Study guide Questions Flashcards
What is not used in the tx of migraine headaches?
Verapamil — used to tx cluster headaches!
verapamil causes vasodilation which would exacerbate a migraine headache but since cluster headaches are due to vasoconstriction it fixes these
Can you prescribe triptan medications for migraine tx to patients with HTN?
NO!. Triptans cause VASOCONSTRICTION.
what is the treatment for positional vertigo
antihistamines: Meclizine (Antivert) or promethrazine, dimenhydrinate
Anticholinergic (scopolamine)
What is the most common characteristic found in patients with migraine headache
Family hx (80% have a positive family hx)
what finding would not warrant further investigation into a headache
Relief with common analgesics
What causes headaches in meningitis
inflammation of the meninges
flat affect no facial movement
parkinsons
What is the term used to describe the active resistance to passive motions associated with Parkinson’s?
Lead pipe rigidity
Which CN are responsible for ocular movement
CN3,4,6
T/F?? Nausea & Vomiting are associated with tension headaches
FALSE.
NO N/V in tension. Only in migraine and tumors, Increased ICP
What is Munchausen by proxy?
Munchausen syndrome by proxy (MSBP) is a mental health problem in which a caregiver makes up or causes an illness or injury in a person under his or her care, such as a child, an elderly adult, or a person who has a disability. Because vulnerable people are the victims, MSBP is a form of child abuse or elder abuse.
Pt who are bulimia, what is their typical weight status?
average or NORMAL weight.
Common side effects of SSRI?
Sexual dysfunction
Which medication is not used in treating depression?
a. Buspar
b. Fluoxetine
c. Amitriptyline
D. Bupropion
A. Buspar – anxiety medication
b= SSRI, C = TCA, D
Which of the following is an abnormal finding for aging skin?
a. Cherry angiomas
b. Sebheroeric keratosis )
c. Dermatophytes??
d. other skin thing.
C. Dermatophytes = NEVER NORMAL
Risk factors for Tinea Capitis?
Daycare attendance
Contact with infected items (combs, brushes, hats)
Poor hygiene
Diabetes
Tinea capitis = fungal of head
Why is benzoyl peroxide used in combination with erythromycin to treat acne?
Decreases the risk of resistance to erytromycin
What is a Dermatophyte
Dermatophyte a pathogenic fungus that grows on skin, mucous membranes, hair, nails, feathers and other body surfaces, causing ringworm and related diseases
what is a keloid?
hypertrophic scars that extend beyond the original wound margin
The finding of a dome-shaped in the dermis that forms a benign closed, firm sac attached to the epidermis is:
a. Keloid
b. A tophi
c. A cutaneous cyst
d. Chondrodermatitis
C. Cutaneous cyst
Which of the following skin assessment finding is NOT normal in aging process?
a. Xerosis
b. Cherry angiomas and senile purpura
c. Senile keratoses and senile lentigines
d. Dermatophytoses
Dermatophytoses!
Treatment for atopic dermatitis? (Pharm)
topical corticosteroids (cream preferred) *lowest potency that controls symptoms
Low dose:
- alclometasone dipropionate
- flucinolone acetonide
- hydrocortisone butyrate
inflammatory disorder of the dermis that develops silvery, scales and pruritus?
Psoriasis
where is psoriasis typically found?
extensor surfaces (outer elbows, knees, scalp, gluteal cleft, fingernails)
Palms & Soles of hands/feet!
what is a positive auspitz sign and what does it indicate?
Pinpoint bleeding when lesions are scraped = psoriasis
what is the apparance of basil cell carinoma?
pearly domed nodule!
we use the mneumonic ABCDE & HARMM to assess what type of skin cancer?
malignant melanoma - most deadly
how does psoriasis present?
positive auspitz sign
pruritus
pitted nails
Where are janeway lesions primarily located?
palmer hands and feet
indicated endocarditis
where are osler nodes located?
Tips of fingers and toes
sign of endocarditis
What is the reversal for pradexa (dabigatran)?
Praxbind (idarucizumab)
what body system do we need to make sure to assess in down syndrome patients?
Caridac… more at risk for congenital heart defects
A patient comes in with digoxin levels at a normal level, two weeks later the patients levels have dropped, what medication could be responsible for the drop?
antacids (aluminum hydroxide, calcium carbonate, magnesium hydroxide)
Patient missed yesterday’s dose and todays dose of 5mg Coumadin, what should you instruct him to do?
Take next dose when due, notify MD
<12 hours = take dose and continue on. INR in 1 week
>12 hours = take next dose at time due. Notify MD. INR in 3-7 days
In transposition of the great arteries, what is the purpose of prostaglandin?
to produce vasodilation and provide adequate oxygenation
slows down the closing of the ductus arteriosus and PFO allowing O2 blood to cross from pulm circulation to systemic through congenital pathway
Which cardiac problem is associated with chest pain and JVD?
CHF?
How is a diagnosis of varicose veins made?
Clinical presentation
Trendelenburg maneuver
How do you perform the trendelenburg maneuver and what does this assess?
Assess valves of peripheral veins that cause varicose veins
supine legs 90 degrees, occlude greater saphenous then have pt stand to map veins