ANSWERS GRADED A+
✔✔in doing initial eval of patient with suspected acute prostatitis, what test to do -
✔✔urinalysis and culture
✔✔Koplik spots - ✔✔measles
✔✔pernicious anemia is B12 deficiency - ✔✔...
✔✔most appropriate dx tests for PCOS are - ✔✔testosterone, LH, prolactin, TSH
✔✔weight loss, shoulder and pelvic pain, pain with ROM, no weakness, elevated ESR -
✔✔polymyalgia rheumatica!!!!
✔✔pansystolic murmur - ✔✔mitral regurgitation
✔✔tx corneal abrasion with - ✔✔gentamicin
✔✔feverfew is used for - ✔✔migraines and menstrual cramps
✔✔most common 2 pathogens for older adults residing in community - ✔✔strep
pneumo, H. flu
✔✔what class of anti-HTN meds is absolutely CONTRAINDICATED in bilateral renal
artery stenosis and has been associated with acute renal failure - ✔✔ACEs - With
stenosed renal arteries, afferent flow cannot be increased, angiotensin II can actually
become the only mechanism by which the kidney can increase filtration, and with
severe stenosis, efferent arteriole constriction is crucial for maintaining some degree of
filtration. ACE inhibitors would prevent conversion of Ang. I (which is inactive) to Ang. II,
and therefore make everything worse by removing the kidney's only remaining
regulatory mechanism as well as cutting the perfusion pressure and eliminating what
little renal function remains. With tubular cells that are already less effective due to
damage from chronic ischemia, the resulting decrease in GFR would effectively
accelerate kidney failure .
✔✔HCTZ should not be taken with digoxin - ✔✔may increase risk of digoxin toxicity
✔✔Erythema multiforme - ✔✔a milder form of Stevens-Johnson syndrome that
produces pink-to-red targetlike lesions, wheals, and blisters, with no mucosal
involvement. The clinician should look for a history of antibiotic and other drug treatment
such as sulfa drugs, penicillins, and other drugs. Hypersensitivity reaction from meds,
allergy, or infection.