aanp test

first line for cholesterol - correct answer is lifestyle changes but if you see triglycerides is elevated then address it even if the triglycerides are 300ish if you see cullens sign - correct answer bad sign pacrease is bouta rupture hypertryglceride treatment? - correct answer niacin and fenofibrates riglycerides elevated above 500? - correct answer not good cuz that means pancreas is stressed out and can rupture TSH - correct answer 0.4-5 pt has INR 5 what do you do? - correct answer hold the next dose and repeat INR in the next day or two and before restarting meds pt has INR 1.2 what do you do? - correct answer increase med INR - correct answer normal range is 2-3 renal artery stenosis/ renal vascular hypertension - correct answer bruit is heard in abdomen AAA - correct answer middle aged man smoker comes to ER feels like ripping sensation in back do ultrasound... AAA or renal artery stenosis /renal vascular hypertension - correct answer bruit in abdomen either thrill - correct answer first time felt is murmur grade 4 shortness of breath, crackles? - correct answer LEFT heart failure edema, JVD? - correct answer RIGHT heart failure avoid grapefruit juice - correct answer statins and CCBs which hypertension med should you AVOID in pts with COPD asthma breathing issues? - correct answer beta blockers(slows everything down) metabolic syndrome - correct answer the triad of bad stuff bp diabetes elevated sugar triglcyerdies chloesterol....dont give thiazides to patients who have metabolic syndrome cuz it causes hyperglycemia/triglycerides and hyperurecemia if pt has GERD - correct answer do not give CCB cuz thats gonna dilate everything and cause more heartburn raynauds - correct answer american flag color drained out treat with CCB cuz it'll dilate everything BPH and Hypertension? - correct answer alpha blockers specifcally hytrin! patients with diabetes and hypertension? - correct answer ACE and ARBS!!! make sure you monitor Glucose and POTASSIUM!!! make sure it doesn't go to low or high ISH - correct answer -give CCB plusus paradoxus...BP drops 10 - correct answer asthma patient comes in and on inspriation there BP drops whats going on ? if starting patient on statin - correct answer do liver function labs first cuz statins are metabolized by the liver...statins can build up in the body causing liver damage ...those on statins are make the patient at risk for Rhabdo...symptoms include muscle pain aches and tired...ask them about urine if its dark orangey golden thats a clue of rhabdo! first stop the statin! get them hydrated if its bad send to ER PAD - correct answer better if i put feet down or let them hang off bed, legs ache, shiny and hairless legs, feet are cold legs hurt at nighttime ABI lower then 0.9 means they have it must be 1 or higher to not have disease a-fib on EKG - correct answer no defined P wave irregular QRS everything looks like flutter first degree block - correct answer on EKG looks like prolonged PR interval s3 - correct answer is heard in CHF patients and those who are pregnant cuz fluid overload s4 - correct answer is heard in elderly population and hypertension-stiffened arteries..might result in LVH thats when you might get isolated systolic hypertension- give CCB because you need vasodilation s1 - correct answer closure of AV valves s2 - correct answer closure of SL is bengin split s2 - correct answer best heard at second intercostal space at the left sternal border...pulmonic region aortic stenosis - correct answer radiates to the neck...soft low rumbling mitral regurg - correct answer what murmur radiates to the axilla? mitral regurg - correct answer location 5th intercostal space midclacicular line "best heard at the apex or best heard at PMI" "loud harsh blowing" murmur MI on EKG - correct answer -ST elevation or tombstone ...presents with shortness of breath, fatigue!!!!!, weakness, back pain nausea pain jaw pain arm pain indigestion ...treat with beta blocker cuz it reduces the load lachman and drawer test - correct answer knee instability hook test - correct answer bicep bulge test 2 months - correct answer months smile, coo, 4 months - correct answer smile spontaneous babliling, put hands to mouth -6 months - correct answer can sit up for sec then fall over, reach and grab stuff -9 months - correct answer they can say bye bye might try to feed selves -12 months - correct answer start walking bottles to sip cup can say like 4 words and know their name -2 years - correct answer ...2-3 words sentences and can understand simple comands, running jumping -3 years - correct answer can speak 3-5 word sentences they can answer there name to a stranager and stranger understands they can draw a circle and throw a ball and they can ride tricycle 4 years - correct answer can draw cross, role play, notice body parts turner syndrome - correct answer is for girls worried about infertility as well short stature missing sex characteristics klienfelter sydrome - correct answer is boys born with extra X small penis small testies, wider hips infertility is an issue MVP - correct answer marfan syndrome slipped capital femoral epipyshsis - correct answer - spontaneeous slippage one hip higher then other limping legg calve perthes - correct answer -asvascular necrosis/osteonecrosis blood flow to femoral head is not there so it dies ....postitive trendelburg test oshgoodslatters - correct answer knee pain in kids tibia tubercule stress on tendon...overusing and growing ...still had full ROM just has pain....RICE give NSAIDs baby weight - correct answer doubles by 6 months and triples by a year gardisal ? MMR/varicella? - correct answer youngest can be given is 9