NSG 6420 FINAL
Most accurate test in diagnosing pancreatitis? - ANSLIPASE
When to d/c an ACE I based on creatinine - ANS2.0
Predisposing factors of hyperthyroidism - ANSFam hx of hyperthy or other autoimmune, RA,
vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia
gravis, addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking,
neck radiation
hypothyroidism prevalence - ANSMore prevalent in women than men at a ratio of 5- 10:1
More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7%
with subclinical presentation
DM diagnosis - ANSA1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - ANSfatigue, recurrent infections, recurrent vaginal yeast infections,
prolonged wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - ANSIn combo with other meds to tx triglycerides
Common sign associated with parkinsons? - ANSpill rolling tremor
First line tx for OA? - ANSAcetaminophen
MOA of metformin? - ANSPulls glucose into muscle cells to be utilized
-enhances insulin sensitivity at tissues
-Reduces glucose production by liver
When is MRI indicated in low back pain? - ANSneuro defects
Test for tenosynovitis? - ANSFinkelstein
Tests for Carpal tunnel? - ANSPhalen's and Tinnel's
Rotator cuff injury test - ANSInability to maintain abduction
Initial treatment for diagnosis of bursitis? - ANSRest/avoidance of activity and NSAIDs
OA risk factors? - ANSOlder age, sex (women), obesity, joint injuries, genetics, bone
deformities
, OGTT diagnoses what? - ANSgestational diabetes
Lab indicative of hypothyroidism? - ANSTSH primary screening test:
Increased TSH, dec free T4: primary
Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH
Tx levels above 10 or if symptomatic
Normal TSH levels? - ANS0.40-4.2
Hypothyroidism labs? - ANSIncreased TSH
Decreased T3 T4
S/sx of grave's - ANSDiffuse enlargement of both thyroid lobes, with uniform uptake of
isotope and elevated radioactive iodine uptake
-weight loss/inc appetite
Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps,
consipation/diarrhea, swelling, inc sweating, diplopia, fine hair, moist smooth skin,
hyperactivity, nightmares
RAI in hyperthyroid tx - ANSsingle dose to 2 doses of 75-200 mCi/g capsule orally to render
hypothyroid
**Tx of choice for Grave's dx
-Euthyroid in 2-6 months
**NOT IN children or pregnancy
Lantus- type of insulin and peak - ANSLong-acting
-Peak: no pronounced peak
-onset 1-2 hours
duration 24+ hours
CKD risk factors - ANSDM, HTN, Heart dx, smoking, obesity, high cholesterol,
AA/NA/Asian-am, fam hx, >65yrs
Gold standard for diagnosis of CKD? - ANS
MVP heart sound - ANScrisp mid systolic click
Rovsing sign - ANSRLQ pain with palpation of the LLQ- suggests peritoneal irritation in the
RLQ precipitated by palpation at a remote location
Obturator sign - ANSRLQ pain with internal and external rotation of flexed right hip- suggests
inflamed appendix is located deep in the right hemipelvis
Psoas sign - ANSRLQ pain with extension of right hip or with flexion of right hip against
resistance- inflamed appendix located along course of right psoas muscle
-(lifting extended right leg against resistance)
Most accurate test in diagnosing pancreatitis? - ANSLIPASE
When to d/c an ACE I based on creatinine - ANS2.0
Predisposing factors of hyperthyroidism - ANSFam hx of hyperthy or other autoimmune, RA,
vitiligo, pernicious anemia, trisomy 21, pregnancy/mothers with grave's, puberty, myasthenia
gravis, addison, amiodarone, Iodine contrast dye, stress, sex steroids, DM I, SLE, smoking,
neck radiation
hypothyroidism prevalence - ANSMore prevalent in women than men at a ratio of 5- 10:1
More common in older: >60 yrs increases to 6-10% of women and 2-3% of men with 13.7%
with subclinical presentation
DM diagnosis - ANSA1C: >/6.5%
FPG >/126
2 hour PP glucose >/200 during OGTT
Random: >/200 with sx
DM 2 symptoms - ANSfatigue, recurrent infections, recurrent vaginal yeast infections,
prolonged wound healing, visual changes, may have classic sx of type 1 (polys)
When is Niacin used? - ANSIn combo with other meds to tx triglycerides
Common sign associated with parkinsons? - ANSpill rolling tremor
First line tx for OA? - ANSAcetaminophen
MOA of metformin? - ANSPulls glucose into muscle cells to be utilized
-enhances insulin sensitivity at tissues
-Reduces glucose production by liver
When is MRI indicated in low back pain? - ANSneuro defects
Test for tenosynovitis? - ANSFinkelstein
Tests for Carpal tunnel? - ANSPhalen's and Tinnel's
Rotator cuff injury test - ANSInability to maintain abduction
Initial treatment for diagnosis of bursitis? - ANSRest/avoidance of activity and NSAIDs
OA risk factors? - ANSOlder age, sex (women), obesity, joint injuries, genetics, bone
deformities
, OGTT diagnoses what? - ANSgestational diabetes
Lab indicative of hypothyroidism? - ANSTSH primary screening test:
Increased TSH, dec free T4: primary
Central: Dec TSH, serum T4 dec, notice impaired TSH response to TRH
Tx levels above 10 or if symptomatic
Normal TSH levels? - ANS0.40-4.2
Hypothyroidism labs? - ANSIncreased TSH
Decreased T3 T4
S/sx of grave's - ANSDiffuse enlargement of both thyroid lobes, with uniform uptake of
isotope and elevated radioactive iodine uptake
-weight loss/inc appetite
Fatigue/weakness, tremors, heat intolerance, nervousness/anxiety, heart palps,
consipation/diarrhea, swelling, inc sweating, diplopia, fine hair, moist smooth skin,
hyperactivity, nightmares
RAI in hyperthyroid tx - ANSsingle dose to 2 doses of 75-200 mCi/g capsule orally to render
hypothyroid
**Tx of choice for Grave's dx
-Euthyroid in 2-6 months
**NOT IN children or pregnancy
Lantus- type of insulin and peak - ANSLong-acting
-Peak: no pronounced peak
-onset 1-2 hours
duration 24+ hours
CKD risk factors - ANSDM, HTN, Heart dx, smoking, obesity, high cholesterol,
AA/NA/Asian-am, fam hx, >65yrs
Gold standard for diagnosis of CKD? - ANS
MVP heart sound - ANScrisp mid systolic click
Rovsing sign - ANSRLQ pain with palpation of the LLQ- suggests peritoneal irritation in the
RLQ precipitated by palpation at a remote location
Obturator sign - ANSRLQ pain with internal and external rotation of flexed right hip- suggests
inflamed appendix is located deep in the right hemipelvis
Psoas sign - ANSRLQ pain with extension of right hip or with flexion of right hip against
resistance- inflamed appendix located along course of right psoas muscle
-(lifting extended right leg against resistance)
