3P Exam Study 2023
What would cause decrease in Digoxin levels -
✔ Antacids
Taking Pyridium for UTI, what can Pyridium cause? -
✔ Hemolytic Anemia
What can PCOS result in? -
✔ increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy -
✔ Methyldopa
What is a characteristic of Placenta Previa? -
✔ painless red bleeding
What is a characteristic of Rheumatoid arthritis ? -
✔ Red hot joints
Medications that cause ototoxicity -
✔ Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis -
✔ 2 weeks
CBC Interpretation -
✔ MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? -
✔ 27 weeks
Janesway lesions -
✔ Happen with endocarditis, non painful lesions seen on hands and feet, Osler same
but painful
Warfarin management - forgot a dose? -
✔ If under 12 hours take missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? -
✔ ACE (dry hacking) cough starts 1-2 weeks after med started, ACE (Lol) ARB
(sartan) first line in HTN avoid initially in african americans, angioedema can occur
,Contraindication for hydrochlorithiazide -
✔ sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic -
✔ MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) -
✔ AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated -
✔ Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples -
✔ Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds -
✔ S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD -
✔ antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx -
✔ Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for LFTs and
arthralgia. Change type and dose if problems. Stabilization of plaque with statins
HF treatment -
✔ ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) -
✔ Topical Permethrin massaged from head to soles of feet and wach off with shower
or bath after 8-14 hours. Treat again in 1 week
Names of skin findings -
✔ Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm elevated
nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma,
vesicle (herpes simplex contact derm,
, Keloid -
✔ hypertrophic scar that is invasive beyond point of original injury
Skin continued -
✔ Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea -
✔ Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap)
treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and
scaly plaque on trunk (ring worm) Treatment is an azole for 2 weeks
Melanoma How do you assess -
✔ ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis -
✔ silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding
occurs when lesions are scraped
Shingles (Herpes Zoster) -
✔ Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir within
48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients
that have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis -
✔ papules or vesicles 5mm or less, scaling, crusting, oozing. Tx
corticosteroids/antihistamines
Acne Vulgaris -
✔ Inflamm disorder where androgen-dependent sebaceous glands produce excess
sebum. Areas most commonly affected are face, anterior and posterior chest, arms and
shoulders. Treatment: Erythromycin/Benzyl peroxide=limit exposure to sunlight peroxide
can decrease resistance to erythromycin
Atopic dermatitis -
✔ Patchy plaque like rash with inflammation. common in people with other atopic
illnesses (asthma, allergic rhinitis)
Eye Findings in HTN and DM -
✔ AV nicking-arteries indent and displace veins, cotton wool spots-gradual vision
loss, flame hemorrhages- blot and dot hemorrhages
What would cause decrease in Digoxin levels -
✔ Antacids
Taking Pyridium for UTI, what can Pyridium cause? -
✔ Hemolytic Anemia
What can PCOS result in? -
✔ increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy -
✔ Methyldopa
What is a characteristic of Placenta Previa? -
✔ painless red bleeding
What is a characteristic of Rheumatoid arthritis ? -
✔ Red hot joints
Medications that cause ototoxicity -
✔ Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis -
✔ 2 weeks
CBC Interpretation -
✔ MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? -
✔ 27 weeks
Janesway lesions -
✔ Happen with endocarditis, non painful lesions seen on hands and feet, Osler same
but painful
Warfarin management - forgot a dose? -
✔ If under 12 hours take missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? -
✔ ACE (dry hacking) cough starts 1-2 weeks after med started, ACE (Lol) ARB
(sartan) first line in HTN avoid initially in african americans, angioedema can occur
,Contraindication for hydrochlorithiazide -
✔ sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic -
✔ MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) -
✔ AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated -
✔ Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples -
✔ Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds -
✔ S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD -
✔ antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx -
✔ Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for LFTs and
arthralgia. Change type and dose if problems. Stabilization of plaque with statins
HF treatment -
✔ ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) -
✔ Topical Permethrin massaged from head to soles of feet and wach off with shower
or bath after 8-14 hours. Treat again in 1 week
Names of skin findings -
✔ Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm elevated
nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma,
vesicle (herpes simplex contact derm,
, Keloid -
✔ hypertrophic scar that is invasive beyond point of original injury
Skin continued -
✔ Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea -
✔ Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap)
treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and
scaly plaque on trunk (ring worm) Treatment is an azole for 2 weeks
Melanoma How do you assess -
✔ ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis -
✔ silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding
occurs when lesions are scraped
Shingles (Herpes Zoster) -
✔ Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir within
48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients
that have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis -
✔ papules or vesicles 5mm or less, scaling, crusting, oozing. Tx
corticosteroids/antihistamines
Acne Vulgaris -
✔ Inflamm disorder where androgen-dependent sebaceous glands produce excess
sebum. Areas most commonly affected are face, anterior and posterior chest, arms and
shoulders. Treatment: Erythromycin/Benzyl peroxide=limit exposure to sunlight peroxide
can decrease resistance to erythromycin
Atopic dermatitis -
✔ Patchy plaque like rash with inflammation. common in people with other atopic
illnesses (asthma, allergic rhinitis)
Eye Findings in HTN and DM -
✔ AV nicking-arteries indent and displace veins, cotton wool spots-gradual vision
loss, flame hemorrhages- blot and dot hemorrhages
