SM questions Flashcards
What does medicare part B cover?
emergency ambulance
medical equipment
second opinions
outpatient visits
health prevention
What does medicare part c cover?
supplemental hearing and
vision
What does medicare part A cover?
inpatient
hospice
SNF
what does medicare part d cover?
drugs
immunizations
A patient is having excruciating pain in the side of their face and is placed on carbamazepine (tegretol)…what CN is affected?
CN 5 trigeminal nerve
An angle greater than ___ degress on xray is indicative of hallux valgus
> 15 degrees
what type of hearing loss is otosclerosis?
conductive
What CN may be effected in Bell Palsy?
CN 7 facial
What are early signs of a bowel obstruction?
High pitched BS
then they dissipate altogether
Which CN are r/t to the eyes?
CN 2
CN 3
CN 4
CN 6
-HBsAg
+ IgG anti-HBc
-IgM anti-HBc
+HBsAb
Anti-HBc is the core antibody and will always remain positive after an infection
HBsAb detects surface antibody which indicates immunity
What do high levels of AFP indicate?
When do you test for AFP
AFP levels at 16 - 20 weeks
High levels =neural tube defects
When is rhogam given?
28 weeks & 72 hours after birth if the baby is Rh +
What does a positive Coombs test indicate?
hemolytic anema
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?
Since there is ASCUS we need to test for HPV
What is a positive Chvostek sign?
what does it indicate?
Tapping the face near the ear where the facial nerve runs.
+sign = facial twitching = hypocalcemia
Describe a meniscus tear subjective and exam findings
“click” or “Locking” knee d/t inability to flex & extend fully
Delayed swelling/moderate swelling
McMurray test diagnoses
Which CN can be affect by a large cholesteatoma?
CN 7 because it may cause facial paralysis if not removed.
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
Bactrim inhibits CYP2c9 = delayed metabolism of warfarin
may need to hold or decrease dose of warfarin if on bactrim
hyperactive deep tendon reflexes are indicative of ____ toxicity
Lithium
What are the pap smear guidelines?
At 21 a routine pap every 3 years
at 30 pap every 5 years if HPV testing is done
What is triple therapy for the treatment of h. pylori?
Clarithromycin
Amoxicillin
PPI
When a patient has conductive hearing loss, the Weber sound lateralizes to….
when it’s sensorineural, it lateralizes to…
conductive = affected ear
sensorineural = unaffected ear
What are the vision changes with cataracts?
difficulty night driving
difficulty seeing at a distance
foggy/cloudy vision
What is the safest antihistamine for the elderly?
Loratadine (Claritin)
What medication can be prescribe to slow the progression of alzheimer’s?
MOA
Examples
Cholinesterase inhibitors
MOA: prevent breakdown of acetylcholine
Ex: donepezil (Aricept); rivastigmine (Exelon), galantamine (razadyne)
According to COPD GOLD guidelines, which med should be prescribed to Group B?
LABA or LAMA
Ex formoterol
In male patients what is Tanner stage II?
marks the beginning of puberty
in male patients what is Tanner stage III
penis elongates
in male patients, what is Tanner stage IV
penis grows in width
scrotum/testes enlarge and darken
What are exam findings with Fragile X syndrome?
Macrognathia (large jaw)
Scoliosis
Pectus excavatum
What is the female athlete triad?
irregular mestruation/amenorrhea
osteoporosis
restrictive eating
What are patient’s with Turner syndrome at increased risk for?
Hearing loss
Elevated LFT
HTN
DM
Osteoporosis
Renal abnormalities
hypothyroidism
What is genu valgum?
When can you expect to find it?
“knock knees”
normal from 2 to 7 years old
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?
ankylosing spondylitis
Tx: rheumatology, NSAIDS
Spine xray “bamboo spine”
What conditions can create a meconium ileus?
hypothyroidism
CF
define agnosia
patients unable to understand information in relation to their senses
