APEA NR667
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. -
ANSWER ✅
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-)
and tx thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of
pregnancy to prevent exposure the last few months. - ANSWER ✅
Know what placental abruption looks like: S/S abdominal and back pain. Painful
Vaginal bleeding, contractions, uterine tenderness. Globular shaped uterine fundus
on palpation. - ANSWER ✅
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination,
breast enlargement and tenderness, constipation, and food cravings. - ANSWER
✅
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes),
flaxseed (night sweats), calcium, vitamin D, St. John's wort (mood swings) -
ANSWER ✅
Best way to tell the diff between breast cancer and breast cyst: U/S (?) -
ANSWER ✅
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was
an answer. It was on the finger (infection of skin around fingernail caused by HSV
painful blisters on fingers. Splinter hemorrhages under fingernail can occur with
heart infection such as endocarditis. - ANSWER ✅
, One was like a baby was tx for uti extensively and what next. It was weird
answers. Kidney US. Nothing. Abdominal US. According to APEA videos it
would be a renal and bladder u/s for next step after abx (cephlasporins such as
cefixime, cefdinir, ceftibuten 3-5 days if afebrile and 10 days if febrile). -
ANSWER ✅
Know GFR is top for kidney function. Under 30 stop metformin - GFR >60 is
normal - ANSWER ✅
UTI tx. Bactrim DS (sulfa), Cipro (fluroquinolone), Nitrofurantin (Macrobid).
Cephalosporins reserve for children and pregnant women. Cephalexin, Amoxil,
Augmentin (1st trimester) and Nitrofurantin 100mg (2nd and 3rd trimester). -
ANSWER ✅
And Pyelo and what diagnostic tool: Pyelonephritis is kidney infection that
requires hospitalization can cause complications such as abscesses, renal damage,
sepsis, renal failure, and death. Dx testing: U/A with positive WBC casts, CBC:
leukocytosis, increase sed rate. Blood culture and CT if septic. Fluoroquinolone tx
preferred such as Cipro. - ANSWER ✅
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if
<330lb, if >330lbs than 1gm IM. - ANSWER ✅
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or
levo 500mg daily x 7. In pregnancy Azithromycin 1 gm oral single dose or Amoxil
500 mg TID for 7 days. Rescreen in 3 mos due to rates of reinfection and f/u in 1
mo if pregnant. - ANSWER ✅
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild
abdominal pain, cervical motion tenderness, salpingitis,
edematous/congested/friable cervix. In women can manifest as cervicitis, urethritis,
PID. Untreated risk for infertility and ectopic preg. In men can lead to urethritis,
epididymitis, prostatitis, proctitis. Conjunctivitis and pharyngitis in both men and
women. LABS: NAATS- highly sensitive for Ch and Gh done through vaginal
swab in women and U/A in men. Pregnancy test of cure 3-4wks after tx and retest
in 3rd trimester. Most common in <25yo - ANSWER ✅
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea
painless in women and painful in men. Assessment in men: purulent urethral
discharge, dysuria, testicular pain. Women: endocervical discharge, dysuria,
, bartholins gland abcess, abnormal vag bleeding, cervical motion tenderness,
abd/pelvic pain. LABS: NAAT u/a in men, gram stain exudate, DNA probe,
Culture of exudate or joint aspriate on Thayer Martin agar. - ANSWER ✅
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then
Confirm w RPR. Benzathine PCN G (Bicillin) 2.4 million units IM in adults and
50,000 units/kg IM in children. If PCN allergy then Doxy 100mg BID x 14 days or
tetracycline 500mg TID x 14 days. - ANSWER ✅
Syphilis presents as a single, painless opensore (chancre) at site of inoculation
(genitals, mouth, skin, or rectum that heals by itself in 3-6 wks). Can go unnoticed
if untreated can cause skin rashes, fever, and swollen lymph nodes. Primary:
painless chancre, Secondary: nonpuritic rash on palms and feet. Condyloma lata-
white papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft
tissue tumor, valvular damage. - ANSWER ✅
Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest
in 3mos {NAAT}; Metronidazole 2gm po in a single dose (men and pregnant
women/breastfeeding). Alternate tx: Tinidazole 2g po in a single dose. Can be
asymptomatic. Vaginal discharge: frothy, yellow-green, cervical petechia
"strawberry cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX:
wet prep will see flagellated motile cells. POC tests for trich in women: Affirm and
Osom. PCR testing urine for men. - ANSWER ✅
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as
soon as HIV Dx. Newborns give within 8 hrs. Bacteria: PCP (P. jirovecci
pneumonia). DX: HIV1/HIV2 antigen antivody immunoassay if + confirm with
differentiation. If - order RNA. Other ELISA for screen and Western blot to
confirm. - ANSWER ✅
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for
genetic defects. This will be elevated with twins and can be elevated in neural tube
defects such as spina bifida. Low AFP may mean that the baby has a genetic
disorder such as Down's syndrome. - ANSWER ✅
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. -
ANSWER ✅
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. -
ANSWER ✅
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-)
and tx thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of
pregnancy to prevent exposure the last few months. - ANSWER ✅
Know what placental abruption looks like: S/S abdominal and back pain. Painful
Vaginal bleeding, contractions, uterine tenderness. Globular shaped uterine fundus
on palpation. - ANSWER ✅
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination,
breast enlargement and tenderness, constipation, and food cravings. - ANSWER
✅
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes),
flaxseed (night sweats), calcium, vitamin D, St. John's wort (mood swings) -
ANSWER ✅
Best way to tell the diff between breast cancer and breast cyst: U/S (?) -
ANSWER ✅
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was
an answer. It was on the finger (infection of skin around fingernail caused by HSV
painful blisters on fingers. Splinter hemorrhages under fingernail can occur with
heart infection such as endocarditis. - ANSWER ✅
, One was like a baby was tx for uti extensively and what next. It was weird
answers. Kidney US. Nothing. Abdominal US. According to APEA videos it
would be a renal and bladder u/s for next step after abx (cephlasporins such as
cefixime, cefdinir, ceftibuten 3-5 days if afebrile and 10 days if febrile). -
ANSWER ✅
Know GFR is top for kidney function. Under 30 stop metformin - GFR >60 is
normal - ANSWER ✅
UTI tx. Bactrim DS (sulfa), Cipro (fluroquinolone), Nitrofurantin (Macrobid).
Cephalosporins reserve for children and pregnant women. Cephalexin, Amoxil,
Augmentin (1st trimester) and Nitrofurantin 100mg (2nd and 3rd trimester). -
ANSWER ✅
And Pyelo and what diagnostic tool: Pyelonephritis is kidney infection that
requires hospitalization can cause complications such as abscesses, renal damage,
sepsis, renal failure, and death. Dx testing: U/A with positive WBC casts, CBC:
leukocytosis, increase sed rate. Blood culture and CT if septic. Fluoroquinolone tx
preferred such as Cipro. - ANSWER ✅
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if
<330lb, if >330lbs than 1gm IM. - ANSWER ✅
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or
levo 500mg daily x 7. In pregnancy Azithromycin 1 gm oral single dose or Amoxil
500 mg TID for 7 days. Rescreen in 3 mos due to rates of reinfection and f/u in 1
mo if pregnant. - ANSWER ✅
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild
abdominal pain, cervical motion tenderness, salpingitis,
edematous/congested/friable cervix. In women can manifest as cervicitis, urethritis,
PID. Untreated risk for infertility and ectopic preg. In men can lead to urethritis,
epididymitis, prostatitis, proctitis. Conjunctivitis and pharyngitis in both men and
women. LABS: NAATS- highly sensitive for Ch and Gh done through vaginal
swab in women and U/A in men. Pregnancy test of cure 3-4wks after tx and retest
in 3rd trimester. Most common in <25yo - ANSWER ✅
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea
painless in women and painful in men. Assessment in men: purulent urethral
discharge, dysuria, testicular pain. Women: endocervical discharge, dysuria,
, bartholins gland abcess, abnormal vag bleeding, cervical motion tenderness,
abd/pelvic pain. LABS: NAAT u/a in men, gram stain exudate, DNA probe,
Culture of exudate or joint aspriate on Thayer Martin agar. - ANSWER ✅
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then
Confirm w RPR. Benzathine PCN G (Bicillin) 2.4 million units IM in adults and
50,000 units/kg IM in children. If PCN allergy then Doxy 100mg BID x 14 days or
tetracycline 500mg TID x 14 days. - ANSWER ✅
Syphilis presents as a single, painless opensore (chancre) at site of inoculation
(genitals, mouth, skin, or rectum that heals by itself in 3-6 wks). Can go unnoticed
if untreated can cause skin rashes, fever, and swollen lymph nodes. Primary:
painless chancre, Secondary: nonpuritic rash on palms and feet. Condyloma lata-
white papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft
tissue tumor, valvular damage. - ANSWER ✅
Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest
in 3mos {NAAT}; Metronidazole 2gm po in a single dose (men and pregnant
women/breastfeeding). Alternate tx: Tinidazole 2g po in a single dose. Can be
asymptomatic. Vaginal discharge: frothy, yellow-green, cervical petechia
"strawberry cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX:
wet prep will see flagellated motile cells. POC tests for trich in women: Affirm and
Osom. PCR testing urine for men. - ANSWER ✅
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as
soon as HIV Dx. Newborns give within 8 hrs. Bacteria: PCP (P. jirovecci
pneumonia). DX: HIV1/HIV2 antigen antivody immunoassay if + confirm with
differentiation. If - order RNA. Other ELISA for screen and Western blot to
confirm. - ANSWER ✅
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for
genetic defects. This will be elevated with twins and can be elevated in neural tube
defects such as spina bifida. Low AFP may mean that the baby has a genetic
disorder such as Down's syndrome. - ANSWER ✅
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. -
ANSWER ✅
