PANCE/PANRE THINGS TO REMEMBER
1
Loop Diuretics Side Effect - ANSWER-Ototoxicity
What are some Loop Diuretics drug?
*Most Efficacious Diuretics*
Decrease: Na+, K+, Mg+, Ca++ - ANSWER--Lasix (furosemide)
-Bumex (Bumetanide)
-Demadex (Torsemide)
-Edecrin (Ethacrynic Acid)
CCB can cause - ANSWER-Bilateral ankle edema
Vaccination given at the age of 11 yo - ANSWER-Tetanus
Tension Type Headache prevention medication - ANSWER-TCA: amitriptyline
Migraine Headaches Prophylaxis - ANSWER-Propranolol (Avoid in smokers it may
increase stroke risk), Valproate acid, topiramate
Migraine Headaches Prophylaxis if Basilar migraine is present - ANSWER-Verapamil
Migraine Headaches Prophylaxis that should be avoided in childbearing - ANSWER-
Valproate Acid
Migraine Headaches treatment that should be avoided in *childbearing and variant
angina pectoris*. - ANSWER-Sumatriptan.
Treat with: Acetaminophen
Migraine HA triggers: - ANSWER-Chocolate, cheese, alcohol, nuts, caffeine
Headaches last for 30 mins to 7 days - ANSWER-Tension HA
Headaches associate with Horner Syndrome (ptosis, miosis, anhydrosis) - ANSWER-
Cluster Headaches
Treatment for Cluster Headaches - ANSWER-Subcutaneous sumatriptan and *100%
oxygen inhalation are first-line treatments* is administered via a nonrebreathing facial
mask )] / Cluster Headaches Prophylaxis: CCB (Verapamil)
,Fibromyaligia Treatment - ANSWER-1st: Exercise
2nd: TCA: amitriptyline
Treatment for Pseudogout (Positive Birefringent) - ANSWER-Acute aspiration and *1st*
steroid injection followed by NSAIDs
Chronic: Cochicine
Thiazide + Lithium = - ANSWER-Lithium toxicity
AV narrowing and venous nicking are associated with - ANSWER-HTN
Cotton wool or soft exudates with neovascularization - ANSWER-Diabetes
Pigmented vitreous cells behind the lens of the eye. - ANSWER-Retinal detachment
Hemorrhage in the eye, hard exudates, subretinal/sub-RPE/intraretinal fluid. -
ANSWER-Macular degeneration
Coagulation Cascade: - ANSWER-
Anticoagulants & Thrombolytics: - ANSWER-
Women have protective heart due to _____ . - ANSWER-Estrogen
What can cause women to lose their protective hearts? - ANSWER-DM
Pulsus Paradoxus is found with what heart condition? - ANSWER-Pericardial
Tamponade
Viral myocarditis early complication occurs with - ANSWER-Systolic heart failure and
ventricular arrthythmias are early complication; dilated cardiomyopathy may be long
term complication
What makes gout worse? - ANSWER-Thiazides
Hypertropic Cardiomyopathy maneuver to *increase* suspicion: - ANSWER-Valsalva or
abrupt standing position
Hypertropic Cardiomyopathy maneuver to *decrease* murmur: - ANSWER-Squatting
and hand grip
CCB should not be given to pt with - ANSWER-Systolic heart failure
Reverse CCB with - ANSWER-Calcium chloride
,Nitroglycerin MOA - ANSWER-Vasodilation
Primarily reduces cardiac oxygen demand by decreasing preload (left ventricular end-
diastolic pressure); may modestly reduce afterload
Patient that is found with Pulseless electrical activity, apneic, and unconsciousness.
What should you start? - ANSWER-Basic life support (CPR)
Pulmonary edema. Once fluid level have reach 3 time the level patient will develop: -
ANSWER-Dyspnea, cyanosis, elimination of large amount of frothy pink sputum.
Atrial Fibrillation patient loses - ANSWER-Preload function
Muscle aches and pain occur with - ANSWER-Statins
Apical lift signifies - ANSWER-Left ventricular hypertrophy
Left ventricular hypertrophy causes Left atrial pressure that transmits back to pulmonary
capillaries causing dyspnea. Lead to: - ANSWER-Diastolic Heart Failure
Causes of S4 - ANSWER-ischemia and hypertrophy
(e.g. angina pectoris
What is Tendinous xanthomas? - ANSWER-sign of very high LDL cholesterol (familial
hypercholesterolemia) and premature heart disease
Hashimoto's Disease (hypothyroid) markers - ANSWER-Antithyroglobulin and
antimicrosomal (anti-TPO) Thyroid Peroxidase)
Atopic Dermatits in infant facial area. It can also be found in the scalp, extensor
surfaces. - ANSWER-
Erythematous, scaling, crusting, Papulovesicular ,and poor boarders= - ANSWER-
Atopic Dermatits
Yellow, Erythematous, greasy, non-pruritic = - ANSWER-Seborrheic Dermatits
erythematous, scaling, brown pigmentation in the lower legs - ANSWER-Stasis
Dermatitis
hyperpigmented, patches and plaques of thickened lichenified skin - ANSWER-Lichen
simplex chronicus
When treating patient with SVT and and has asthma: - ANSWER-Adenosine should be
used with caution in patients with obstructive lung disease or asthma. Go for a CCB
instead.
, Pt has SVT carotid artery massage is *contraindicated* if - ANSWER-Bruit heard lateral
to the trachea on right side or has transient ischemic attack or ischemic stroke in the
preceding 3 months
Coarctation of the aorta causes hypertension that produces compensatory LVH. -
ANSWER-The hypertrophy ventricle is stiff leading to the onset of diastolic heart failure.
Mechanical heart valve requires long-term of warfarin compare to - ANSWER-
Bioprosthetic valve
Pt with MI and sustained ventricular tachycardia. Treat with: - ANSWER-Amiodarone
(Cordarone)
Neurologic problem and decrease MCV....think! - ANSWER-Leading poisoning
Decrease Folate to due - ANSWER--Alcohol
-Pregnancy (increased demand)
-Decrease absorption (elderly, gastric bypass)
Loss of proprioception and vibratory sense due to degeneration of dorsal columns. This
due to the deficiency of - ANSWER-Vitamin B12
Anemia of renal disease Treatment - ANSWER-Erythropoietin analog: Epoetin Alfa
(Procrit, Epogen), Darbepoetin Alfa (Aranep)
Erythropoietin analog should only be given if hemoglobin is - ANSWER-<10gm/dl
Erythropoietin analog should be stopped at - ANSWER->11gm/dl due to increased
chance of MI and stroke
Aplastic anemia is a decrease in all 3 cell lines (WBC, RBC, Platelets) called
pancytopenia. Most likely due to drugs: - ANSWER-ACEI
Sulfonamides
Phenytoin
Chloramphenicol
Chemotherapy
Radiation
Speed test and Yergason Test are test that assess - ANSWER-Bicipital Tenosynovitis
or tendonitis (Aggravated by resisted supination of the forearm)
Patient with streptococcus Bovis infection should be screen with - ANSWER-
colonoscopy
Unstable angina pectoris or acute MI should not be given - ANSWER-CCB
1
Loop Diuretics Side Effect - ANSWER-Ototoxicity
What are some Loop Diuretics drug?
*Most Efficacious Diuretics*
Decrease: Na+, K+, Mg+, Ca++ - ANSWER--Lasix (furosemide)
-Bumex (Bumetanide)
-Demadex (Torsemide)
-Edecrin (Ethacrynic Acid)
CCB can cause - ANSWER-Bilateral ankle edema
Vaccination given at the age of 11 yo - ANSWER-Tetanus
Tension Type Headache prevention medication - ANSWER-TCA: amitriptyline
Migraine Headaches Prophylaxis - ANSWER-Propranolol (Avoid in smokers it may
increase stroke risk), Valproate acid, topiramate
Migraine Headaches Prophylaxis if Basilar migraine is present - ANSWER-Verapamil
Migraine Headaches Prophylaxis that should be avoided in childbearing - ANSWER-
Valproate Acid
Migraine Headaches treatment that should be avoided in *childbearing and variant
angina pectoris*. - ANSWER-Sumatriptan.
Treat with: Acetaminophen
Migraine HA triggers: - ANSWER-Chocolate, cheese, alcohol, nuts, caffeine
Headaches last for 30 mins to 7 days - ANSWER-Tension HA
Headaches associate with Horner Syndrome (ptosis, miosis, anhydrosis) - ANSWER-
Cluster Headaches
Treatment for Cluster Headaches - ANSWER-Subcutaneous sumatriptan and *100%
oxygen inhalation are first-line treatments* is administered via a nonrebreathing facial
mask )] / Cluster Headaches Prophylaxis: CCB (Verapamil)
,Fibromyaligia Treatment - ANSWER-1st: Exercise
2nd: TCA: amitriptyline
Treatment for Pseudogout (Positive Birefringent) - ANSWER-Acute aspiration and *1st*
steroid injection followed by NSAIDs
Chronic: Cochicine
Thiazide + Lithium = - ANSWER-Lithium toxicity
AV narrowing and venous nicking are associated with - ANSWER-HTN
Cotton wool or soft exudates with neovascularization - ANSWER-Diabetes
Pigmented vitreous cells behind the lens of the eye. - ANSWER-Retinal detachment
Hemorrhage in the eye, hard exudates, subretinal/sub-RPE/intraretinal fluid. -
ANSWER-Macular degeneration
Coagulation Cascade: - ANSWER-
Anticoagulants & Thrombolytics: - ANSWER-
Women have protective heart due to _____ . - ANSWER-Estrogen
What can cause women to lose their protective hearts? - ANSWER-DM
Pulsus Paradoxus is found with what heart condition? - ANSWER-Pericardial
Tamponade
Viral myocarditis early complication occurs with - ANSWER-Systolic heart failure and
ventricular arrthythmias are early complication; dilated cardiomyopathy may be long
term complication
What makes gout worse? - ANSWER-Thiazides
Hypertropic Cardiomyopathy maneuver to *increase* suspicion: - ANSWER-Valsalva or
abrupt standing position
Hypertropic Cardiomyopathy maneuver to *decrease* murmur: - ANSWER-Squatting
and hand grip
CCB should not be given to pt with - ANSWER-Systolic heart failure
Reverse CCB with - ANSWER-Calcium chloride
,Nitroglycerin MOA - ANSWER-Vasodilation
Primarily reduces cardiac oxygen demand by decreasing preload (left ventricular end-
diastolic pressure); may modestly reduce afterload
Patient that is found with Pulseless electrical activity, apneic, and unconsciousness.
What should you start? - ANSWER-Basic life support (CPR)
Pulmonary edema. Once fluid level have reach 3 time the level patient will develop: -
ANSWER-Dyspnea, cyanosis, elimination of large amount of frothy pink sputum.
Atrial Fibrillation patient loses - ANSWER-Preload function
Muscle aches and pain occur with - ANSWER-Statins
Apical lift signifies - ANSWER-Left ventricular hypertrophy
Left ventricular hypertrophy causes Left atrial pressure that transmits back to pulmonary
capillaries causing dyspnea. Lead to: - ANSWER-Diastolic Heart Failure
Causes of S4 - ANSWER-ischemia and hypertrophy
(e.g. angina pectoris
What is Tendinous xanthomas? - ANSWER-sign of very high LDL cholesterol (familial
hypercholesterolemia) and premature heart disease
Hashimoto's Disease (hypothyroid) markers - ANSWER-Antithyroglobulin and
antimicrosomal (anti-TPO) Thyroid Peroxidase)
Atopic Dermatits in infant facial area. It can also be found in the scalp, extensor
surfaces. - ANSWER-
Erythematous, scaling, crusting, Papulovesicular ,and poor boarders= - ANSWER-
Atopic Dermatits
Yellow, Erythematous, greasy, non-pruritic = - ANSWER-Seborrheic Dermatits
erythematous, scaling, brown pigmentation in the lower legs - ANSWER-Stasis
Dermatitis
hyperpigmented, patches and plaques of thickened lichenified skin - ANSWER-Lichen
simplex chronicus
When treating patient with SVT and and has asthma: - ANSWER-Adenosine should be
used with caution in patients with obstructive lung disease or asthma. Go for a CCB
instead.
, Pt has SVT carotid artery massage is *contraindicated* if - ANSWER-Bruit heard lateral
to the trachea on right side or has transient ischemic attack or ischemic stroke in the
preceding 3 months
Coarctation of the aorta causes hypertension that produces compensatory LVH. -
ANSWER-The hypertrophy ventricle is stiff leading to the onset of diastolic heart failure.
Mechanical heart valve requires long-term of warfarin compare to - ANSWER-
Bioprosthetic valve
Pt with MI and sustained ventricular tachycardia. Treat with: - ANSWER-Amiodarone
(Cordarone)
Neurologic problem and decrease MCV....think! - ANSWER-Leading poisoning
Decrease Folate to due - ANSWER--Alcohol
-Pregnancy (increased demand)
-Decrease absorption (elderly, gastric bypass)
Loss of proprioception and vibratory sense due to degeneration of dorsal columns. This
due to the deficiency of - ANSWER-Vitamin B12
Anemia of renal disease Treatment - ANSWER-Erythropoietin analog: Epoetin Alfa
(Procrit, Epogen), Darbepoetin Alfa (Aranep)
Erythropoietin analog should only be given if hemoglobin is - ANSWER-<10gm/dl
Erythropoietin analog should be stopped at - ANSWER->11gm/dl due to increased
chance of MI and stroke
Aplastic anemia is a decrease in all 3 cell lines (WBC, RBC, Platelets) called
pancytopenia. Most likely due to drugs: - ANSWER-ACEI
Sulfonamides
Phenytoin
Chloramphenicol
Chemotherapy
Radiation
Speed test and Yergason Test are test that assess - ANSWER-Bicipital Tenosynovitis
or tendonitis (Aggravated by resisted supination of the forearm)
Patient with streptococcus Bovis infection should be screen with - ANSWER-
colonoscopy
Unstable angina pectoris or acute MI should not be given - ANSWER-CCB
