QUESTIONS & CORRECT VERIFIED ANSWERS ||
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1. What are S/S of iron deficiency anemia? ANS >> Microcytic/hypochromic
anemia, presents with fatigue, SOB, PICA, soft spoon nails, cheilosis, sore
tongue, and in children learning difficulties. PALLOR is late sign. May also be
asymptomatic. Know labs are Low MCV, MCHC and HGB
2. What are treatments for iron deficiency anemia? ANS >> Fix the site of
bleeding, give iron supplementation, recheck in about 3 months
3. Risk factors for the development of iron deficiency anemia? ANS >>
Those with dietary restrictions or malabsorption issues, GI bleed, in children high
amounts of cows milk, premature infants, exclusively breast feeding past 4-6
month
4. What are contraindications to hormonal contraception or HRT? ANS >>
Clotting disorders, history of DVT or PE, migraine with aura or focal neurological
deficit, uncontrolled HTN, smoking, active breast or uterine cancer, undiagnosed
vaginal bleeding, or liver disease
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, 5. What are the assessment findings in testicular torsion? How is it diag-
nosed? ANS >> Pain in the testicle or abdomen, N/V, one testicle higher or at strange
angle, swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
6. What are common problems seen in Klinefelters? ANS >> Sterile males,
feminine characteristics, learning disabilities
7. What are common problems seen in Down's Syndrome? ANS >>
Congenital heart disease, hirschprungs, duodenal atresia, imperforate anus,
expressive language difficulty, delayed development
8. What are common problems seen in Turner's Syndrome? ANS >> Short
statured, broad chested, often sterile or will need help to conceive,
9. What is included in a functional geriatric assessment? ANS >> Need to
assess basic self cares (ADLs) can use Katz index. Also need to assess
instrumental ADLs which indicate their ability for independent community living...
can use Lawton-Brody scale for this
10. How do you determine to use Progestin only vs combination HRT? ANS >>
- Progestin only is useful in breastfeeding mothers. Can use estrogen only if local
application. Unopposed systemic estrogen therapy not recommended due to risk of
osteoporosis and worsening CV disease
11. Absolute contraindications for systemic HRT? ANS >> Pregnancy, VTE,
Breast or liver cancer, high triglycerides
12. Why is progesterone given in HRT? ANS >> To prevent endometrial
thickening which could potentially lead to endometrial cancers
13. What is the dosage of Vit D needed to prevent osteoporosis? ANS >> It is
thought we need about 800IU daily along with 1200-1500 mg calcium
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