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HD > week 2 > Flashcards

week 2 Flashcards

1
Q

what PE finding might there be with ADHD?

A

difficulty with rapid alternating movement

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2
Q

what is methylphenidate used for?

A

1st line therapy for ADHD

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3
Q

what is atomexetine used for?

A

2nd line therapy for ADHD

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4
Q

what are guanfecine and clonidine used for?

A

3rd line therapy for ADHD

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5
Q

what is the major side effect of the psychostimulants?

A

dec. growth velocity

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6
Q

what is the M CHAT screening used for?

A

autism

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7
Q

what is the vanderbilt screening used for?

A

ADHD

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8
Q

what is risperidone used for?

A

autism spectrum disorders
atypical antipsychotic
can also use aripiprazole

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9
Q

what drug is used with autism spectrum repetitive behavior, anxiety, depression?

A

fluoxetine

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10
Q

what 4 immunizations do adolescents/teens receive?

A

flu, Tdap, meningitis, HPV

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11
Q

what is primary prevention?

A

remove risk factors for disease

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12
Q

what is secondary prevention?

A

early detection and tx of disease

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13
Q

what is tertiary prevention?

A

reduce complications of disease

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14
Q

what things are considered clinical prevention?

A

immunizations, screening, lifestyle changes, medication

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15
Q

when should you do AAA screening?

A

M >65-75, w/ hx of smoking

NOT IN WOMEN who have never smoked

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16
Q

when do you start breast cancer mammography and how often?

A

W >50, biennially

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17
Q

when do you start colorectal cancer screening?

A

> 50 yo-75 yo

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18
Q

when do you do a hepatitis screening?

A

if risk factors or

anyone born 1945-65 (50-70 yo)

19
Q

when do you do lung cancer screening?

A

55-80 yo, anyone that has a 30 pack year hx and stopped smoking in past 15 years

20
Q

when do you start osteoporosis screening?

A

> 65 or at risk

21
Q

when do you start aspririn regimen?

A

M >45 and W > 55 with risk factors for CAD, stroke

22
Q

is it recommended to get a testicular cancer screen and PSA?

A

NO

23
Q

when should you start checking BP?

A

> 18 yo

24
Q

when should you screen for diabetes

A

BP >135/80 regardless of treatment

25
Q

when should you start lipid screening?

A

M > 35, W >45 with hd risk factors

26
Q

when should you provide skin cancer prevention?

A

counseling only in fair skin people 10-24 yo

27
Q

for the TUG test, > 12 seconds means what?

A

inc. risk for falling

28
Q

what is the stance for preventing falls by USPSTF in community dwelling adults > 65?

A

recommend exercise or physical therapy and Vit D supplementation

29
Q

Katz scale is for?

A

assess ADLs

30
Q

Lawton scale is for ?

A

IADLs in community dwelling adults

31
Q

piaget focused on what?

A

cognitive development

32
Q

Kohlberg focused on what?

A

moral development

33
Q

freud and erikson focused on what?

A

psychosocial development

34
Q

what are normative age graded influences?

A

events that correlate with chronological age

ie things that normally happen during different ages (marriage, school, occupation)

35
Q

what are normative history graded influences?

A

correlate with historical times (war, tech, epidemics)

36
Q

what are non normative life events?

A

trauma, job loss, financial loss, etc.

37
Q

werner syndrome has a mutation in what gene?

A

WRN Chr8

38
Q

when do you start seeing symptoms of werner syndrome?

A

Normal development until puberty, when they lack growth spurt, then you get accelerated aging from age 20 till median age of death of 56 years usually from MI or cancer

39
Q

what symptom is associated with werner syndrome?

A

cataracts

other aging disorders as well

40
Q

what is the classic progeria syndrome?

A

hutchinson-gilford progeria syndrome

41
Q

what is mutated in hutchinson-gilford syndrome

A

LMNA-> inc. progerin -> structural abnormalities and fragility of nuclei ->genomic instability

42
Q

when do you start seeing symptoms of hutchinson-gilford syndrome?

A

Growth restriction by 6 months, degeneration of cutaneous, musculoskeletal and CV systems, baldness, pinched features. Median age of death is 14 generally from CHF or MI.

43
Q

are symptoms of old age associated with hutchinson-gilford?

A

no

HD (7 decks)

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