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What would cause decrease in Digoxin levels? - correct answers-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - correct answers-Hemolytic Anemia
What can PCOS result in? - correct answers-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - correct answers-Methyldopa (Alpha-2-
Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - correct answers-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - correct answers-Tender, warm, swollen joints
Medications that can cause ototoxicity? - correct answers-Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - correct answers-2 weeks
,What does MCV lab value measure? - correct answers-Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe anemia
(Microcytic)
Rhogam is given at how many week gestation? - correct answers-27-28 weeks
What are Janeway lesions and what do they indicate? - correct answers-They are irregular, non-
tender hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
What are Osler's Nodes and what do they indicate? - correct answers-They are split pea-sized,
erythematous, tender nodules located on the pads of the fingers and toes. Seen in Infective
Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - correct
answers-If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR
redraw
What do we need to know about ACEs and ARBs? - correct answers-A dry hacking cough is a
common side effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs
are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent with
African Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - correct answers-Sulfa allergy, PCN hypersensitivity,
Asthma, Gout
Systolic Murmurs (Benign) - correct answers-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
, Diastolic Murmurs (Abnormal) - correct answers-AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - correct answers-S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - correct answers-S2 Closure of the Semilunar Valves (Aortic & Pulmonic
Valves)
S3 is often heard in? - correct answers-CHF, possibly normal for athletic adolescents
S4 is often heard in? - correct answers-Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - correct answers-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - correct answers-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - correct answers-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps
stabilize plaques.
What medications are indicated for HF treatment? - correct answers-ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists