Psych (25) and Peds (9) Flashcards

1
Q

Hr 24-48 = ____ admin against conjunctivitis caused by gonococcal and nongonococcal, nonchlamydial bacteria?

Conjunctivitis during htis time is called?

A

silver nitrate

chemical conjunctivitis

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2
Q

Infant develops copious purulent ophthalmic discharge within TWO-SEVEN DAYS after delivery. MCC:

A

N. gonorrhoeae

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3
Q

Infant develops copious purulent ophthalmic discharge within 7-15 DAYS after delivery. MCC:

A

chlamydia trachomatis

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4
Q

First line class of drugs for premature ejaculation

A

serotonin reuptake inhibitors (SSRIs)

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5
Q

what type of HA:

recurrent, pressure or band-like frontal pain often occurring during periods of stress.

A

tension HA

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6
Q

tx for HA characterized by recurrent, pressure or band-like frontal pain often occurring during periods of stress.

A

tension HA tx is non-narcotic analgesic (ibuprofen, acetaminophen, aspirin, naproxen)

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7
Q

in migraine therapy:
____ is a dopaminergic antagonist used in pts with N/V as dominant sx.

SE - acute dystonic reaction

A

metoclopramide

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8
Q

in migraine therapy: ___ is a serotonin receptor agonist that has vasoconstrictive properties.
cI in uncontrolled HTN, CAD, Peripheral vascular dz

A

triptan

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9
Q

Tx of choice for GAD

A

CBT

SSRI’s: paroxetine, fluoxetine, escitalopram, sertraline, SNRI’s: duloxetine, venlafaxine (good for GI dz)

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10
Q

anticholinergic (dry, red, hot, mad, blind) - dt ___ overdose

A

TCA overdose presentation

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11
Q

incrased muscle tone, extrapyramidal sx, AMS, hyperthermia, lead-pipe rigidity

A

neuroleptic malignant syndrome –> antipsychotic use

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12
Q

resp depression, apnea, hypothermia, hypotension, bradycardia, aspiration, pulmonary hypertension - overdose of what and what is antidote?

A

benzo OD tx with flumazenil

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13
Q

CNS depression, respiratory depression, miosis = ___ Overdose?

A

opioid

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14
Q

pain and redness in one eye with excessive tearing and feels like something is stuck. wears contacts. green color appears on cobalt blue light.

dx?

tx with?

A

CORNEAL ABRASION + CONTACT wearer = ciprofloxacin (fluoroquinolone or aminoglycoside) for anti-pseudomonal antibiotics

CORNEAL ABRASION alone = polymyxin B/trimethroprim drops

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15
Q

babies should sleep in supine position until what age?

A

one year

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16
Q

when should solid baby good begin?

when should whole cow’s milk be incorporated?

when should forward facing car seat?

A

4-6mo

1year

2years or outgrow rear-facing car seat (min 40lbs)

17
Q

OCPD v. OCD

A

OCPD = preoccupied with orderliness and perfectionism, but inefficient at completing tasks. Stubborn, inflexible, find nothing wrong in their behavior

OCD - significant impairment due to obsessions (monk). Aware of their condition and recognize behavior as abnormal.

18
Q

Fair skin pts between 10-24 should be counseled for?

A

skin cancer

19
Q

routine screening for HSV, syphilis, scoliosis, or ilicit drug use?

A

no!

20
Q

6mo of fear or anxiety about 2 or more of: using public transportaiotn, being in open spaces or closed spaces, stanign in lines or crowds, being outside the home ALONE

A

agorophobia

21
Q

describe panic attack frequnency and sx # requirement.

A

> 1mo persistent worry about have another panic attack. >4sx

22
Q

GAD definition

A

excessive worry about multiple things on most days for at least 6mo

23
Q

what antidepressant is safe to use during preganncy?

A

SSRIs - fluoxetine, sertraline, citalopram, etc. EXCEPT paroxetine

24
Q

Suspect ___ in a child who does not babble or point by 12mo, use single works by 16mo, or use 2 words by 24mo

A

autism

25
Q

what are paroxetine, fluoxetine, citalopram, escitalopram, sertraline?

A

SSRIs - first line tx of major depressive disorder and anxiety disorders

26
Q

What is this:
will experience episode of psych illness with sx of both schizophrenia and either depression or mania (bipolar), as well as 2 weeks of psychosis or (+)sx consitent with dx of schizo at a time when they are euthymic

A

schizoaffective disorder (i.e. bipolar pt with >2 wks of psychosis b/w episodes of depression or mania)

27
Q

____ is defined by: >6mo of >2 of the following: delusions, hallucinations, disorganized speech

A

schizophrenia

28
Q

____ is defined by: 1-6mo of >2 of the following: delusions, hallucinations, disorganized speech

A

schizophreniform

29
Q

conduct disorder as a child can lead to ___ as an adult

A

antisocial personality disorder

30
Q

think ___: newborn with cyanosis during feeding and blockage that prevents passage of nasogastric tube past nasal passage.

A
CHARGE --> (CHD7 gene)
Coloboma (hole in iris or other eye structure)
Heart defect
choanal Atresia
Restricted growth
Genital hypoplasia
Ear anomalies and deafness
31
Q

At what age range should all children be screened for depression without a parent in the room, esp if a firearm is in the house?

A

12-18

32
Q

At what age range sould children be screened for obesity?

A

6-17

33
Q

what three things are the only screening recommendations for adolescent non-smokers who are not sexually active?

A

obesity, depression, skin cancer in fair skinned individuals

34
Q

splitting = ?

A

borderline PD (key: impulsivity in >2 of: sex, substance abuse, driving)

35
Q

how is tay-sachs different from other sphingolipidoses (i.e. Niemann Pick)?

A

no HSM

36
Q

crumple tissue paper apperance of cells. beta glucosidase deficiency. erlenmeyer flask deformity

A

gaucher disease

37
Q

mammography age guidelines

A

50-74=every two years

38
Q

do not screen pts >___Ag for breast or colorectal cancer

A

75