SM 2 Flashcards
Signs of temporal arteritis
how to make a definitive diagnosis
jaw claudication
pain in jaw while chewing
headache
blurry vision
A patient has a cholesteatoma.
What would the Weber test show?
What would the Rinne test show?
in conductive hearing loss:
Weber: sound would lateralize to the BAD ear
Rinne: BC > AC
What is the spirometry results for intermittent and mild persistent asthma?
FEV1 >80%
What are the spirometry results for moderate persistent asthma?
FEV1 60 to 80%
What are the spirometry results for severe persistent asthma?
FEV1 <60%
When a patient has sensorineural hearing loss, what are the results of the Weber test?
sound lateralizes to the unaffected ear
A 70 y/o pt presents c/o muffled voices in right ear. The Rinne test is normal. The Weber test lateralizes to his left ear. What type of hearing loss does the patient have?
Sensorineural hearing loss in the right ear
What is the treatment for cutaneous anthrax?
Doxy or cipro for 7 to 10 days
Which act required NPs to acquire an NPI number in order to bill to medicare?
BBA
Which CN when infected with shingles virus may cause blindness?
CN 5 trigeminal nerve
A 3 y/o has had a fever for 3 days, runny nose, and red rash across the face. Today the rash is on her chest and soles of the feet.
What is the diagnosis?
Cause?
Tx?
Fifth’s disease
aka erythema infectiosum
Cause: parvovirus B19
tx: once rash appeared no longer contagious
symptomatic tx
What does fifth’s disease look like?
slapped cheek rash
lacy net rash on the body
According to AHA/ACC What is stage 2 htn?
> 130/80
where is subacromial bursitis?
shoulder
where is olecranon bursitis?
elbow
what is trochanteric bursitis?
hip
How do assess CN 9?
Glossopharyngeal nerve
patient says “ah”
How do you assess CN7
facial nerve
raise eyebrows or puff out cheeks
how do you test CN 12?
hypoglossal nerve
pt sticks out tongue and moves from side to side
What types of cancer does taking a combined oral contraceptive reduce?
endometrial and ovarian cancer
The patient has a sudden onset of eye pain, visual impairment, and seeing halos….what do you think is happening?
acute angle closure glaucoma
A 63 y/o male comes into the clinic to discuss his medications and review recent lab work. he tells the NP he is having pain that shoots down his left leg into his foot that sometimes makes his foot feel “numb and tingly” what medication would you prescribe to help with his symptoms?
The pt is having neuropathic pain
TCAs can be beneficial
EX amitriptyline (Elavil)
What supplement should be taken with methotrexate?
folic acid
this drug causes the body to excrete folic acid. You need supplement in order to prevent megaloblastic anema, low plts, and WBCs
What are treatment options for polycthemia vera?
phlebotomy for hct <45%
Hydroxyurea to slow RBC production
ASA
a 21 y/o pap smear shows atypical squamous cells that cannot exclude high-grade intraepithelial changes…what do you do next?
refer for colposcopy
What happens with mono is treated with antibiotics?
morbilliform rash
it will resolve on its own
Who cannot take an SNRI?
uncontrolled htn
concurrent use of triptans d/t risk of serotonin syndrome
liver disease
An adolescent has mono….what cancer are they are at risk for developing later in life?
Hodgkin’s lymphoma
Burkitt’s lymphoma
How to distinguish essential tremor for Parkinon’s
essential tremors occur during voluntary movements
What tanner stage does puberty start?
II
People who are at regular risk for breast cancer should begin mammograms when?
when should it be repeated?
When can it move to biannual?
start at 45 years
repeat annually
at 55 it can be every 2 years
what is the scoring system for dementia on the MMSE
> 25 = dementia unlikely
20-24 = mild dementia
13-20 = moderate
<12 = severe dementia
What is a positive screen for dementia on the Mini Cog
score 0 to 2
What is first and second line treatment for group B strep for pregnant people?
1st: IV penicillin
2nd: clindamycin or erythromycin
What should treatment for HSV with antiviral meds occur?
first 48 to 72 hours
