Week 6 final exam prep Flashcards
1
Q
What are the diagnostic values for diabetes?
A
- A1C >/= to 6.5
- FPG >/= 7
- Random BGL >/= 11.1 with signs and symptoms
- BGL >/= 11.1 with GTT
2
Q
How frequently do we screen for diabetes?
A
> /= 40 yrs old, every three years
3
Q
What A1C values are considered prediabetic?
A
-6-6.4
4
Q
What are the criteria for metabolic syndrome?
A
- Waist (male >/= 102cm) (female >/= 88)
- Triglycerides > 1.7
- HDL less than (1 for men) (1.3 for women)
- FPG >/= 5.6
- BP >/= 130/85
5
Q
What influences a split S2?
A
- Increases with inspiration
- Decreases with exhalation
6
Q
What constitutes Virchow’s Triad?
A
- Venous stasis
- Hypercoagualability
- Endothelial damage
7
Q
Define resistant hypertension.
A
- Elevated BP with three agents one of which is a diuretic
- BP controlled on four or more meds
8
Q
What amount of change defines orthostatic hyotension?
A
Within two to five minutes of standing
- SBP drop of 20
- DBP drop of 10
- S/sx of hypoperfusion
9
Q
What causes Addison’s?
A
- Decreased cortisol
- Primary = increased ADH (adrenals not working)
- Secondary = low/normal ACTH (pituitary or hypothalamus)
10
Q
What causes Cushing’s?
A
- Increased cortisol
- Generally iatrogenic
- Women 5x more likely than men
- buffalo hump, hirsutism, moon face
11
Q
How prevalent are systolic murmurs in pregnancy?
A
- Up to 90%
- Disappears with delivery
12
Q
What pathology is an S3 associated with?
A
- Heart failure
- Volume overload
13
Q
What pathology is an S4 associated with?
A
CAD
