AND ALL GRADED A+ PASS (NEWEST
RELEASE).
What vaccines are safe during pregnancy - Correct Answers -TDAP, flu,
Pneumococcal, meningococcal, Hepatitis B, rho gam
*NOT MMR, polio, or varicella
Know what to be concerned about if you note an irregular rectal mass -
Correct Answers -· Any masses with irregular borders suspicious for rectal
cancer.
A tender, purulent, reddened mass with fever or chills suggests an anal
abscess. Abscesses tunneling to the skin surface from the anus or rectum
may form a clogged or draining ano-rectal fistula. Fistulas may ooze blood,
pus, or feculent mucus. Consider anoscopy or sigmoidoscopy for better
visualization.
Know what HPV Vac protects against - Correct Answers -· Prevents
infection from HPV subtypes 16, 18, 6 & 11, which cause 90 % of genital
warts
· The bivalent vaccine prevents infection from subtypes 16 and 18.
· Recommended for the prevention of cervical, vulvar, and vaginal cancers
and precancers in females, as well as anal cancer, precancers, and genital
warts in both females and males
· Vaccinated women should still get cervical cancer screening because
vaccines do not prevent all HPV subtypes
· Condoms do not eliminate the risk of cervical HPV infection
,Recommended for those with compromised immune systems, including
HIV
Know what a 3-year-old can do regarding jumping and balancing - Correct
Answers -· Climbs well, runs easily
· Pedals a tricycle
· Walks up and down stairs, one foot on each step
Know where to place the measuring tape when measuring the uterus in a
pregnant patient - Correct Answers -· Measure the fundal height if
gestational age is >20 weeks - fundus should reach the umbilicus
· Place the tape measure on the pubic symphysis and place the "zero" end of
the tape measure when you can firmly feel that bone.
· Extend the tape measure to the very top of uterine fundus and note the
number of cm measured.
o Subject to error between 16-36 weeks
· The number should roughly equal the number of weeks of gestation
o If fundal height is >4cm than expected -multiple gestation, large fetus,
extra amniotic fluid, uterine leiomyoma
o If fundal height is < 4cm, then expected - low-level amniotic fluid, missed
abortion, intrauterine growth retardation, or fetal anomaly
The _______ _______ occupies most of the anterior cardiac surface -
Correct Answers -right ventricle.
Know what bleeding between periods is called - Correct Answers -
Abnormal uterine bleeding, Intermenstrual bleeding.
, Know types of vaginosis - Correct Answers -Trichomonas vaginosis,
Candidal Vaginitis, Bacterial vaginosis.
miliaria rubra - Correct Answers -Scattered vesicles on an erythematous
base, usually on the face and trunk, result from obstruction of the sweat
gland ducts; disappears spontaneously within weeks
Know the characteristics of a breast cyst - Correct Answers -Usually soft to
firm, round, mobile, and often tender. Most common between the ages of
25 and 50
Know the signs of peritonitis - Correct Answers -When a tender area is
palpated for guarding, early voluntary guarding may be replaced by
involuntary muscular rigidity and signs of peritoneal inflammation. There
may also be RLQ pain on quick withdrawal or deferred rebound tenderness.
Know where pain is with diverticulitis - Correct Answers -LLQ
Know what position to have pt in to listen for mitral stenosis - Correct
Answers -Left lateral decubitus.
Know what to ask in regards to cardiovascular review of systems (pick the
one that belongs) - Correct Answers -Ask questions related to: chest pain,
palpitations, shortness of breath, swelling (edema), syncope.
Know how a bartholin's gland infection presents - Correct Answers -
Acutely, the gland appears as a tense, hot, very tender abscess. Possible