Nurse Practitioners in Primary Care
II | Latest - Wilkes
Question:
*epilepsy (seizure) Dx
Answer:
EEG, MRI if focal. (rule out what it it not)
Question:
*Generalized seizure Tx
Answer:
Keppra (levetiracetam)
Valproate
,Question:
*Iron deficiency anemia (IDA) key features
Answer:
Microcytic (MCV<80), fatigue, pica, most common anemia
Question:
*Iron deficiency anemia IDA Dx and Tx
Answer:
Dx: ↓Ferritin, ↑TIBC
Tx: Oral iron (ferrous sulfate 325 qday as tolerated.
Question:
*Anemia of chronic disease key features
Answer:
caused by CKD or infection
Normocytic (MCV 80-99), normochromatic, Retic low or inappropriately
normal Dx: ↓Iron, ↓TIBC, ↑Ferritin
chronic inflammation
, Question:
*Pernicious (B12) anemia Dx Tx
Answer:
*Dx: ↑MCV (>100) Macrocytic, ↓B12 from malabsorption
must make sure nothing else is going on like lymphoma.
wt loss surgery, diet, alcohol, cancer, dumping syndrome
Tx: B12 replacement (IM if malabsorption)
Question:
*Thalassemia key features
Answer:
Microcytic; target cells
genetic anemia (Mideastern, Native, American)
Question:
*Thalassemia Dx Tx
Answer:
Dx Hgb electrophoresis; Iron stores will be normal in this type of anemia.
Tx: Transfusion, chelation, folate