Quick References Flashcards

1
Q

Pain pulsating UNILATERALLY.

A

Migraine

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2
Q

Alzheimer’s presenting with stroke symptoms

A

REFER

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3
Q

Protect, and lubricate the afected eye.

A

Bell’s palsy

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4
Q

Pain on the face with negative ESR 2 differential diagnoses

A

Trigeminal neuralgia and sinusitis

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5
Q

Which of these is a genetic condition

A

G6PD ANEMIA (glucose phosphate dehydrogenase deficiency).

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6
Q

Rheumatic fever

A

Mitral valve.

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7
Q

Aortic Stenosis

MR. ARDS

A

Radiates to neck (neck distention).

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8
Q

Antihypertensive contraindication in HF

A

CCB

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9
Q

When do you not given and ACE other than renal stenosis and angioedema

A

Pregnancy

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10
Q

Pt with HF tell you he takes a lot of Advil

A

Too much advil with HF no good

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11
Q

Pt with DM & HTN

A

ACE

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12
Q

When do you hear split S2 best

A

Pulmonic or Aortic area/ inspiration or expiration

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13
Q

Chronic HTN

A

S4 sound

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14
Q

Child with cough and family History of Eczema and allergic rhinitis

A

ASTHMA,
BRONCHIOLITIS
ASPIRATION OF FOREIGN OBJECT.

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15
Q

Unilateral leg swelling pick 2 differential diagnosis

A

Venous Insufficiency and DVT

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16
Q

3 Pictures (VARICOSE VEIN, VIRAL SKIN INFECTION, and ARTERIAL LEG)

A

Arterial Leg

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17
Q
  • hairless shiny,
  • bacterial index >1.5,
  • relief with elevation, pain with dependent and one more (pick 3).
A

Arterial Leg indications

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18
Q

Thyroid patient increases his dose and loses weigh, you check his TSH and it is 0.02

A

Pt would not have increase dose

SYNTHROID DOSE IS TOO HIGH

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19
Q

Chronic use of PPI.

A

Osteoporosis

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20
Q

Pt tried OTC for reflux and did not work, what do you prescribe based on stepwise approach for GERD treatment

A

PRILOSEC (Omeprazole)

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21
Q

20 years old with a BMI 21

A

Checking for hyperlipidemia

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22
Q

Patient is12 years old vaccine for STD, what do you consider at this time?

A

HPV Vaccine

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23
Q

Risk for DM, breast cancer, ovarian cancer, infertility.

A

PICOS

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24
Q

Acanthosis Nigricans

A

Check for DM

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25
Q

Juvenile detention what should you screen girls for

A

Chlamydia

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26
Q

Fetal alcohol syndrome

A

Macrosomia, Hypotonia

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27
Q

Abnormal pap in 31 years old

A
  • HPV COTES
  • COLPOSCOPY
  • LEEP
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28
Q

Bloody stools, increased relief with defecation, no family Hx of Cancer, normal labs placed the differential diagnoses in order

A

IBD, pseudomembranous colitis, dumping syndrome.

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29
Q

Child with diarrhea for a few days, dry lips, VS are normal

A

Oral dehydration.

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30
Q

Who is at increased risk for breast Cancer

A

30 years old nullipara with a half-sister that had a lumpectomy.

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31
Q

Patient never had Hepatitis A and never get the vaccine, was exposed to the virus what do you check

A

IgM

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32
Q

Patient is 28 weeks pregnant do never received Hepatitis B vaccine what do you do?

A

Give the vaccine today (now).

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33
Q

Patient with Opportunistic infection and CD4 < 200

A

Diagnose AIDS

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34
Q

Chvostek’s sign (they describe tap the zygomatic bone)

A

Hypocalcemia (known how to test/ maneuver).

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35
Q

Pityriasis Rosea how do you DX

A
  • Intimate contact with someone with rash,

- high fever and nightsweats, patchy scaly lesion one week prior (herald patch).

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36
Q

Picture of the abdomen, pick which quadrant you can assess for diverticulitis

A

LLQ

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37
Q

Picture of the lung, select which one with a spot where do you see the TB lesions

A

UPPER LOBE.

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38
Q

What is the diagnosed test least invasive for Cholecystitis

A

Trans-abdominal US

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39
Q

Patient with TAH (total abdominal hysterectomy) and smoker what type of Cancer do you screen

A

Lung Cancer

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40
Q

Mild to moderate acne and treatment

A

TX

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41
Q

IBS symptoms and management

A

Management

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42
Q

IBS symptoms and management

A

Management

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43
Q

Hispanics cultural beliefs

A

Family Centered

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44
Q

Maneuver for appendicitis

A

Macburry

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45
Q

TX for otitis media

A

AMOXICILLIN

46
Q

Erectile dysfunction

A

Physiogenic cause

47
Q

Incidence and prevalence

A

DEFINE

48
Q

Patient on COUMADIN

A

Do not give BACTRIM

49
Q

Picture of impetigo and you have to select which one it is. (You will treat with BACTROBAN)

A

IMPETIGO

50
Q

Farmer with lesion on the neck = Fleshy, shiny, round, firm, what are you differentiates (3 picture)

A
  • Basal cell carcinoma
  • Molluscum
  • Wart
51
Q

Saturday and patient did not come to the hospital, and was sick. What type of religion do him or her practicing?

A

JEW (Sabbath) Judaism do not go to the hospital on Saturday

52
Q

Mexican do not want treatment for lung cancer

A

Tell him to talk with his family

53
Q

7TH Day Adventist

A

Do not drink caffeine

54
Q

Patient takes hot chili TEA for relaxation what do you tell them

A

It is ok to continue with their culture practice.

55
Q

incidence

A

A

56
Q

Veracity

A

B

57
Q

informed consent

A

C

58
Q

autonomy

A

D

59
Q

Relative risk

A

E

60
Q

One eye with opacity on fundoscopic examination

A

Check visual acuity

61
Q

Webber

A

Definition

62
Q

MONONUCLEOSIS patient had post cervical adenopathy and pharyngitis what else do you expect

A

SPLENOMEGALY

63
Q

Otitis Media 4 years old what do you assess for consequences

A

Check language development

64
Q

ADHD 2 years old cries when leave him, always carried, acts out

A

TANTRUM

65
Q

OM adult what could happen if he does not take the antibiotics

A

MASTOIDITIS

66
Q

Patient has a dentist appointment in 4 days but overnight he gets high fever and swelling in tooth

A

Go to Dentist ASAP

67
Q

Sudden eye pain and visual acuity change

A

Refer asap to an

ophthalmologist.

68
Q

GANGLION CYST

A

Picture

69
Q

MONGOLIAN SPOT

A

Describe

70
Q

Macrolide interaction with TEGRETOL

A

BACTRIM /SULFA

71
Q

Arteries and veins in eye

A
  • Arteries are lighter/ brighter
  • smaller
  • veins are darker and wider.
72
Q

Picture of the eye and select which one shows MD

A

COTTON WOOL SPOTS

73
Q

Asthma and stage 1 treatment

A

A

74
Q

Asthma and stage 2 treatment

A

B

75
Q

Asthma and stage 3 treatment

A

C

76
Q

Asthma and stage 4 treatment

A

D

77
Q

Asthma and stage 5 treatment

A

F

78
Q

Peak flow meter measurement is measured by

A
  • HEIGHT
  • AGE,
  • GENDER
    (HAG)
79
Q

Patient shows up with very sick symptoms and diagnosed with Pneumonia, chose what would you do

A

CBC/BMP, X-ray

treat right away without having the results for culture yet

80
Q

Rotator cuff with impingement

A

Ice, rest, NSAIDS, (should sling to immobilized or pt physical therapy).

81
Q

Grade 2 ankle sprain

A

A

82
Q

Plantar fasciitis (2)

A

orthostatics, plantar stretching, nsaids and night splinting.

83
Q

POP and lock with knee, possible meniscus tear choose best 3 assessments

A
  • Lachman (ACL)
  • Mcmurray (meniscus)
  • Valgus stress test (knee)
  • MRI
  • Apley.
84
Q

GOUT

A

A

85
Q

Which patient do you treat with methotrexate (3)

A
  • Ulnar deviation

- Swan neck (RA).

86
Q

Dexa score

A

-1 and increase = normal

87
Q

Osteopenia

A

Dexa -1.5 to -2.5

88
Q

Osteoporosis

A

Give Calcium and Vitamin D 1200 mg

89
Q

HTN after changing meds when do you follow up

A

1 MONTH

90
Q

Metabolic syndrome include

A

HYPERLIPIDEMIA

91
Q

Macular degeneration (patient cannot take their blood pressure meds because he can see the numbers)

A

TELEHEALTH

92
Q

TANNER STAGE MENARCHE BEGINNING

A

Stage 4

93
Q

What in a UA shows kidney damage

A

RBC CAST

94
Q

NOT SCREENING IS RECOMEMDED

A

PSA

95
Q

PATIETN IS AT RISK FOR TESTICULAR CANCER

A

Cryptorchidism

96
Q

Patient has vesicular rash on the chest and back started 3 days ago after using a heating pad on shoulder, rash burns and it is painful

A

A

97
Q

BPH (BENIGN PROSTATIC HYPERPLASIA) what to give for fast response

A

FLOMAX

98
Q

BPH (BENIGN PROSTATIC HYPERPLASIA) herbal remedy

A

SAW PALMETTO

99
Q

For hot flashes menopause

A

BLACK COHOSH

100
Q

XHANTHELASMA what it is

A

CHECK LIPID PANEL

101
Q

HERPES ZOSTER what it is looks like

A

A

102
Q

How does oral contraception work

A

Inhibits hormones that causes ovulation

103
Q
  1. Breastfeeding mother best form of contraception
A

IUD

104
Q

What would you check for a 36 weeks pregnant

A
  • 3 STDs

- UA

105
Q

UTI treatment for pregnant patient

A

CIPRO

106
Q

Treatment for STREP

A

PCN V

107
Q

Allergy to PCN give MACROLIDES and if it is allergic TO macrolides give

A

DOXYCICLINE

108
Q

URIC ACID levels.( Uric acid levels can vary based on sex

A
  • women are 2.5 to 7.5 (mg/dL)

- men 4.0 to 8.5 mg/dL

109
Q

FOLICULITIS treatment

A

ERYTHROMYCIN

110
Q

Short anticholinergic
SABA, ICS, Oxygen
(SSIO)

A

COPD TX in order (drop box)

111
Q

Test screening to order in a healthy man of 55y/o that has never went to a doctor

A

Colonoscopy, PSA & Lipids

CPL