XSarah Michelle Aanp Board Exam - In
Depth Diagnosis Study Guide
lifestyle modifications - how will you treat stage one HTN with ASCVD risk of <10%?
medications - how will you treat stage one HTN with ASCVD risk of >10%?
130-139/80-89 - according to the AHA/ACC guidelines, stage one HTN is defined as BP of _______-
_______/_____-_____
140, 90 - according to the AHA/ACC guidelines, stage two HTN is defined as BP of >_______/>_____
lifestyle modifications - the mainstay of hyperlipidemia treatment, regardless of medication use as well,
is _____________________ ________________________
strep pneumoniae - the typical culprit of bacterial pneumonia is ___________
_________________________
bacterial, viral - ________________________ pneumonia tends to be more significant/serious while
_______________ pneumonia tends to be more of a "walking" pneumonia
cough suppressants - do not given pneumonia patients ____________ _______________________, can
give them expectorants
8 - follow-up CXR from pneumonia should be performed around the ________ week mark
CAT assessment (COPD assessment test) - functional assessment tool that we can use to help us decide
how much COPD is affecting our patients daily life, a score >10 is considered significant day to day
disruption
spirometry, 0.70 - COPD diagnosis is confirmed with ________________________, an FEV1/FVC ratio
score of less than ___________ indicates COPD
dyspnea, sputum, purulence - what 3 things must be present in order to diagnose a COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________
steroids - treatment options for Bell's palsy include __________________ (started within 72 hours of
symptom onset), antivirals may be utilized depending upon the patient, and lubricating eye ointment
should always be prescribed to avoid corneal abrasions
essential tremor - tremor that worsens with intent, managed with beta blockers (propanolol) and regular
physical activity
, MS (multiple sclerosis) - demyelination occurring in the CNS, very unpredictable, most patients go
through remissions and exacerbations, commonly diagnosed between ages 20-40
trigeminal neuralgia - patients with MS are at an increased risk of developing what condition?
absence seizures - type of seizure commonly diagnosed in childhood characterized by brief loss of
consciousness lasting around 20-30 seconds, these children are often accused of daydreaming, most will
outgrow this condition
tonic clonic seizures - also known as convulsive seizures, typically last around 1-3 minutes, biggest
concern is safety
serotonin syndrome - this condition occurs when there is too much circulating serotonin, symptoms
include shivering, seizures, agitation, tachycardia, tremors and possible death
GAD7 scale - anxiety screening tool
lupus, 4 - this condition, ________________, is often known as the "great mimicker" because the
presentation is so vague, in order to diagnose this condition the patient must have ______ of 11 of the
following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
-non-erosive arthritis
-cardiopulmonary complaints
-renal complaints
-neurological concerns
-immunological disorder
-hematological disorders
-positive ANA test
childbearing, African - lupus is most commonly seen in women of __________________________ age
and in __________________ Americans
rheumatology - which specialty should we refer lupus patients to?
myxedema coma - Life-threatening condition associated with hypothyroidism, symptoms include
abnormally low body temperature, swelling (including tongue thickening), confusion, lethargy and
difficulty breathing. Can be precipitated by lithium and amiodarone
Depth Diagnosis Study Guide
lifestyle modifications - how will you treat stage one HTN with ASCVD risk of <10%?
medications - how will you treat stage one HTN with ASCVD risk of >10%?
130-139/80-89 - according to the AHA/ACC guidelines, stage one HTN is defined as BP of _______-
_______/_____-_____
140, 90 - according to the AHA/ACC guidelines, stage two HTN is defined as BP of >_______/>_____
lifestyle modifications - the mainstay of hyperlipidemia treatment, regardless of medication use as well,
is _____________________ ________________________
strep pneumoniae - the typical culprit of bacterial pneumonia is ___________
_________________________
bacterial, viral - ________________________ pneumonia tends to be more significant/serious while
_______________ pneumonia tends to be more of a "walking" pneumonia
cough suppressants - do not given pneumonia patients ____________ _______________________, can
give them expectorants
8 - follow-up CXR from pneumonia should be performed around the ________ week mark
CAT assessment (COPD assessment test) - functional assessment tool that we can use to help us decide
how much COPD is affecting our patients daily life, a score >10 is considered significant day to day
disruption
spirometry, 0.70 - COPD diagnosis is confirmed with ________________________, an FEV1/FVC ratio
score of less than ___________ indicates COPD
dyspnea, sputum, purulence - what 3 things must be present in order to diagnose a COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________
steroids - treatment options for Bell's palsy include __________________ (started within 72 hours of
symptom onset), antivirals may be utilized depending upon the patient, and lubricating eye ointment
should always be prescribed to avoid corneal abrasions
essential tremor - tremor that worsens with intent, managed with beta blockers (propanolol) and regular
physical activity
, MS (multiple sclerosis) - demyelination occurring in the CNS, very unpredictable, most patients go
through remissions and exacerbations, commonly diagnosed between ages 20-40
trigeminal neuralgia - patients with MS are at an increased risk of developing what condition?
absence seizures - type of seizure commonly diagnosed in childhood characterized by brief loss of
consciousness lasting around 20-30 seconds, these children are often accused of daydreaming, most will
outgrow this condition
tonic clonic seizures - also known as convulsive seizures, typically last around 1-3 minutes, biggest
concern is safety
serotonin syndrome - this condition occurs when there is too much circulating serotonin, symptoms
include shivering, seizures, agitation, tachycardia, tremors and possible death
GAD7 scale - anxiety screening tool
lupus, 4 - this condition, ________________, is often known as the "great mimicker" because the
presentation is so vague, in order to diagnose this condition the patient must have ______ of 11 of the
following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
-non-erosive arthritis
-cardiopulmonary complaints
-renal complaints
-neurological concerns
-immunological disorder
-hematological disorders
-positive ANA test
childbearing, African - lupus is most commonly seen in women of __________________________ age
and in __________________ Americans
rheumatology - which specialty should we refer lupus patients to?
myxedema coma - Life-threatening condition associated with hypothyroidism, symptoms include
abnormally low body temperature, swelling (including tongue thickening), confusion, lethargy and
difficulty breathing. Can be precipitated by lithium and amiodarone
