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What would cause decrease in Digoxin levels? - ANSWERS--Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANSWERS--
Hemolytic Anemia
What can PCOS result in? - ANSWERS--Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ANSWERS--
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANSWERS--Painless, red
bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANSWERS--Tender,
warm, swollen joints
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Medications that can cause ototoxicity? - ANSWERS--
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal
decongestants
What is the treatment time for enterobiasis? - ANSWERS--2 weeks
What does MCV lab value measure? - 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? - ANSWERS--27-28
weeks
What are Janeway lesions and what do they indicate? - 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? - 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? - 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? - ANSWERS--A dry
hacking cough is a common side effect of ACEs and will go away
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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 - ANSWERS--Sulfa allergy,
PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - 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) - ANSWERS--AR = Aortic Regurgitation
(Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANSWERS--S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ANSWERS--S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ANSWERS--CHF, possibly normal for athletic
adolescents
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S4 is often heard in? - ANSWERS--Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANSWERS--
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANSWERS--Gold
Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - 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? - ANSWERS--ACEs,
ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - ANSWERS--
Topical Permetherin massaged from head to soles of feet and wash
off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - ANSWERS--Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma