1. What are the 3 kinds of CVA
- Ischemic, hemorrhagic, and arachnoid
2. What is TIA
- Mini stroke, and deficits resolve in less than 24 hours
3. 10% of TIA patients will have a stroke within
- 90 days
4. Stroke is the leading cause of death
- 3rd
5. T or F women are 1.75xs more likely to have a CVA then men
- T
6. What are the risk factors for stroke
- HTN, age, smoking, fam hx, race, prior cva, carotid
stenosis, mitral stenosis, prosthetic valves, sedentary
lifestyle, increased cholesterol
7. How many stroke pts regain functional independence
- 50-70%
8. What is the percent of stroke survivors who die within one year
- 25%
9. What differentiates TIA from cva
- TIME DIFFERENTIAL
10. What is amaurosis fugax
- Loss of vision described as curtains going down then up
11. Signs of hypertensive intracerebral hemorrhage
- Often no warning signs, lapse quickly into stupor and coma,
deteriorates quickly and dies within hours
12. Best test for differentiating between hemorrhagic and ischemic
stroke
- Non contrast ct
13. What is the tx for ischemic stroke
- TPA within 3-4.5 hours if meets criteria
14. Medication preferred if BP must be reduced after CVA
- Labetalol
15. Which hormone regulates thyroid function
- TSH
16. An older male pt has a screening PSA which is 12. What does this
value indicate
Med C File
, - BPH
17. A male pt reports nocturia and daytime urinary frequency and
urgency without changes in the force of the urine stream. What is
the likely cause of this
- UTI
18. A 70 year old male reports urinary hesitancy, post void dribbling,
and a diminished urine stream. A digital rectal exam reveals an
enlarged prostate gland that feels rubbery and smooth. Which tests
will the primary care provider order based on these findings
- Urinalysis and serum creatinine
19. The provider order the oral phosphodiesterase type 5 inhibitor
sildenafil to treat erectile dysfunction in a 65 year old male
patient. What will be included when teaching this patient about
taking this medication
- Take on an empty stomach
- The medication effects may last for 24-36 hours
- Medication may be taken once daily
20. Which is true about hypoactive sexual desire in older men
- Hypoactive sexual desire in older men is related to sexual aversion
21. A young adult male reports a dull pain in the scrotum and the
provder notes a bluish color showing through the skin on the
affected side. Palpation reveals a bag of worms on the proximal
spermatic cord. What is an important next step in managing this pt
- Referral to an emergency department for surgical consultation
22. A pregnant woman at 30 weeks gestation has proteinuria. What
will the provider do next?
- Evaluate her blood pressure
23. An older male patient reports gross hematuria but denies flank
pain and fever. What will the provider do to manage this patient
- Refer for cystoscopy and imaging
24. A female patient reports hematuria and a urine dipstick and
culture indicate a urinary tract infection. After treatment for the
UTI, what testing is indicated for this patient?
- No further testing if hematuria is resolved
25. A patient who has diabetes has symptoms consistent with renal
stones. Which type of stone is most likely in this diabetic patient?
- Uric acid
26. A patient has acute renal colic, nausea, and vomiting and a
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