Term
| Which NYHA level of classification is described as Symptomatic at rest? |
|
Definition
|
|
Term
| Which NYHA level of classification is described as Symptomatic with mild exertion and may limit activities of daily living? |
|
Definition
|
|
Term
| Which NYHA level of classification is described as Symptomatic with moderate exertion? |
|
Definition
|
|
Term
| Which NYHA level of classification is described as Asymptomatic? |
|
Definition
|
|
Term
| What is the MC sign of L sided HF? |
|
Definition
| cough (notes say dyspnea on exertion) |
|
|
Term
| What is the MC sign of R sided HF? |
|
Definition
|
|
Term
| Primary tx for ED HF presentation? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What cardiac med is contraindicated for use in HF pts? |
|
Definition
| CCB - Verapamil and Diltiazem |
|
|
Term
| Core meds for controlling HF long-term? |
|
Definition
|
|
Term
| 65 y/o obese diabetic WM presents to clinic with 2 weeks of progressive nocturnal nonproductive coughing and wheezing. He feels he has gained weight without trying. He states it was very difficult for him to walk up the stairs and feels weak. His shoes and pants feel tighter than usual. Rest is palliative; activity exacerbates his tiredness and cough. Diagnosis? |
|
Definition
|
|
Term
| 10 yo Asian male presents with his mother for acute itching and blisters on LE below knees x 5 hrs. He states he was playing outside in the woods looking for worms for his bug collection when he started scratching his legs. On PE linear blister lesions present on LE. Diagnosis? |
|
Definition
|
|
Term
|
Definition
| Plant in Toxicodendron genus (poison ivy, poison oak, poison sumac) |
|
|
Term
| Acute erythematous patch, demarcated, raised border. Center of lesion clears as periphery spreads. Lesion is hot, indurated and swollen. Most commonly in Lower extremities 70 - 80 %. May have assoc nausea and vomiting. Dx? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| How can anxiety be assessed? |
|
Definition
|
|
Term
|
Definition
*CBT*
or med = valium, xanax, Lexapro (long-term = type of SSRI) |
|
|
Term
| 12 y/o WF student that c/o recurrent episodes of SOB that started about 2 mos ago. The SOB is accompanied by cough, chest tightness and wheezing that is exacerbated with exercise and is alleviated with rest. She states that she usually goes for 2 mile runs 3 times a wk, but has diminished these to only once a wk because of the previously mentioned symptoms. Dx? |
|
Definition
|
|
Term
| Who is MC affected by cerumen impaction? |
|
Definition
| most commonly affected are men 40 years and older |
|
|
Term
| Patients present with tinnitus, conductive hearing loss, itching, and pain of the ear. Pt has hx of q-tip use and is a male in his 50s. Weber lateralizes to the affected side and Rinne presents with BC>AC. Dx? |
|
Definition
|
|
Term
| Tx for cerumen impaction? |
|
Definition
| Mirine or Ceruminex (Ear wax softener) |
|
|
Term
| Main sx of viral conjunctivitis that sets it apart? |
|
Definition
| preauricular lymphadenopathy |
|
|
Term
| Main sx of gonococcal conjunctivitis that sets it apart? |
|
Definition
| RAPID onset and SEVERE Prulent D/C |
|
|
Term
| Main sx of allergic conjunctivitis that sets it apart? |
|
Definition
|
|
Term
| Tx for bacterial conjunctivitis? |
|
Definition
| Bacitacin, Erythromycin, Sodium sulfacetamide |
|
|
Term
| Tx for gonococcal conjunctivitis? |
|
Definition
|
|
Term
| Tx for allergic conjunctivitis? |
|
Definition
|
|
Term
| RC is a 4 y/o female who is brought in by her mother today complaining of red itchy eyes. The mother states the red eye began the 2 days ago when she picked her up from day care. Initially the left eye was bothering her but as of this morning both eyes are affected. On the first day the mother thought she had gotten sand in her eye from being on the playground and the daughter complaining something was in her eye but the eye progressively got redder with a white discharge. This morning both eyes were crusted and she had difficulty opening them. Bilateral injection and white discharge of eyes, minimal crusting at ocular angles. Visual Acuity and EOMs are intact, PEERLA. No foreign body. Palpable preauricular lymphadenopathy. Dx? |
|
Definition
|
|
Term
| What characterizes costochondritis on PE? |
|
Definition
| Reproducible pain on palpation |
|
|
Term
|
Definition
|
|
Term
| A 7 y/o female reports to the clinic with her mother for moderate pruritus. The mother states her daughter has been itching herself almost constantly. Lichenification is apparent in both antecubital fossa. Dx? |
|
Definition
|
|
Term
| What is the mainstay of tx for atopic dermatitis? |
|
Definition
| Eucerin (emollient cream) |
|
|
Term
| What is the long-term prognosis for eczema? |
|
Definition
| 90% of pts have spontaneous resolution by puberty |
|
|
Term
| 27 y/o male presents with complaints of a “gross red, crusty, and greasy head” x 1 mo. Pt. states that the rash is mildly irritating but not necessarily painful or pruritic. 4 days ago, he noticed the rash started to spread to behind his ears and down the back of his neck. Superficial, scaly lesions over greasy, moderately inflamed posterior 2/3 of scalp. Erythematous rash extending down posterior neck and post-auricular regions bilaterally. Dx? |
|
Definition
|
|
Term
| What can seborrheic derm be triggered by? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Which wart is commonly found on the face, arms, dorsa of hands, shins(women) are slightly elevated, flat-topped and skin-colored/tan papules? |
|
Definition
|
|
Term
| Pt experiences recurrent episodes of facial flushing, erythema (due to dilatation of small blood vessels in the face), papules, pustules, and telangiectasia (due to increased reactivity of capillaries) in a symmetrical, facial distribution. On PE no comedomes are present. Dx? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| 45y/o uncircumcised male presents with penile pain and redness x 7 days. He stated that the pain has gotten progressively worse over the past week and the pain is what caused him to finally seek medical attention. The patient states that it is painful to retract the foreskin, but is able to retract the foreskin fully. Dx? |
|
Definition
|
|
Term
| Tx for fungal balantitis? Tx for bacterial balantitis? |
|
Definition
Fungal = Nystatin
Bacterial = Bacitracin |
|
|
Term
| Tx for bite injuries that are infected and present > 12 hours after incident? |
|
Definition
IV antibiotics
Tertiary Closure |
|
|
Term
| What prophylaxis is given to a bite victim if they have previously been vaccinated, but it has been > 5 yrs? |
|
Definition
|
|
Term
| What prophylaxis do you give a pt who has never completed vaccinations and is a bite victim? |
|
Definition
| Tetanus Ig and Tetanus vaccination |
|
|
Term
| What type of immunization/prophylaxis, besides tetanus, may be needed with a human bite victim? |
|
Definition
|
|
Term
| What med should be given for a human bite? |
|
Definition
|
|
Term
| If pt has dog bite what is the first line tx? What do you give if they are allergic to the first line tx? |
|
Definition
1st line tx = Augmentin
If allergies = Clindamycin |
|
|
Term
| What is the rule of nines? |
|
Definition
Head (front + Back) = 9
Arms (each one front + back) = 9
Legs (each one front + back) = 18
Chest = 18
Back = 18
Peritoneum = 1 |
|
|
Term
| What is the rule for admitting 2nd degree burns? 3rd degree burns? |
|
Definition
2nd = Hospitalize if over 10%
3rd = Hospitalize all of these
Hospitalize if pt is burned on hands, feet, face or peritoneum |
|
|
Term
| How long should a chemical burn injury be flushed? |
|
Definition
|
|
Term
| What procedure may be necessary for a constricting circumferential burn? |
|
Definition
|
|
Term
| What is the pain med of choice for burns? |
|
Definition
|
|
Term
| What type of cancer is more likely in healed burn pts? |
|
Definition
|
|
Term
| What type of ulcer can develop in burn pts, and how do you prevent it? |
|
Definition
| Stress Ulcer, H2 blocker or PPI prophylaxis |
|
|
Term
| ST is a 25 y/o Caucasian female who presents with a 4 day history of vaginal discharge, itching, and redness. She is sexually active with her boyfriend, and denies the use of condoms or oral contraceptives. Her last sexual contact was 6 days ago, and she denies any pain with intercourse. She admits to douching following intercourse 6 days ago. She denies changes in urinary frequency or dysuria, and she has never been treated for an STD. Pelvic exam positive for vulvar erythema, edema, fissures, and excoriations. A thick, curdlike vaginal discharge is present. LAB: Normal pH of 4.5, KOH wet mount positive. DX? |
|
Definition
|
|
Term
| What cells are char of BV? |
|
Definition
|
|
Term
| Which vulvovaginitis has a positive 'whiff' test? |
|
Definition
|
|
Term
| What med is used to teat BV? |
|
Definition
| Metronidazole or Clinda cream |
|
|
Term
| What pathogen is the MCC of central line sepsis? Tx? |
|
Definition
| Staph Aureus; Tx = Meropenem |
|
|
Term
| When should a fungal, rather than bacterial source of sepsis be suspected? |
|
Definition
| pt has hx of long-term antibiotic use, TPN or GI surgery |
|
|
Term
| What meds should be used in neonatal sepsis? |
|
Definition
| Ampicillin and Gentamycin |
|
|
Term
| Tx for UTI? Tx for UTI in prego pts? |
|
Definition
Bactrim
Prego = Nitrofuratoin |
|
|
Term
| What pain med can be used with UTI? SE? |
|
Definition
| Pyridium; discolors the urine |
|
|
Term
| What are the common presenting symptoms of a UTI in the elderly? What is the usual cause of UTIs in the elderly? |
|
Definition
| Incontinence and Mental Status Change; Usual cause is obstructive |
|
|
Term
| What should be done if a 9 month old child presents with a UTI? |
|
Definition
| W/U for urinary tract abnormalities |
|
|
Term
| Pt present with h/o bloody diarrhea, tenesmus, ABD pain with tenderness. Rectal urgency, occasional fecal incontinence. Weight loss and arthralgias. DX? |
|
Definition
|
|
Term
| What rheumatological test can help confirm a dx of UC? |
|
Definition
|
|
Term
| What OTC can activate UC? |
|
Definition
|
|
Term
| What med should be used to tx severe exacerbations of UC? |
|
Definition
|
|
Term
| What med should be used to treat mild UC? |
|
Definition
|
|
Term
| How often should a pt with UC receive a colonoscopy? |
|
Definition
| Every 1 - 2 yrs after 8 years post diagnosis |
|
|
Term
| Tx for trigeminal neuralgia? |
|
Definition
|
|
Term
| Pt presents with Yellow-green malodorous vaginal d/c, and vulvovaginal d/c. On wet mount a small single cell organism can be visualized. What is you DX? Tx? |
|
Definition
Dx - Trich
Tx - Metronidazole |
|
|
Term
| Pt presents with "map-like" lesions on his inner thighs, what do you suspect? How would you confirm dx? How would you tx? |
|
Definition
| Tinea Cruris; Confirm with KOH; Tx with Terbinafine |
|
|
Term
| What is the MC organism responsible for tinea cruris? |
|
Definition
|
|
Term
| MC vein involved in Thrombophlebitis? |
|
Definition
|
|
Term
| What are the 1st line tx for thrombophlebitis? |
|
Definition
|
|
Term
| What type of pts are MC affected by bronchiolitis? |
|
Definition
|
|
Term
| What is the MCC of bronchiolitis? |
|
Definition
|
|
Term
| A 1 yr old presents with wheezing, fever, cough, tachypnea and rhinorrhea. On CXR there is increased AP diameter, flattened diaphragm, air trapping, patchy infiltrates, focal atelectasis (RUL common), and peribronchial cuffing. DX? |
|
Definition
|
|
Term
| Pt presents with a productive cough x 3 days, wheezing over bronchi are heard on auscultation. DX? |
|
Definition
|
|
Term
| Treatment for Bronchitis? |
|
Definition
Bronchodilators
Anti-tussives |
|
|
Term
|
Definition
|
|
Term
| What is the MC pathogen of cellulitis? |
|
Definition
| gram positive cocci such as group A beta-hemolytic strep and S. Aureus. |
|
|
Term
| If MRSA the suspected agent causing cellulitis, what is the tx? |
|
Definition
|
|
Term
| What antibiotics are used in cellulitis tx? |
|
Definition
| PCN, Cephalexin, Ceflacor |
|
|
Term
| Tx for orbital cellulitis? |
|
Definition
IV amp/sulfabactam
ADMIT ( -> Optho referral) |
|
|
Term
| In which pts is chlamydial pneumonia MC? |
|
Definition
| Elderly (those with COPD) |
|
|
Term
| Causative organism of chlamydial vaginal infection? |
|
Definition
|
|
Term
| What is the MC STD in US? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the MC rash of infancy? |
|
Definition
|
|
Term
| What med can cause central DI? |
|
Definition
|
|
Term
| What med can cause nephrogenic DI? |
|
Definition
|
|
Term
| What test is used to differentiate Central vs. Nephrogenic DI? What test can confirm Central DI? |
|
Definition
| Vasopressin Challenge (Central DI shows improvement in thirst); Water Deprivation test confirms Central DI |
|
|
Term
|
Definition
Indomethicin + hydrochlorothiazide OR
indomethacin + desmopressin OR
indomethacin +amiloride. |
|
|
Term
| What findings indicate abnormal glucose levels? |
|
Definition
Fasting Blood Glucose ( >126 mg/dL),
Random Blood Glucose (> 200mg/dL)
HbA1c (>6.5%) |
|
|
Term
| 1st line tx for Diabetes Type 1? |
|
Definition
| Levemir SQ (long acting) QD or BID. & Symlin SQ (rapid acting) before meals (a.c.) |
|
|
Term
|
Definition
Warm eyelid compresses
Proper lid hygiene
Topical ophthalmic antibiotic ointment (Bacitracin, Erythromycin) |
|
|
Term
| Pt presents with greasy scales on eyelid margins and small ulcerations as well as foreign body sensation and watery eyes. DX? |
|
Definition
|
|
Term
| Pt presents with dry scales on eyelid margins and bilateral foreign body sensation with watery eyes. Dx? |
|
Definition
|
|
