Quiz 2 Flashcards
Which one of the following medications should be started at a low dosage and titrated slowly to
minimize the risk of Stevens-Johnson syndrome?
Lamotrigine is an anti-epileptic medication that is often used in bipolar disorder. It can cause
Stevens-Johnson syndrome, which is a severe disorder of the skin and mucous membranes. This most
commonly occurs in children or when the drug is initiated at a high dosage, and is also more likely to occur
in patients taking divalproex. To decrease the risk of Stevens-Johnson syndrome, it is recommended that
lamotrigine therapy be started at a dosage of 25 mg daily and titrated every 2 weeks until the goal dosage
is reached.
erythema toxicum neonatorum
2-day-old infant reveals flesh-colored papules with an erythematous base
located on the face and trunk, containing eosinophils
merican Urological Association guidelines define asymptomatic microscopic hematuria as
≥3 RBCs/hpf on a properly collected urine specimen in the absence of an obvious benign
70-year-old male with widespread metastatic prostate cancer …symptom relief. ….experiencing respiratory
distress.
Dyspnea is a frequent and distressing symptom in terminally ill patients.In the absence of hypoxia, oxygen
is not likely to be helpful. Opiates are the mainstay of symptomatic treatment and other measures may be
appropriate in specific circumstances. For example, inhaled bronchodilators or glucocorticoids may be
helpful in patients with COPD, and diuresis may be helpful in patients with heart failure.
82-year-old male crampy lower abdominal pain and bloody diarrhea.
previous history of vascular
dementia, peripheral artery disease, hypertension, and hyperlipidemia
nasogastric aspirate is negative
ischemic colitis, given his abdominal pain, bloody diarrhea, and
cardiovascular risk factors.
Peptic ulcer disease is unlikely because the nasogastric aspirate
was negative. Diverticular bleeding and angiodysplasia are painless. Infectious colitis is
associated with fever.
inhaled corticosteroids
Inhaled corticosteroids increase the risk of bruising, candidal infection of the oropharynx, and pneumonia.
They also have the potential for increasing bone loss and fractures. They decrease the risk of COPD
exacerbations but have no benefit on mortality and do not improve FEV1 on a consistent basis.
A 56-year-old male complains of daily early awakening
became apathetic. feeling of hopelessness
A Patient Health Questionnaire 9 (PHQ-9)
5-year-old chronic nocturnal
limb pain. his calf pain, family history of juvenile
rheumatoid arthritis in a distant cousin.
benign nocturnal limb pains of childhood crampy pains often occur in the thigh, calf, or shin children 4–6 years of age may continue up to age 19.without
limping or other signs of inflammatory processes.
The erythrocyte sedimentation rate and CBC are normal indicated in patients with chronic joint pain to rule out malignancy or
infection
