NR 506 Study tips for BOARDS {ALL COVERED}

NR 506 Study tips for BOARDS {ALL COVERED} Some study tips Cardiac • Know S3 what does it mean. • Know S4 it is a sign of what? They describe a patient. Sounds like Tennessee. • A murmur that is loud and heard with your scope plus thrill is 4. A loud murmur that you don’t need a scope for is 6 • They tell you a systolic murmur one that radiates to the neck and one the radiates to the axilla- what are they called • How do you rule out AAA -US gold standard in 65 and older especially if they smoke • You have a pt with HTN and osteoporosis what medication do you put them on for HTN- thiazides • HTN drug for DM with neuropathy- ACE or ARB • You have a patient that on eye exam you notice copper and silver artioles AV nicking what else do you assess them for – HTN • You have an elderly patient with ISH BP log what medication do you start? CCB • PAD pt what is treatment- exercise • PAD what test- brachial index • Know chronic venous insuff- edema, thick skin discolored • Test you do for stable angina – stress test. • Know Systolic and Diastolic Murmur was asked about heart murmur with high pitch holosystolic and the other one is mid systolic. • Question about Grade III/VI Murmur: (Loud murmur easily heard) • Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency. • Question about JVD causes? • Know Bacterial endocarditis (There was a pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules) Osler’s nodes • Questions about carotid bruit signs can signifies what- narrowing of the carotid GI • High triglycerides increase the risk of – pancreatitis • You have a pt with chronic Hep C what will be high the AST or ALT or Both • First line tx GERD H2 blocker • Hep serology you have to tell them what they have see Hollier notes • You have a positive psoas maneuver and it is positive. What does this mean? • Rovsing sign • Pt. with GERD and Barrett’s esophagus: Refer to Oncologist • Question about Hepatitis B active Immunology. • Question about pyloric stenosis (Hint is non bilious vomiting, olive like firm mass palpated on right upper quadrant) • Common causes of GERD. Options are (Histamine blocker, BB, CCB, cant remember the last one) • Increase in triglyceride can cause pancreatitis • First line treatment for Zollinger is PPI Skin • What is honey crusted lesions how do you treat • Actinic keratosis precursor to SCC look up in Leik how it presents • Rosacea tx with metronidazole gel • How do you treat shingles – acyclovir • Older induration that has been there awhile what do you do? Bx it • Basal Cell Cancer: Question description and the fact that it doesn’t have any tx :Waxy, pearly, telangiectasia, ulcer center lesion • Actinic Keratosis: Question about description (Scaly red to yellow located in sun exposed area • Melanoma question: Know ABCDE • Subungal Hematoma tx: Make a hole and drain the blood • Tx for moderate acne • Review your skin issues for adult and kids. Question about Rubeola (Koplick), • How do you treat a skin fungal infection Peds • What puts a new born at high risk for hyperbilirubinemia the answer is cephalohematoma • Tanner stage III female • 14 yo boy cc of bony mass on anterior tibial tubercle-osgood-schlatter • They describe a weak baby, doesn’t feed well sleeps a lot- it has congenital heart defect • Least likely signs of child abuse, bruise in buttocks, retinal hemorrhage or bruises on shin • ADHA question- answer is neurobiological • First line tx of ADHD • Coarctation of Aorta: Know that systolic BP on lower extremities is supposed to be higher compare to upper extremities. In COA case its vise versa. Look for weak radial and bounding femoral pulse • ADHD is a behavior disease • Most common cause of death in children (Options are poisoning, Motor vehicle accident, drowning, and cant remember the fourth one) • Question about molliscum tx none • Peds pt has sausage like mass this is what- • Psy • If you have a both parents with a genetic defect what is the percentage the child will have it. 25% • Baby is 6 days old. Has eye discharge. What is it. STD • Know how an anorexia presents • Antipsychotics lead to risk of obesity, DM2 hyperlipidemia • You put a patient on zyrexa what do you monitor- BMI -wt check every 3 months • The most common side effect of Paxil – erectile dysfunction • You will get a young female with depression what med do you start? SSRI • You have an elderly female with depression what med do you start SSRI if they list celexa chose