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SM questions Flashcards

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1
Q

What does medicare part B cover?

A

emergency ambulance
medical equipment
second opinions
outpatient visits
health prevention

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2
Q

What does medicare part c cover?

A

supplemental hearing and
vision

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3
Q

What does medicare part A cover?

A

inpatient
hospice
SNF

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4
Q

what does medicare part d cover?

A

drugs
immunizations

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5
Q

A patient is having excruciating pain in the side of their face and is placed on carbamazepine (tegretol)…what CN is affected?

A

CN 5 trigeminal nerve

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6
Q

An angle greater than ___ degress on xray is indicative of hallux valgus

A

> 15 degrees

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7
Q

what type of hearing loss is otosclerosis?

A

conductive

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8
Q

What CN may be effected in Bell Palsy?

A

CN 7 facial

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9
Q

What are early signs of a bowel obstruction?

A

High pitched BS
then they dissipate altogether

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10
Q

Which CN are r/t to the eyes?

A

CN 2
CN 3
CN 4
CN 6

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11
Q

-HBsAg
+ IgG anti-HBc
-IgM anti-HBc
+HBsAb

A

Anti-HBc is the core antibody and will always remain positive after an infection

HBsAb detects surface antibody which indicates immunity

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12
Q

What do high levels of AFP indicate?
When do you test for AFP

A

AFP levels at 16 - 20 weeks
High levels =neural tube defects

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13
Q

When is rhogam given?

A

28 weeks & 72 hours after birth if the baby is Rh +

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14
Q

What does a positive Coombs test indicate?

A

hemolytic anema

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15
Q

A 23 year old female calls the clinic over her recent pap smear. Her results note AS-CUS (atypical squamous cells of undetermine significance)..do you need to test for hpv?

A

Since there is ASCUS we need to test for HPV

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16
Q

What is a positive Chvostek sign?
what does it indicate?

A

Tapping the face near the ear where the facial nerve runs.

+sign = facial twitching = hypocalcemia

17
Q

Describe a meniscus tear subjective and exam findings

A

“click” or “Locking” knee d/t inability to flex & extend fully

Delayed swelling/moderate swelling

McMurray test diagnoses

18
Q

Which CN can be affect by a large cholesteatoma?

A

CN 7 because it may cause facial paralysis if not removed.

19
Q

A patient has a UTI. Her meds are warfarin (Coumadin), levothyroxine, and fluoxetine (prozac)…what medication should you NOT prescribe and why?
a. bactrim
b. macrobid
c. keflex
d. augmentin

A

Bactrim inhibits CYP2c9 = delayed metabolism of warfarin

may need to hold or decrease dose of warfarin if on bactrim

20
Q

hyperactive deep tendon reflexes are indicative of ____ toxicity

A

Lithium

21
Q

What are the pap smear guidelines?

A

At 21 a routine pap every 3 years
at 30 pap every 5 years if HPV testing is done

22
Q

What is triple therapy for the treatment of h. pylori?

A

Clarithromycin
Amoxicillin
PPI

23
Q

When a patient has conductive hearing loss, the Weber sound lateralizes to….

when it’s sensorineural, it lateralizes to…

A

conductive = affected ear

sensorineural = unaffected ear

24
Q

What are the vision changes with cataracts?

A

difficulty night driving
difficulty seeing at a distance
foggy/cloudy vision

25
Q

What is the safest antihistamine for the elderly?

A

Loratadine (Claritin)

26
Q

What medication can be prescribe to slow the progression of alzheimer’s?
MOA
Examples

A

Cholinesterase inhibitors
MOA: prevent breakdown of acetylcholine
Ex: donepezil (Aricept); rivastigmine (Exelon), galantamine (razadyne)

27
Q

According to COPD GOLD guidelines, which med should be prescribed to Group B?

A

LABA or LAMA

Ex formoterol

28
Q

In male patients what is Tanner stage II?

A

marks the beginning of puberty

29
Q

in male patients what is Tanner stage III

A

penis elongates

30
Q

in male patients, what is Tanner stage IV

A

penis grows in width
scrotum/testes enlarge and darken

31
Q

What are exam findings with Fragile X syndrome?

A

Macrognathia (large jaw)
Scoliosis
Pectus excavatum

32
Q

What is the female athlete triad?

A

irregular mestruation/amenorrhea
osteoporosis
restrictive eating

33
Q

What are patient’s with Turner syndrome at increased risk for?

A

Hearing loss
Elevated LFT
HTN
DM
Osteoporosis
Renal abnormalities
hypothyroidism

34
Q

What is genu valgum?
When can you expect to find it?

A

“knock knees”
normal from 2 to 7 years old

35
Q

patient is complaining of neck pain that is progressing down the spine. Pain keeps him awake at night. Extremely limited range of motion and hunched back.
What is this?
Tx?
Diagnosis?

A

ankylosing spondylitis

Tx: rheumatology, NSAIDS

Spine xray “bamboo spine”

36
Q

What conditions can create a meconium ileus?

A

hypothyroidism
CF

37
Q

define agnosia

A

patients unable to understand information in relation to their senses

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