Quick References Flashcards
Pain pulsating UNILATERALLY.
Migraine
Alzheimer’s presenting with stroke symptoms
REFER
Protect, and lubricate the afected eye.
Bell’s palsy
Pain on the face with negative ESR 2 differential diagnoses
Trigeminal neuralgia and sinusitis
Which of these is a genetic condition
G6PD ANEMIA (glucose phosphate dehydrogenase deficiency).
Rheumatic fever
Mitral valve.
Aortic Stenosis
MR. ARDS
Radiates to neck (neck distention).
Antihypertensive contraindication in HF
CCB
When do you not given and ACE other than renal stenosis and angioedema
Pregnancy
Pt with HF tell you he takes a lot of Advil
Too much advil with HF no good
Pt with DM & HTN
ACE
When do you hear split S2 best
Pulmonic or Aortic area/ inspiration or expiration
Chronic HTN
S4 sound
Child with cough and family History of Eczema and allergic rhinitis
ASTHMA,
BRONCHIOLITIS
ASPIRATION OF FOREIGN OBJECT.
Unilateral leg swelling pick 2 differential diagnosis
Venous Insufficiency and DVT
3 Pictures (VARICOSE VEIN, VIRAL SKIN INFECTION, and ARTERIAL LEG)
Arterial Leg
- hairless shiny,
- bacterial index >1.5,
- relief with elevation, pain with dependent and one more (pick 3).
Arterial Leg indications
Thyroid patient increases his dose and loses weigh, you check his TSH and it is 0.02
Pt would not have increase dose
SYNTHROID DOSE IS TOO HIGH
Chronic use of PPI.
Osteoporosis
Pt tried OTC for reflux and did not work, what do you prescribe based on stepwise approach for GERD treatment
PRILOSEC (Omeprazole)
20 years old with a BMI 21
Checking for hyperlipidemia
Patient is12 years old vaccine for STD, what do you consider at this time?
HPV Vaccine
Risk for DM, breast cancer, ovarian cancer, infertility.
PICOS
Acanthosis Nigricans
Check for DM
Juvenile detention what should you screen girls for
Chlamydia
Fetal alcohol syndrome
Macrosomia, Hypotonia
Abnormal pap in 31 years old
- HPV COTES
- COLPOSCOPY
- LEEP
Bloody stools, increased relief with defecation, no family Hx of Cancer, normal labs placed the differential diagnoses in order
IBD, pseudomembranous colitis, dumping syndrome.
Child with diarrhea for a few days, dry lips, VS are normal
Oral dehydration.
Who is at increased risk for breast Cancer
30 years old nullipara with a half-sister that had a lumpectomy.
Patient never had Hepatitis A and never get the vaccine, was exposed to the virus what do you check
IgM
Patient is 28 weeks pregnant do never received Hepatitis B vaccine what do you do?
Give the vaccine today (now).
Patient with Opportunistic infection and CD4 < 200
Diagnose AIDS
Chvostek’s sign (they describe tap the zygomatic bone)
Hypocalcemia (known how to test/ maneuver).
Pityriasis Rosea how do you DX
- Intimate contact with someone with rash,
- high fever and nightsweats, patchy scaly lesion one week prior (herald patch).
Picture of the abdomen, pick which quadrant you can assess for diverticulitis
LLQ
Picture of the lung, select which one with a spot where do you see the TB lesions
UPPER LOBE.
What is the diagnosed test least invasive for Cholecystitis
Trans-abdominal US
Patient with TAH (total abdominal hysterectomy) and smoker what type of Cancer do you screen
Lung Cancer
Mild to moderate acne and treatment
TX
IBS symptoms and management
Management
IBS symptoms and management
Management
Hispanics cultural beliefs
Family Centered
Maneuver for appendicitis
Macburry
TX for otitis media
AMOXICILLIN
Erectile dysfunction
Physiogenic cause
Incidence and prevalence
DEFINE
Patient on COUMADIN
Do not give BACTRIM
Picture of impetigo and you have to select which one it is. (You will treat with BACTROBAN)
IMPETIGO
Farmer with lesion on the neck = Fleshy, shiny, round, firm, what are you differentiates (3 picture)
- Basal cell carcinoma
- Molluscum
- Wart
Saturday and patient did not come to the hospital, and was sick. What type of religion do him or her practicing?
JEW (Sabbath) Judaism do not go to the hospital on Saturday
Mexican do not want treatment for lung cancer
Tell him to talk with his family
7TH Day Adventist
Do not drink caffeine
Patient takes hot chili TEA for relaxation what do you tell them
It is ok to continue with their culture practice.
incidence
A
Veracity
B
informed consent
C
autonomy
D
Relative risk
E
One eye with opacity on fundoscopic examination
Check visual acuity
Webber
Definition
MONONUCLEOSIS patient had post cervical adenopathy and pharyngitis what else do you expect
SPLENOMEGALY
Otitis Media 4 years old what do you assess for consequences
Check language development
ADHD 2 years old cries when leave him, always carried, acts out
TANTRUM
OM adult what could happen if he does not take the antibiotics
MASTOIDITIS
Patient has a dentist appointment in 4 days but overnight he gets high fever and swelling in tooth
Go to Dentist ASAP
Sudden eye pain and visual acuity change
Refer asap to an
ophthalmologist.
GANGLION CYST
Picture
MONGOLIAN SPOT
Describe
Macrolide interaction with TEGRETOL
BACTRIM /SULFA
Arteries and veins in eye
- Arteries are lighter/ brighter
- smaller
- veins are darker and wider.
Picture of the eye and select which one shows MD
COTTON WOOL SPOTS
Asthma and stage 1 treatment
A
Asthma and stage 2 treatment
B
Asthma and stage 3 treatment
C
Asthma and stage 4 treatment
D
Asthma and stage 5 treatment
F
Peak flow meter measurement is measured by
- HEIGHT
- AGE,
- GENDER
(HAG)
Patient shows up with very sick symptoms and diagnosed with Pneumonia, chose what would you do
CBC/BMP, X-ray
treat right away without having the results for culture yet
Rotator cuff with impingement
Ice, rest, NSAIDS, (should sling to immobilized or pt physical therapy).
Grade 2 ankle sprain
A
Plantar fasciitis (2)
orthostatics, plantar stretching, nsaids and night splinting.
POP and lock with knee, possible meniscus tear choose best 3 assessments
- Lachman (ACL)
- Mcmurray (meniscus)
- Valgus stress test (knee)
- MRI
- Apley.
GOUT
A
Which patient do you treat with methotrexate (3)
- Ulnar deviation
- Swan neck (RA).
Dexa score
-1 and increase = normal
Osteopenia
Dexa -1.5 to -2.5
Osteoporosis
Give Calcium and Vitamin D 1200 mg
HTN after changing meds when do you follow up
1 MONTH
Metabolic syndrome include
HYPERLIPIDEMIA
Macular degeneration (patient cannot take their blood pressure meds because he can see the numbers)
TELEHEALTH
TANNER STAGE MENARCHE BEGINNING
Stage 4
What in a UA shows kidney damage
RBC CAST
NOT SCREENING IS RECOMEMDED
PSA
PATIETN IS AT RISK FOR TESTICULAR CANCER
Cryptorchidism
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
BPH (BENIGN PROSTATIC HYPERPLASIA) what to give for fast response
FLOMAX
BPH (BENIGN PROSTATIC HYPERPLASIA) herbal remedy
SAW PALMETTO
For hot flashes menopause
BLACK COHOSH
XHANTHELASMA what it is
CHECK LIPID PANEL
HERPES ZOSTER what it is looks like
A
How does oral contraception work
Inhibits hormones that causes ovulation
- Breastfeeding mother best form of contraception
IUD
What would you check for a 36 weeks pregnant
- 3 STDs
- UA
UTI treatment for pregnant patient
CIPRO
Treatment for STREP
PCN V
Allergy to PCN give MACROLIDES and if it is allergic TO macrolides give
DOXYCICLINE
URIC ACID levels.( Uric acid levels can vary based on sex
- women are 2.5 to 7.5 (mg/dL)
- men 4.0 to 8.5 mg/dL
FOLICULITIS treatment
ERYTHROMYCIN
Short anticholinergic
SABA, ICS, Oxygen
(SSIO)
COPD TX in order (drop box)
Test screening to order in a healthy man of 55y/o that has never went to a doctor
Colonoscopy, PSA & Lipids
CPL
