3 Components of asthma - ANSWER-Obstruction to airflow
Bronchial hyperreactivity
Inflammation of the airway
Atypical mycoplasma pneumoniae presents with - ANSWER-for young female, non-productive cough,
and fever for past two weeks
Blastomycosis: - ANSWER-N. America around Great Lakes, Ohio river basin, Mississippi river
Bloody mucus diarrhea - ANSWER-Shigella
Bronchial hyper responsiveness - ANSWER-→ easily triggered bronchospasm
C diff - ANSWER-overuse of antibiotics
- diarrhea
Case study: "Father has colon cancer" when do you screen? - ANSWER-10 years earlier than his
diagnosis (Father diagnosed at 50, do colonscopy at 40)
Case study: 48 yo F presents to cardiologist with agnina not associated with exertion, coronary
angiogram determined no plaque in CA
what is tx/ diagnosis? - ANSWER-Prinzmetal Angina
Random coronary vasospasm
TX: CCB
Case study: Female pt with hair loss, fatigue, change in period, constipation, dry skin - ANSWER-
Hypothryodism
case study: Geriatric population with change in mental status
Acute afib & change of mental status - ANSWER-screen thyroid
Case study: Patient comes i HA, altered mental state → LP showed cryptococcus - ANSWER-HIV
Case study: PT comes in who is diabetic, and asthmatic, comes in with HTN and tachycardia. Put them on
medication... what do you avoid? - ANSWER-beta blockers,
can treat with Xopenex
Case study: Pt presents fever, cough, hyponatremia - ANSWER-Leginella
Case study: PT presents w. sleepiness during day, Afib, HTN, pulmonary S/ Sx
What does he or she most likely have? - ANSWER-Sleep apnea
Case study: urosepsis; nursing home: dementia, do not know sx, rapid HR/RR, lethargy - ANSWER-Sepsis
Case study: young girl had Strep throat, left untreated lead to - ANSWER-Rheutamic heart disease
, Primary care test #1
Case: Pt falling asleep behind the wheel, HTN, obese, fatique,
What do you screen for? - ANSWER-Sleep apena
Causes of left sided heart failure - ANSWER-"MI with lt ventricular infarction, systemic HTN,
cardiomyopathy, endocarditis, aortic valve dz and mitral regurge"
Causes of right sided heart failure - ANSWER-"Pulmonary disease, pulmonary HTN, rt ventricular
infarction, mitral stenosis,
-LEFT SIDED HEART FAILURE
chest pain associated with burning - ANSWER-GERD
Chest pain that Radiation to trapezius/back- - ANSWER-pericarditis
Chronic Stable Angina caused by - ANSWER-atherosclerotic heart disease
Coccidiomycosis: - ANSWER-California disease, desert valley fever, New Mexico areas
Colonoscopy - ANSWER-Suggestion age for colonoscopy is 10
COPD is made up - ANSWER-- asthma
- Emphysema
- CB
COPD most common cause - ANSWER-smoking
Cystic Fibrosis presents in a kid - ANSWER-peds pt foul smelling stools, chronic lung infections as a kid
Diabetics have - ANSWER-periphearl neurpathy
DO NOT give live attenuated to: - ANSWER-immunocompimised and pregant
EXAMS & REFERRALS - ANSWER-Mammography
Colonoscopy
foul smelling diarrhea - ANSWER-Giardia
Hemorrhagic diarrhea - ANSWER-EHEC,
Hepatitis B - ANSWER-B= blood and body fluids (hep c is the same)
- first vaccine given at birth
Hepatitis C - ANSWER-inflammation of the liver caused by the hepatitis C virus (HCV),
which is transmitted by exposure to infected blood
Baby boomer
Histoplasmosis: - ANSWER-Caves, Ohio valley, lower Mississippi region