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617-test #4 study guide > Women's Health/Primary care COMPS > Flashcards

Women's Health/Primary care COMPS Flashcards

1
Q

general anxiety disorder

A

persistent excessive incapacitating worry, associate with 3 or more symptoms – restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance.

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2
Q

panic disorder

A

intense, brief, acute anxiety, associate w/ 4 or more symptoms – palpitations, sweating, tremblings, SOB, choking sensation, chest pain, abdominal distress, dizziness, derealization, fear of losing control, fear of dying, paresthesia, chills/hot flashes,

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3
Q

Buspirone

A

anti-anxiety agent, nonbenzodiazepine

s/e : nausea, dizziness, HA, restlessness, DO NOT use with MAOIs or Cytochome P450 effect.

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4
Q

Depression

A

presence of at least 5 symptoms for 2 weeks and presence of the 1st or 2nd symptoms
sad or depressed mood most of the day, every day
loss of interest in usual activities
fatigue, weight gain/loss, sleep disturbance, difficulty concentrating, feelings of worthlessness/guilt, psychomotor retardation/agitation, suicidal ideation

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5
Q

SSRI

A

fluoxetine, sertraline, paroxetine, citalopram, escitalopram
first choice for depression

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6
Q

Fibromyalgia

A

widespread pain for more than 3 months and pain on palpation in at least 11 or 18 selected tender points

management: low impact exercise, hot/cold therapy, massage, biofeedback, hypnotherapy, strength training. 
mild analgesics 
SSRI & SNRI: Duloxetine 
pregabaline
tramadol
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7
Q

HTN

A

BP 140/90 or higher dx before pregnancy, before 20 weeks GA, or after 12 weeks postpartum.

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8
Q

management of HTN

A

stable mild CHTN can be co-managed with physician
Diuretics should not be used in pregnancy
1st choice antihypertensives include labetalol or hydralazine
fetal surveillence: monitor for IUGR, NSTs, AFI/BPP

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9
Q

intermittent asthma

A
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10
Q

mild asthma

A

> 2days/week
night wakening: 3-4x/month
interference with ADLs: minor
treatment: low dose ICS

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11
Q

moderate asthma

A

daily
night wakening: >1x /week
interference with ADLs: some
treatment: low dose ICS & LABA or medium-dose ICS

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12
Q

severe asthma

A

throughout the day
night wakening : often 7x/week
interference with ADLs: extreme
treatment: high dose ICS & LABA and possibly oral corticosteroid.

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13
Q

stye

A

abrupt onset
normal vision, red and tender eyelid, boil-like lesion on eyelid
treatment: warm compresses

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14
Q

chalazion

A

non-abrupt onset, may of history of occurrence
normal vision, non tender cyst
warm compresses, may need I & D
refer

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15
Q

Blepharitis

A

hx of allergy or other dermatologic condition
normal vision, conjunctival inflammation, eyelash loss
treatment: eyelid hygiene (baby shampoo BID) send eye culture, antibiotics based on culture results

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16
Q

allergic conjunctivitis

A

watery eyes
diffuse redness, tearing
antihistamines, eye drops

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17
Q

bacterial conjunctivitis

A

exposure to others with similar complaints
sudden onset, diffuse redness, purulent d/c
treatment: antibiotics

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18
Q

viral conjunctivitis

A

current URI, exposure to other with similar symptoms
diffuse redness, blurry vision, tearing, clear watery discharge.
treatment: cool compresses.

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19
Q

retinal detachment

A

spots before eyes, flashes of light, sudden loss of vision, no pain or redness
loss of portion or whole vision field
refer to ophthalmologist

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20
Q

acute otitis media

A

fever, tinnitis, vertigo
external ear canal wnl, tympanic membrane BULGING, red, opaque
treatment: antibiotic

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21
Q

Otitis media with effusion

A

fullness in ear, tinnitus on affected side, hearing loss
external ear wnl, tympanic membrane bulging
referral if not heal

22
Q

bulgin myringitis

A

possible serous or bloody d/c, hearing loss, tinnitus
intra-epithelial fluid pockets of tympanic membrane
referral to ENT

23
Q

TMJ

A

feeling of ear fullness, tinnitus, dizziness, pain with eating
ear exam wnl, click with opening mouth, palpation of joint produces pain
discuss lifestyle management options

24
Q

otitis externa

A

pruritis of outer ear, pinna pain, prolonged water exposure
external ear lots of d/c, edema and redness of canal, tympanic membrane clear & not bulging
treatment: antibiotics if bacterial is suspected

25
Q

furunculosis

A

tenderness limited to affected area, d/c
pustule and erythema in ear canal, tympanic membrane clear
referral to ENT

26
Q

hepatitis

A

RUQ pain
fatigue, malaise, anorexia
hepatic tenderness, jaundice, increase liver enzymes

27
Q

cholecystitis or cholelithiasis

A

RUQ pain, epigastric pain
anorexia, nausea, severe pain
RUQ tenderness, jaundice, vomiting, increased WBCs,
Murphy’s sign

28
Q

pancreatitis

A

mid-epigastric or LUQ pain
radiate to back or chest
fever, rebound tenderness, n/v, jaundice, abdominal distention, diminished bowel sounds

29
Q

gastric or duodenal ulcer

A

mid-epigastric or LLQ pain
abrupt or burning pain
tenderness in RUQ

30
Q

Aortic aneurysm

A

periumbilical or flank
abdominal back, or flank
vague to severe GI

31
Q

appendicitis

A

periumbilical or RLQ at McBurneys point
vomiting, Rovsing sign, Iliopsoas sign, Obturator sign, WBC increased
shift to the left, low grade fever

32
Q

cRohn’s or ulcerative colitis

A

RLQ or central pain
chronic watery diarrhea w/ bloody mucus
fever cachexia, anemia, leukocytosis

33
Q

Diverticulitis

A

LLQ recurrent pain

fever vomiting, chills, diarrhea, tenderness over descending colon

34
Q

Basal cell carcinoma

A

most common type of skin cancer
fair skin
small, shiny papule that enlarges & develops telangiectatasias and pearly border, develops central ulcer that crusts and bleeds
referral to derm

35
Q

squamous cell carcinoma

A

second most common type of skin cancer, African America skin
precurcsor is actinic keratosis (flat tan or brown spot) or leukoplakia (white opaque patch)
reddish papule or plaque with scaly or crusted surface
referral to derm

36
Q

Acne vulgaris

A

more common in males
inflammatory open & closed comedones, papules, and pustular nodules, cysts with scaring
treatment: avoid astringents, OCPs

37
Q

Rosacea

A

onset 30-50 years old
transient flushing, erythema of face & neck, vascular rosacea with telangiectasia
treatment: metronidazole topical

38
Q

atopic dermatosis (eczema)

A

chronic disease with itching

weepy inflamed lichenified skin

39
Q

seborrheic dermatitis

A

localized to scalp, eyebrows, and forehead

greasy yellow or gray scales over red skin patches

40
Q

contact dermatitis

A

related to exposure to irritants
weeping, encrusted vesicles and bullae
treatment: remove cause

41
Q

impetigo

A

s. aureus infection
lesions w/ honey colored crust
treatment: broad spectrum antibiotics

42
Q

folliculitis

A

infection of hair follicle
pimple or pustule near hair follicle
treatment: hot compress

43
Q

furuncles

A

infection causing boil
tender, red swollen area that becomes fluid filled cyst
treatment: D&C, antibiotics

44
Q

cellulitis

A

infection of skin & subcutaneous tissue
tenderness, pain, skin redness, tight, glossy appearance of the skin, warmth in the affected area
treatment: broad spectrum antibiotics

45
Q

psoriasis

A

chronic disease with itching

thick red skin with flaky, silver-white patches called scales.

46
Q

tinea capitis

A

scalp

47
Q

tinea corporis

A

body

48
Q

tinea cruris

A

upper inner thigh

49
Q

tinea pedis

A

toe webs/soles/heels

50
Q

tinea unguium

A

toenails

617-test #4 study guide (7 decks)

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