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What are the different time courses for schizophrenia, schizophreniform, and brief psychotic disorder? - correct answer Schizophrenia - > 6 months Schizophreniform > 1 month but < 6 months Brief psychotic disorder < 1 month What is the treatment for delusional disorder and schizotypal personality disorder? - correct answer Psychotherapy What percentage of those with schizophrenia attempt suicide? - correct answer 50%, 10% are successful. For how long should you give ...

Tx of IBS - correct answer Best initial therapy: *Fiber* If fiber fails: Antispasmodic/anticholinergic agents. First line: 1. Dicyclomine 2. Hyoscyamine Secondline: 1. TCA's (amitriptyline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should scree...

Tx of IBS - correct answer Best initial therapy: *Fiber* Antispasmodic/Anticholingergics: dicyclomine, Hyoscyamine Second line- TCAs (amitryptiline) CCS, What test should you order for IBS? - correct answer 1. Stool: stool guiac, leukocytes, cultures, ova & parasites. 2. Colonoscopy 3. Abdominal CT scan Umbilical hernia in newborns is associated with? - correct answer Congenital hypothyroidism Screen with TSH (you should screen for TSH anyway) What three metabolic conditions...

Antimitochondrial antibodies? - correct answer Primary biliary cirrhosis Antismooth muscle antibody? - correct answer Primary sclerosing cholangitis What is the best initial test for primary sclerosing cholangitis? Most accurate? - correct answer Initial: elevated ALP, *elevated bilirubin* Best: ERCP (beading of biliary system) Others: antismooth muscle antibody, ANCA positive Treatment for both primary biliary cirrhosis and primary sclerosing cholangitis? - correct answer Urs...

what is the best initial thing to do in a patient with a hyperosmolar hyperglycemic state - correct answer aggressive volume resuscitation - they are generally severely volume depleted then IV insulin *avoid management of hyperkalemia because these guys usually have a total body potassium deficit what can occur in patients with poorly controlled diabetes - correct answer hyperosmolar hyperglycemic state (HHS) or DKA describe Hyperosmolar hyperglycemic state (HHS) - correct answe...

What is the genetic inheritance pattern of Hemophilia A? - correct answer X-linked recessive: women born to fathers with X linked recessive disorder will be carriers. Males are 50% carriers if born to an affected mother. What is tx of Lewy body dementia? - correct answer Dopamine agonist therapy (PD) & AchE inhibitors (Alzeihmer's) - watch for dopamine agonist therapy causing complex visual hallucinations. A patient treated for LTBI and now has positive PPD. Asymptomatic and also has ...

Clues to ischemic disease - correct answer dull pain 15-30 minutes occurs on exertion substernal radiates to jaw or left arm PE findings for ischemic chest pain - correct answer S3 (dilated LV) S4 (hypertrophic LV) holosystolic murmur (MR) JVD Rales (CHF) Edema Gen: distressed, SOB, clutching chest. MI: diagnostic testing: 1. first test to do: 2. if choosing between testing and treatment: 3. first treatment to give: 4. Other tests to do: 5. most accurate test: - co...

What is the highest risk factor for pelvic inflammatory disease? - correct answer Multiple sexual partners (4.6 - 20 fold) What is the name of the perihepatitis caused by pelvic inflammatory disease? - correct answer Fitz-Hugh-Curtis Syndrome What is the outpatient treatment for pelvic inflammatory disease? - correct answer Ceftriaxone plus doxycycline What is the inpatient treatment for pelvic inflammatory disease? - correct answer Cefoxitin plus doxycycline What are the lon...

When would you order a head CT with or without contrast? - correct answer With - looks for abscesses or intracranial masses WITHOUT - looks for acute bleeding which appears white. Contrast also appears white and can obscure bleeding. Like in intracranial hemorrhage Parents bring teen daughter to ED for cutting herself. No intent to commit suicide per daughter. Does she require hospitalization while you work her up for safety reasons? - correct answer NO. There is no intent to commit su...

Data Model - correct answer Data models are a set of rules and/or constructs used to describe and represent aspects of the real world in a computer. Two primary data models are available to complete this task: raster data models and vector data models. Spatial Data - correct answer Spatial data is usually stored as coordinates and topology, and is data that can be mapped. Spatial data is often accessed, manipulated or analyzed through Geographic Information Systems Raster Data - correct an...

What is the actual shape of the earth? - correct answer Geoid----means literally "Earth Shaped" How do datums vary in their construction? - correct answer What are the 4 major families of map projections? - correct answer Azimuthal, Equadistant, Conformal, Equal Area Nominal - correct answer Provides and name. If numeric, then no scale is implied Ordinal - correct answer Provides and ordered scale Interval - correct answer Can be manipulated mathematically. Scale in equal incre...

The G in GIS stands for - correct answer Geographic The most important component of a GIS is - correct answer People Give examples of raster GIS - correct answer Digital Satellite imagery, a bunch of pixels, equal area cells or grids GIS data in vector format includes what? - correct answer Lines, Polygons, and Points The use of spatial data or applied geography has been around - correct answer For over 3000 years What is a Geodesy - correct answer The science of measuring the sha...

What does GIS stand for? - correct answer Geographic information system Given a good definition for GIS, list the four components and put a star next to the most important one - correct answer software, hardware, spatial data, people* List four things GIS can do - correct answer enter data, store/display data, analyze data, manipulate data Name the two general types/kind of data - correct answer attribute and spatial example of spatial data - correct answer spaulding hall, room 217, ...

What 2 forms does spatial data come in? - correct answer 1) Discrete data such as soil types or land use 2) Continuous data such as elevation and precipitation What are the 6 components of GIS analysis? - correct answer 1.Display- (tab) shows layers in the order in which they are drawn 2.Query- an operation to extract records from a database according to a specified set of criteria 3.Buffer- delineated area within a specified distance of a feature 4.Overlay- Combines 2 feature classes to ...

An OT is conducting an evaluation on a client post-CVA. The client present with contralateral hemiplegia, grasp reflex, incontinence, confusion, and apathy. What is the involved artery and the site of the infarct? Select one: a. Posterior cerebral artery (PCA) b. Middle cerebral artery (MCA) c. Internal carotid artery (ICA) d. Anterior cerebral artery (ACA) - correct answer d. Anterior cerebral artery (ACA) A child has recently begun to build with blocks both horizontally and vertical...

A client's wrist and thumb joints are limited in range of motion, and the client complains of some mild discomfort that affects the client's caregiving duties at home. The OTR® wants to facilitate movement, increase circulation, and decrease pain. What would be the MOST appropriate use of thermal modalities? A. Use deep heat while stretching the client's stiff joints. B. Use superficial heat before or during a passive stretch. C. Use superficial heat or deep heat without stretching ...

A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre Syndrome one month ago. The OTR advises the client that using assistive devices will improve independence, but the client refuses to use the devices stating: "My wife is happy to help me whenever I need it." How should the OTR respond to the client's comment? A. Convince the client to try at least one device B. Discuss the comment with family members C. Use other techniques to maximize indep...

An individual with left hemiplegia who is right hand dominant receives training to resume independent driving. The OT recommends the use of: a. "palming" of the steering wheel b. hand controls for brake and gas pedals c. left-sided accelerator pedal d. a spinner knob on the steering wheel - correct answer d. a spinner knob on the steering wheel A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with diabetes. The OT home education program will most likey focus o...

Entry into the early intervention system begins with which of the following? A. Screening for developmental delay B. Individualized Family Service Plan C. Screening for family environmental risk factors D. Individualized Education Plan (IEP) - correct answer A. A family is referred for an early intervention screening at which a developmental therapist or OT screens the child to determine if a full assessment is necessary. (Pediatric Occupational Therapy and Early Intervention by Case-Smith) ...

What should a ct with COPD do if he/she experiences shortness of breath and panics? - correct answer 1) Rest arms on thighs --> releases the diaphragm, making breathing easier and lessening fear 2) Pursed lip breathing --> can slow breathing and reduce anxiety What is contraindicated for RA? - correct answer 1) Increasing AROM What can be used to initiate compression therapy for a ct 2 weeks post-op skin grafting with full-thickness burns on bilateral anterior/inner thighs? Als...