3P Exam Study Questions and Answers

3P Exam Study Questions and Answers What would cause decrease in Digoxin levels -Answer-Antacids Taking Pyridium for UTI, what can Pyridium cause? -Answer-Hemolytic Anemia What can PCOS result in? -Answer-increased insulin levels, Androgens, hirsutism What is a hypertensive used in pregnancy -Answer-Methyldopa What is a characteristic of Placenta Previa? -Answer-painless red bleeding What is a characteristic of Rheumatoid arthritis ? -Answer-Red hot joints Medications that cause ototoxicity -Answer-Aminoglycosides, nasal decongestants, antihistamines Treatment period for enterobiasis -Answer-2 weeks CBC Interpretation -Answer-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? -Answer-27 weeks Janesway lesions -Answer-Happen with endocarditis, non painful lesions seen on hands and feet, Osler same but painful Warfarin management - forgot a dose? -Answer-If under 12 hours take missed dose, if over skip and need INR redraw Taking an ACE or ARB what to know? -Answer-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 -Answer-sulfa allergy, asthma, PCN hypersensitvity Murmurs Systolic -Answer-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) -Answer-AR= Aortic Regurge (angina, HF, dizzinness, CP) MS=Mitral stenosis (Dyspnea, Afib) Motivated -Answer-Systole-S1 closure of AV Mitral/tricuspid valve (lub) Mitral, Tricuspid, atrioventricular valves Apples -Answer-Diastole s2 closure of the aortic pulmonic valves (dub) aortic pulmonic semilunar Abnormal (extra) heart sounds -Answer-S3- CHF; possible normal for adolescent athletes, S4 LVH poorly controlled HTN, unstable angina Assessment of PAD -Answer-antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose Coronary artery Disease tx -Answer-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 -Answer-ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist