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Brain Dump > SM 3 > Flashcards

SM 3 Flashcards

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1
Q

CN 1

A

olfactory

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2
Q

CN x

A

vagus nerve

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3
Q

CN IV

A

trochlear nerve

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4
Q

which heart valve is most likely to be affected by. IV drug abuse

A

tricuspid

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5
Q

What are the lung cancer screening guidelines:

A

Adults 50 to 80 years who have a history of 20 packs per year AND currently a smoker OR quit in the past 15 years

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6
Q

the patient is having hearing loss in the right ear. The patient has Meniere’s disease…what would be found on the weber test?

A

tuning fork lateralized to the left ear

in sensorineural hearing loss, the sound lateralizes to the unaffected ear

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7
Q

What does the Watson test test?

A

wrist instability near the scaphoid bone

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8
Q

Allopurinol has a black box warning for….
what should you also monitor?

A

bone marrow suppression

monitor:
cbc
renal
liver

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9
Q

What is outpatient treatment for pyelonephritis?/

A

fluoroquinolone

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10
Q

what drug class is chlorthalidone?

A

thiazide diuretic

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11
Q

What are the 4 main risk factors for cholecystitis?

A

-female
->40 years
-overweight
-fertile

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12
Q

/What are risk factors for preterm birth?

A

<18 years
>35 years
alcohol
history of premature birth
placenta previa
current multiparous pregnancy
shortened cervix
being african american

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13
Q

Grade I sprain
Grade 2
Grade 3

A

1: microscopic tear that resolve with rest
2: larger through ligament
3: complete tear of ligament and needs referral….BEING UNABLE TO BEAR WEIGHT IS GRADE 3

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14
Q

Describe and essential tremor
what makes it worse
what makes it better

A

tremor with intention; improves with rest

Helps: regular physical activity, betablockers, ETOH

Worsens: caffeine, stress, sexual excitement

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15
Q

A 23 y/o F pt presents to the clinic for continued issues with depression. She has been taking escitalopram (Lexapro) for the last 6 months with only marginal relief of symptoms. Her PMH includes: migraine with aura & tonic clonic seizures. Which med option for depression would be least appropriate?

a. zoloft
b. venlafaxine (Effexor)
c. Citalopram (Celexa)
d. Wellbutrin (Bupropion)

A

Wellbutrin increases the likelihood of seizures

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16
Q

Ephelides vs Lentigines

A

Ephelides: freckles

Lengtigines: sun exposed areas; tan flat macules with moth eaten borders

17
Q

What supplement should be avoided in patient’s with asthma?

A

echinacea

18
Q

For males, what tanner stage does a growth spurt occur?

A

tanner stage 3

19
Q

What age do infants develop hand dominance?

A

11 months

20
Q

Thalassemia leads to a potential excess of ____ in the blood

A

iron

d/t amount of transfusions required in crease intestinal absorption of iron

21
Q

A 57 year old male patient is currently being treated for heart failure, diabetes mellitus and hypertension. Recently, he has been having new issues with blurred vision and frequent headaches. His blood pressure at today’s visit is 154/78, and he is currently taking Enalapril (Vasotec), Furosemide (Lasix) and Metoprolol (Lopressor). Which of the following medications would be the most inappropriate to add to this patient’s current regimen?

a. Amlodipine (Norvasc)
b. Hydrochlorothiazide (Microzide)
c. Increased Furosemide (Lasix) dosing
d. Hydralazine

A

amlodipine (Norvasc)

contraindicated in heart failure

22
Q

A 45 year old female returns to the clinic for a follow up on the clusters of erythematous, warm to the touch pustules. They are tender to palpation on her arm and her trunk. She declined oral antibiotics at the last visit and has been utilizing mupirocin (bactroban) without improvement. Which of the following would be the most appropriate medication for the nurse practitioner to prescribe today?

a. Sulfamethoxazole-Trimethoprim (Bactrim)
b. Cephalexin (Keflex)
c. Clindamycin (Cleocin)
d. Rifampin (Rifadin)

A

Cephalexin (Keflex)

pt has persistent folliculitis; can use oral abx if Bactroban isn’t working

23
Q

What can be protective against ovarian cancer?

A

oral contraceptives for 5+ years
tubal ligation/hysterectomy
breastfeeding for more than 1 year

(these women ovulate less)

24
Q

What can 6 months old infants be expected to do?

A

double birth weight
roll in both directions
lose palmar grasp
Play peek a boo

25
Q

when does stranger anxiety appear?

A

9 months

26
Q

when does a baby triple their birth weight?

A

12 months

27
Q

when does hand dominance develop?

A

10 to 11 months

28
Q

Who has a <5mm TB cut off?

A

immunocompromised (eg renal failure, chemo..)
HIV
those in contact with someone with TB

29
Q

who has a <10mm cutoff for TB?

A

homeless
immigrants
healthcare workers

Brain Dump (22 decks)

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