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