25% in first 24 hours

42
Q

National institutes of health stroke scale NIHSS

A

Determines if symptoms related to stroke

0 to 42
0 means no stroke
above 21 means stroke

43
Q

Myasthenia Gravis

A

autoimmune going from top down
Edrophium helps symptoms
prednisone for treatmentt
plasmaphoresis and immune globulin

44
Q

Guillain barre

A

bottom up
autonomic manifestations tachy and hypotension
IVIG
recovery often spontaneous

45
Q

Do not perform LP with

A

increased ICP findings

papiledema

46
Q

Autonomic dysreflexia

A

injury above T6
exaggerated response to stimulus
remove stimulus

47
Q

Brown sequard syndrome

A 
penetrating trauma
ipsalateral motor and proprioception
contralateral pain and temp
immobilize 
give steroids
48
Q

central cord syndrome

A

cervical spinal cord hyperextension
upper and lower weakness
ICU monitoring for autonomic dysreflexia

49
Q

Cranial nerves

A 
I olfactory- smell
II optic- central and peripheral vision
III Oculomotor- pupil response
IV Trochlear- moves eye down
V Trigeminal- tri forehead, cheek, jaw
VI abducens- eye movement to sides
VII facial- facial movements smile
VIII acoustic- hearing 
IX glossopharyngeal- tongue movement
X Vagus uvula
XI spinal accessory- neck shoulders
XII hypoglossal swallow, gag

ACNP REVIEW (32 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions