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Test 4 > Study guide q's > Flashcards

Study guide q's Flashcards

1
Q

What diet is this for?
No caffeine, tomatoes, spicy foods, fatty foods, chocolate, soda, peppermint
Small meals
Avoid food 4 hrs before bed

A

GERD and Gastritis

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2
Q 
What diet is this for?
Low carb, high fat, high protein
Fluids outside of meals
Raise HOB during meal
Lay flat after meal
A

Dumping syndrome

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3
Q

What diet is this for?

High fiber, low fat

A

Diverticulosis

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4
Q 
What diet is this for?
Low fiber
Low roughage
30% calories from fat
Avoid: enemas, laxatives
maybe NPO to rest bowel
A

Diverticulitis

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5
Q 
What diet is this for?
Low residue
Low fiber
high calorie
No beans, asparagus, broccoli
No lactose 
NPO if severe
A

IBD

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6
Q

What disease…

Steatorrhea

A

Crohn’s and IBD

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7
Q

What disease…

Hyperglycemia

A

Dumping syndrome

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8
Q

What disease…

LLQ pain

A

Diverticulitis

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9
Q

What disease…

Fistulas

A

Crohn’s

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10
Q

What disease…

Pain relieved with food

A

Duodenal ulcer

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11
Q

What disease…

Pernicious anemia

A

Chronic Gastritis

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12
Q

What disease…

Pain during and right after eating

A

Peptic ulcer

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13
Q

what commonly causes esophageal cancer

A

Barrett’s esophagitis

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14
Q

what class?

famotidine

A

H2 blocker

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15
Q

What disease…

Wavelike abdominal pain

A

GERD

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16
Q 
What disease...
normal squamous (skin-like) mucosa of the esophagus is changed to an intestinalized columnar (intestine-like) mucosa.
A

Barrett’s Esophagitis

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17
Q

what class?

omeprazole

A

PPI

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18
Q

what class?

metoclopramide

A

Prokinetics

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19
Q

Barrett’s Esophagitis is a complication of what?

A

GERD

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20
Q

what class?

sucralfate

A

Mucosal barriers “-fate”

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21
Q

what class?

metronidazole

A

PrevPac

Treatment for H. pylori

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22
Q

vertigo, fullness, syncope, sweating, pallor, palpitations, tachycardia are symptoms of….

A

dumping syndrome

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23
Q

what class?

pantoprazole

A

PPI

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24
Q

What is Obtunded?

A

responds to loud stimuli

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25
Q

Decorticate

A

towards body, injury in medulla, interruption of spinal pathways, before/after herniation, small
reactive pupils

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26
Q

What class?

tetracycline

A

PrevPac

Treatment for H. pylori

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27
Q

List the three things in Cushing’s Triad

A

bradycardia, irregular respirations, hypertension with widening pressure pulse

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28
Q

What disease…

chest pain, SOB, epigastric discomfort, nocturnal cough

A

GERD

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29
Q

Decerebrate

A

away from body, injury to brain stem, late stage, proceeds to brain death, fixed pupils
Comatose

30
Q

What class?

ampicillin

A

PrevPac

Treatment for H. pylori

31
Q 
Name the problem...
Changes in LOC
Decreased motor function
Hemiparesis
Hemiplasia
A

increased ICP

32
Q

What class?

lansoprazole

A

PrevPac

Treatment for H. pylori

33
Q

What class?

mesalamine

A

Salicylates

to treat acute exacerbations and prevent recurrence of IBD

34
Q

What should you monitor for when patient is taking antidiarrheals?

A

Monitor for toxic megacolon

35
Q

Name the cause…

Cushing’s Triad

A

increased ICP

36
Q

WHat class?

A

Immune modulators “-mab”

37
Q

Number in glasgow coma score for comatose?

A
38
Q

Gold standard in diagnosing diagnosing basilar skull fractures?

A

You need to go by clinical signs. X-ray won’t help

39
Q

Raccoon eyes

A

this refers to a periorbital (around the eyes) bruising, and is a result of blood tracking down from the skull fracture site to the soft tissue around the eyes.

40
Q

Does CSF have glucose in it?

A

YES

41
Q

Halo sign

A

dab blood on tissue and CSF will move faster outwards making a ring around the blood

42
Q 
What is it?????
severe headache
photophobia
fever
nausea
nuchal rigidity
A

Meningitis

43
Q

Battle’s sign

A

ecchymosis behind ears, periorbital ecchymosis (raccoon eyes), rhinorrhea (CSF out
of nose), otorrhea (CSF out of ears)

44
Q

Cranial nerve palsies

A

many of the cranial nerves run nearby enough to be injured or compressed by a fractured base of skull.

45
Q

Why care about beta-2-transferrin?

A

This protein is only found in CSF, so if you are finding it in fluid coming from the nose or ears, you have a CSF leak.

46
Q

How to test for Meningitis

A

lumbar puncture

47
Q

Mannitol is used for…

A

ICP

48
Q

These drugs are used for….
Vasopressin
Nitroglycerin
Nadolol, propranolol

A

Esophageal varices

49
Q

SE gingival hyperplasia

A

?????

50
Q

Carotid Endarterectomy

A

removes clot, monitor for swelling (can occlude airway)

51
Q 
Stroke...What Side?
Affects language, math skills, analytic thinking
Aphasia
Dyslexia
Agraphia
Acalculiasubtracting
Right hemiplasia
A

Left

52
Q

Jaundice and pruritis caused by what?

A

Increased bilirubin

53
Q

Liver biopsy happenings….

A

Sitting up
Right arm raised
Hold breath

54
Q

Subarachnoid precautions

A

darken room, minimize noise, avoid neck and hip flexion, no straining

55
Q 
Stroke...What Side?
Unaware of deficits
Disoriented to time/place
Personality change, impulsivity
Poor judgment
Left hemiplasia
A

Right

56
Q

These drugs are used for….
Furosemide
Spironolactone (K sparing)
Nadolol, propranolol (beta blockers)

A

Portal hypertension

57
Q

After Liver biopsy

A

Lie down on right side with pillow under costal margin
No coughing or straining
VS q 15 for 1 hr, q 30 until stable

58
Q 
What is it....
Unilateral weakness
hemianopsia
Difficulty speaking
Dizziness, loss of coordination
Sudden severe headache
A

Stroke

59
Q

These drugs are used for….
Lactulose
Rifaximin

A

Encephalopathy

60
Q

These drugs are used for….
Antivirals
immune modulators

A

Hepatitis

61
Q

Tx for what Dx?

rest, avoid ETOH, avoid meds processed in liver, give contacts immunoglobulin and vaccine

A

Hepatitis A

62
Q

Associated with…
Oral candidiasis
Oral hairy leukoplakia (OHL)

A

Aids

63
Q

Asymptomatic stage, can remain asymptomatic for….

A

10 years

64
Q

Crix belly is associated with?

A

HIV

65
Q

Tx for what Dx?

immunosuppression and antivirals

A

Hepatitis C or B

66
Q

Rejection or Infection?

A 
Fever
Jaundice
Dark urine
Clay colored stools
RUQ tender
Ascites
67
Q

Hep that has a high risk for cancer and no vaccine?

A

Hep C

68
Q

Tx for what Dx?

immunosuppression and antivirals

A

Hepatitis B or C

69
Q

Kaposi’s sarcoma

A

Aids - its a rash???

70
Q

What confirms HIV

A

Western Blot or Immunofluorescence Assay

Test 4 (8 decks)

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