3P Exam Study Guide – Questions & Answers

What would cause decrease in Digoxin levels Correct Ans : - Antacids Taking Pyridium for UTI, what can Pyridium cause? Correct Ans : - Hemolytic Anemia What can PCOS result in? Correct Ans : - increased insulin levels, Androgens, hirsutism What is a hypertensive used in pregnancy Correct Ans : - Methyldopa What is a characteristic of Placenta Previa? Correct Ans : - painless red bleeding What is a characteristic of Rheumatoid arthritis ? Correct Ans : - Red hot joints Medications that cause ototoxicity Correct Ans : - Aminoglycosides, nasal decongestants, antihistamines Treatment period for enterobiasis Correct Ans : - 2 weeks CBC Interpretation Correct Ans : - 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? Correct Ans : - 27 weeks Janesway lesions Correct Ans : - Happen with endocarditis, non painful lesions seen on hands and feet, Osler same but painful Warfarin management - forgot a dose? Correct Ans : - If under 12 hours take missed dose, if over skip and need INR redraw Taking an ACE or ARB what to know? Correct Ans : - 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 Correct Ans : - sulfa allergy, asthma, PCN hypersensitvity Murmurs Systolic Correct Ans : - 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) Correct Ans : - AR= Aortic Regurge (angina, HF, dizzinness, CP) MS=Mitral stenosis (Dyspnea, Afib) Motivated Correct Ans : - Systole-S1 closure of AV Mitral/tricuspid valve (lub) Mitral, Tricuspid, atrioventricular valves Apples Correct Ans : - Diastole s2 closure of the aortic pulmonic valves (dub) aortic pulmonic semilunar Abnormal (extra) heart sounds Correct Ans : - S3- CHF; possible normal for adolescent athletes, S4 LVH poorly controlled HTN, unstable angina Assessment of PAD Correct Ans : - antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose Coronary artery Disease tx Correct Ans : - Atorvastatin/rovustatin- use high dose meds for LDL150, watch for LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins HF treatment Correct Ans : - ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist