200 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED
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a set of goals and objectives with 10 year targets designed to guide national health promotion
and disease prevention efforts to improve the health of all people in the US - DETAILED
ANSWER-healthy people 2020
prevents the onset of disease/condition; e.g. vaccinations/seatbelts - DETAILED ANSWER
primary prevention
identifies and treats asymptomatic people; e.g. screenings and identifying risk factors -
DETAILED ANSWER-secondary prevention
care of established disease and preventing complications - DETAILED ANSWER-tertiary
prevention
community wide approaches to prevent or reduce several diseases and conditions - DETAILED
ANSWER-HI-5
"EEE" sounds like "AHH" on auscultation; sound is distorted due to no O2 perfusion; consider
pneumonia - DETAILED ANSWER-egophony
beats have weaker amplitude with respiratory inspiration, stronger with expiration; think COPD,
asthma, or pericardial disease - DETAILED ANSWER-pulsus paradoxus
typically viral, but can be caused by bacteria such as bordatella pertussis, H. influenza, S.
pneumoniae - DETAILED ANSWER-bronchitis
, sudden onset in 12-24 hours without evidence of COPD, pneumonia, or asthma; cough is
initially dry but then turns productive and is worse at night; afebrile or low grade temp; malaise,
HA, chest burning/tightness, dyspnea, wheezing - DETAILED ANSWER-bronchitis
characterized by purulent nasal excretion, post-nasal drip, sinus tenderness, cervical
lymphadenopathy, wheezes, rales, rhonchi, tahcypnea, injected pharynx, and tachycardia -
DETAILED ANSWER-bronchitis
treatment methods include rest, fluids, room humidification, inhaler if bronchospasms present,
abx if specific organism identified, NOT mucolytics or antihistamines b/c they dry out airways
and exacerbate symptoms - DETAILED ANSWER-bronchitis
treated with amoxicillin 500mg q8h OR bactrim BID - DETAILED ANSWER-bronchitis
complications include MI, CHF of new onset up to 1 year after pt is hospitalized, arrhythmias,
and death - DETAILED ANSWER-pneumonia
CXR is most definitive diagnosis; sputum culture and sensitivity with gram stain tells you exactly
what abx to prescribe; begin abx presumptively to decrease morbidity and can change regimen
if needed - DETAILED ANSWER-pneumonia
urine tested to detect pneumococcal or legionella antigen; elevated PCT level indicates likely
bacterial etiology; CRP elevation while treating can indicate worsening or tx failure; PSI and
CURB65 used to identify who needs hospitalization - DETAILED ANSWER-pneumonia
select empiric abx regimen that targets both typical pathogens and atypical pathogens -
DETAILED ANSWER-pneumonia
for patients without comorbidities and abx use, treat with azithromycin, clarithromycin,
doxycycline, amoxicillin-clavulonate, or cefpodoxime PLUS macrolide, or fluoroquinolone
monotherapy for 5-7 days - DETAILED ANSWER-pneumonia