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PANCE review > this is it! > Flashcards

this is it! Flashcards

1
Q

number of points of apgar score?`

A

10 (HR, RR, Muscle tone, response to stim, color of extremities

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2
Q

pt is acutely dealing with a kidney stone, help them out by

A

giving them pain meds

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3
Q

Cardiogenic shock markers

A

increase in systemic resistance, increase in BUN

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4
Q

septic shock markers

A

decreased preload, decreased systemic resistance , ALP will be high

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5
Q

horrible HA, LOC and shows up in ER, you must think

A

subarchnoid hemorrhage

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6
Q

SAH, regained consciousness, what symptom will he still have?

A

confusion and irritable

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7
Q

autoimmune dz, pain in shoulder and pelvis griddle, but NO WEAKNESS

A

polymyalgia rheumatic (MYALGIA) think joint aches

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8
Q

autoimmune dz, causes proximal muscle weakness

A

POLYMYOSITIS

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9
Q

harsh holosystolic murmur heard best at the LSB with a fixed S2

A

VSD

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10
Q

schizo with depression what med

A

Carbamazeprine (tegretol)

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11
Q

sickle cells are usually asymptomatic, but during extreme conditions they may experience

A

painless hematuria and are at a risk of rhado

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12
Q

how does pericardial pain differ from MI pain

A

pericarditis is much more stabbing and sharp

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13
Q

palpable parasternal lift, harsh systolic murmur that radiate to the left shoulder, ECG show right axis deviation

A

pulmonic stenosis

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14
Q

can aspirin and NSAID cause an asthma attack

A

hell yes!!

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15
Q

best imagining for stress fx

A

bone scan

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16
Q

condylomata acuminata highest risk for what lady cancer

A

cervical

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17
Q

Rh negative is most common in what population

A

whites

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18
Q

scattered discrete macules with an orange-red greasy scale

A

facial seborrhea

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19
Q

tx facial seborrhea with?

A

hydocortisone cream

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20
Q

what is the most common electrolyte SE of ACE inhibitor?

A

hyperkalemia

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21
Q

anytime urinary obstruction may be a factor, get a post void residual volume. good for neurogenic bladder dx too

A

and that is a fact

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22
Q

punched out lytic lesion

A

MM

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23
Q

MM lesions are best seen on what imagine

A

plain x-ray

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24
Q

child had URI 2-3 weeks ago, now has sore knee +

A

transient synovitis, treatment is symptomatic

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25
Q

foul smell sputum and lots of it, chronic productive cough

A

bronchiectasis

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26
Q

epigastric pain that is relieved by sitting up and forward?

A

pancreatic cancer pain

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27
Q

T score -2 or less, should be scanned how often

A

1-2 years

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28
Q

T score -1.5 should be scanned every

A

5 years

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29
Q

t score -1.5 to -2.0 should be scanned every

A

3 years

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30
Q

hx of Barretts, pain with swallowing, continuation of drinking and smoking and regurgation, most likely has?

A

Even though he has Barrett’s these are serious symptoms that warrant ESOHAGEAL CANCER

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31
Q

hemolytic anemia + elevated LDH with normal Pt and PTT, however pt has fever, petechiae and HA

A

TTP

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32
Q

purpura, pallor, gingival bleeding, normocytic normochromic anemia—

A

think chronic dz-aplastic anemia

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33
Q

intermittent chest pain + midsyslic click

A

mitral valve prolapse

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34
Q

most common bug in osteomyeltitis in sickle cell pt?

A

Stap. aureus

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35
Q

tx of s. aureus osteomyelitis

A

fluoroquinolone for 4 wks- 6wks (CIPRO)

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36
Q

most common site of Crohns?

A

Terminal Ileum

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37
Q

tx of a pneumo if less than 15% and no sign of tension pneumo

A

outpatient tx with bed rest

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38
Q

complication of tracheal intubation

A

tracheal stenosis, unable to clear secretions, can occur weeks or months after trauma

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39
Q

allergy eye dz tx

A

cold compresses, topical histamine

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40
Q

risk factors for cataracts

A

STEROIDS, DM, uvetitis and sun

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41
Q

tx for sialadenitis?

A

IV antibiotics, hydration, warm compresses, gland massage

42
Q

bluish lacy rash on lower extremities when cold

A

vasomotor instability Livedo reticularis

43
Q

will spontaneous pneumos recur?

A

YES 30 % of time, place noxious agent, alter pleura surface to help prevent

44
Q

most reliable EKG finding for ischemia

A

ST depression

45
Q

most reliable EKG finding for infarction

A

ST elevation

46
Q

how do optic neuritis and uvetitis differ in the presentation

A

uvetiits is more painful

optic neuritis: ocular movement causes more pain, loss of color vision, and afferent pupillary defect

47
Q

American DM association say to do a fasting BG if:

A

> 45yo, BP is >135/80, >BMI of 25 and other obvious risk factors

48
Q

is bell’s palsy associated with pre auricular ear pain

49
Q

what is the tilt test

A

helps to evaluate syncope due to vasovagal event

50
Q

when do acute hemolytic reactions occur?

A

within minutes to hours of the transfusion

51
Q

tx fever and chills 5 days after blood transfusion

A

watchful waiting

52
Q

testing for lactose intolerance

A
  1. 2 week dairy free trial

2. hydrogen breath test

53
Q

acute dislocation of TMJ

A

use benzo (10mg diazepam)

54
Q

may have irritative voiding symptoms, pain starts in the scrotum and radiates along the spermatic cord or to the flank

A

epididymitis

55
Q

what GU infection in men will have systemic symptoms

A

Prostatitis

56
Q

initial tx for mild to moderation OA

A

acetaminophen

57
Q

Olanzapine with fluoxetine can be used to treat

A

bipolar depression

58
Q

lesion found on the bucca mucosa

A

aphthous ulcer

59
Q

elevated TSH and elevated T3 & T4?

A

pituitary adenoma

60
Q

starts with prodrome of cough, fever, and kOplick spots ion the bucca mucosa. Then rash starts on face and moves down body, the rash changes color and flakes off

A

Rubeola -Measles

61
Q

no prodrome, enlarged lymph and rash the starts on face and spreads inferiorly within 24 hrs

62
Q

radial nerve supplies the _____

A

dorsal hand

63
Q

median nerve supplies the

A

palmar aspect of the hand

64
Q

ulnar nerve supplies the

A

4th and 5th finger

65
Q

is opening pressure high in bacteria or viral meningitis?

66
Q

what type of meningitis is more acute

67
Q

define braxton hicks contractions

A

last couple of wks of pregnancy, cervix is still fully CLOSED

68
Q

posterior artery stroke

A

contralateral sensory loss

69
Q

middle artery stroke

A

contralateral sensory loss and weakness

70
Q

ransom criteria for poor outcome of pancreatitis

A

wbc >16000
bg >200
LDH>350

71
Q

myerson

A

parkinson dz-blinking

72
Q

women who are aovulatory, have unopposed estrogen, since progesterone is only released once ovulation occurs, does this promote or inhibit proliferation of endometriosisi

A

increases risk for endometrial hyperplasia

73
Q

what are TSH and T4/yT3 levels like in a thyroid storm

A

can be normal

74
Q

symptoms of thyroid storm

A

tachycardia, agitation, vomiting, diarrhea. TX with fluids and cooling

75
Q

best test to differentiate sinus infection from a tumor

76
Q

tx for hepatorenal syndrome due to alcoholic liver disease

A

pentoxifylline

77
Q

medication for acute hep

A

immuneglobin

78
Q

medication for chonic hep

A

pegylated interferon

79
Q

cotton wool spots

A

retinal hemorrhage

80
Q

child with severe bronchiolitis meets criteria for hospitalization, what other treatment can be provided

A

humidified air and ribavirin

81
Q

rule about placenta previa

A

no speculum exams

82
Q

perioral dermatitis is treated with

A

metronidazole

83
Q

treatment for recurrent aplastic anemia and spherocytosis

A

splenectomy

84
Q

normal optic pressure

85
Q

increased retic count in what anemia

86
Q

sequela of meningitis

A

hearing loss

87
Q

med for postherpatic neuralgia besides gabapentin

A

Antidepressants: ortriptyline (Pamelor), amitriptyline, duloxetine (Cymbalta) and venlafaxine (Effexor XR)

88
Q

treatment for erectile dysfunction

A

Phosphodiesterase-5 inhibitors, antidepressants, and tramadol

89
Q

de querivan what tendon

A

abductor pollis

90
Q

se of sulfasalazine

91
Q

what type of renal disorder has high urine sodium and low BUN/creat ratio?

92
Q

give acetylcysteine before contrast to…prevent

A

acute tubular necrosis

93
Q

steep rise in CK to a level of 5x normal, false blood dip stick

94
Q

treatment for metabolic alkanosis

A

acetazolamide

95
Q

most common leukemia with smudge cells

96
Q

SE of zidovudine (AIDS tx)

A

pancreatitis

97
Q

methylmalonate and homocysteine level test for

A

B12and folate

98
Q

neuropathy is a B12 or folate issue

99
Q

some lovers try position that they cannot handle

A

start on the lower row thumb side across 4 and then back the 2nd row thumb side, 4 more

100
Q

treat shigella (which is blood and mucus) with

101
Q

polymyositis serologic marker

102
Q

posterior pituitary hormones

A

vasopressin (ADH) & oxytonin

PANCE review (19 decks)

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