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Advanced Clinical Reasoning > SP Encounter #1 > Flashcards

SP Encounter #1 Flashcards

1
Q

Tx for otitis media

A

Amoxicillin

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2
Q

Tx for otitis externa

A

Aminoglycosides / Ciprofloxacin

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3
Q

Tx for chronic otitis media

A

Ofloxacin

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4
Q

Tx for pharyngitis

A

Penicillin
Amoxicillin
If PCN allergic, give cephalosporin
If anaphylactic, give macrolide or clindamycin

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5
Q

Meniere’s Dz Tx

A

Salt restriction and diuretics

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6
Q

DDX for fatigue

A 
Cancer
Hypothyroid
Anemia
Mononucleosis
Malabsorption
Depression
Diabetes
Sleep apnea
Anxiety
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7
Q

Anemia PE findings

A 
Conjunctiva have pallor
Nail beds have pallor
SOB; tachycardia
Delayed cap refill
Petechiae
Jaundice
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8
Q

Diabetes PE findings

A 
Edema
Hair/nail changes
Eye exam 
Diminished peripheral pulses
Gait
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9
Q

Tx for hyperthyroidism

A 
Methimazole
PTU
Radioactive Iodine Ablation
Surgical Removal
Come back in 4-6 wks to recheck TSH and free T4
May give Beta Blocker as adjunct
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10
Q

Risk factors for thyroid cancer

A 
Head/neck radiation
Fam hx of thyroid cancer
irregular borders
> 1.5 cm 
Hoarseness, vocal cord paralysis
Rapid growth
Calcifications
Dysphagia
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11
Q

Common causes of anemia

A 
PCOS
GI bleed
Menses
Pregnancy
Drugs
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12
Q

Symptoms of anemia

A

Dyspnea on exertion
SOB
Palpitations
Fatigue

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13
Q

Labs for Iron Deficiency

A 
Low MCV
Low Iron
Low Ferritin
High TIBC
High Platelet
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14
Q

Stepwise Tx for Asthma

A
  1. SABA
  2. Low dose ICS
  3. Low dose ICS + LABA
  4. Med dose ICS + LABA
  5. High dose ICS + LABA
  6. High dose ICS + LABA + oral CS
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15
Q

Stepwise Tx for COPD

A
  1. SABA (or ipratropium)
  2. LABA (or tiotropium)
  3. ICS
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Advanced Clinical Reasoning (8 decks)

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