Top 55 dx (4)

Question 1

Hypothyroid s/sx

Answer 1

fatigue
depression
constipation
mild weight gain
dry skin
thick tongue
eyelid edema
bradycardia
goiter
cold sensitivity

Question 2

hypothyroid rx

Answer 2

levothyroxine 25 mcg PO daily

Question 3

hyperthyroid rx

Answer 3

methimazole 5 mg PO, TID

Question 4

urinary incont. women rx

Answer 4

oxybutynin 5 mg PO, qd

Question 5

urinary incont. men rx

Answer 5

myrbetriq 25 mg PO, qd

Question 6

urinary incont non pharm

Answer 6

bladder training
toileting times
pelvic floor exercises
avoid triggers (coffee, alcohol)

Question 7

UTI uncomplicated, women rx

Answer 7

uncomplicated - nitrofurantoin 100 mg BID for 5 days

Question 8

UTI uncomplicated, men rx

Answer 8

uncomplicated - nitrofurantoin 100 mg BID for 7 days

Question 9

UTI complicated, women rx

Answer 9

ciprofloxacin 500 mg BID for 7 days

Question 10

UTI complicated, men rx

Answer 10

ciprofloxacin 500 mg BID for 7 days

Question 11

vitamin D rx

Answer 11

cholecalciferol 6000 units, daily for 8 weeks then 2000 units daily for maintenance

Question 12

vitamin B12 rx

Answer 12

cyanocobalamin 1000 mcg PO once daily

Question 13

vitamin C rx

Answer 13

ascorbic acid 300 mg/day

Question 14

hoarseness

Answer 14

laryngitis -
tylenol
guafenesin 1200 mg BID prn
codeine sulfate 15 mg q4-6H prn

Question 15

fever, pharyngitis, cervical or general lymphadenopathy, malaise, rash, myalgia - dx and meds

Answer 15

mononucleosis -
tylenol
ibuprofen

Question 16

Vertigo, benign paroxysmal positional - pharm, non pharm

Answer 16

Pharm - meds not recommended but can include benzodiazepines, antihistamines, antiemetics

Non pharm - positional maneuvers; self limiting. Usually resolves in 3 weeks.

Question 17

contact dermatitis

Answer 17

localized inflammatory response that can be from a wide arrange of irritants

Question 18

localized inflammatory response that can be from a wide arrange of irritants

Answer 18

contact dermatitis

Question 19

contact dermatitis management
6

Answer 19

avoid triggers
minimize skin irritants
clean skin with luke warm water
moisturizers
OTC vasoline
topical steroid if really bad; low dose on face

Question 20

herpes zoster

Answer 20

shingles - from reactivation of varicella zoster virus that causes a painful rash

Question 21

shingles - transmission

Answer 21

can be transmitted to those who have not had chickenpox or vaccine via airborne transmission or in contact with rash before crusting

Question 22

shingles - course

Answer 22

Overall 2-6 weeks:

rash with pustules in 3-4 days; days 7-10 crusting; scarring may last for months

Question 23

shingles complications

Answer 23

postherpetic neuralgia which is pain longer than 90 days post onset of rash

Question 24

shingles tx

Answer 24

antiviral within 72 hours of symptoms (valacyclovir or famicyclovir x 7 days); NSAIDs or acetaminophen for pain; severe pain oxycodone

Question 25

shingles at home measurse

Answer 25

keep skin clean and cool
calamine lotion for rash
oatmeal bath

Question 26

shingles AG

Answer 26

get Shingrix vaccine - 50 years and older, two shots, 2-6 months apart; can get even if you’ve had or haven’t had chickenpox or shingles.

Question 27

Ptyriasis rosea

Answer 27

Self limiting skin condition that causes lesions over trunk and extremities, caused by herpes virus

Question 28

PR assessment findings

Answer 28

Herald patch then generalized rash 1-2 weeks after; salmon colored oval plaques with fine scales, mild pruritis: clears 1-2 months

Question 29

PR DD

Answer 29

Tinea corporis
Secondary syphilis
Contact dermatitis

Question 30

PR pharm

Answer 30

Oral antihistamine
Topical steroid for itching