Exam (elaborations)
FAMILY MEDICINE AQUIFER/329 QUESTIONS AND ANSWERS (A+)
- Course
- Institution
FAMILY MEDICINE AQUIFER/329 QUESTIONS AND ANSWERS (A+)
[Show more]
Seller
Follow
HELLENAH
Reviews received
Content preview
FAMILY MEDICINE AQUIFER/329QUESTIONS AND ANSWERS (A+)
What disease can hyperthyroidism unmask? -
√Answer :Diabetes
Unmasks glucose intolerance and adversely effects
glucose and lipid management
Quiz :What diseases are associated with T1D? -
√Answer :Hashimotos
Graves
*autoimmune diseases*
Quiz :What is a key component of HHS treatment? -
√Answer :Fluid replacement
In many cases several liters
Quiz :What is the most common underlying cause of
HHS? - √Answer :Decreased fluid intake
UTI
Pneumonia
MI, stroke and PE can also precipitate it
Quiz :Screening for TIID? - √Answer :Normal starts at
45
Or
Overweight with one or more risk factors:
Physical inactivity
,High risk ethnicity
First degree relative with diabetes
Impaired glucose previously
Stage 2 hypertension (140/90)
Low HDL and High TG
gestational diabetes
PCOS
CVD HX
acanthosis
Quiz :Symptoms of hyperglycemia -
√Answer :Unexplained weight loss
Polyuria
Quiz :Dx of diabetes - √Answer :A1C: greater than 6.5
2 hour postprandial over 200
Fasting over 126
Random over 200 with symptoms of hyperglycemia
Quiz :What causes vision changes in someone with
diabetes - √Answer :Darks spots: new blood vessels
forming and leaking
Blurriness: macular edema
Vision changes are a late complication of diabetic
changes.
40% of patients requiring insulin develop retinopathy 5
years later
Quiz :What do retinal hemorrhages look like and what
causes them? - √Answer :Dark blots with indistinct
borders—indicate partial obstruction and infarction
,Quiz :What are cotton wool spots and what does it
mean? - √Answer :White spots with fuzzy borders
Previous areas of infarction, usually with hemorrhages
Quiz :What do microaneurysms look like in the eye? -
√Answer :Punctuate dark lesions— well circumscribed
Quiz :What causes neovascularization? -
√Answer :Hypoxia and vessel occlusion
Quiz :Parts of a diabetic foot exam - √Answer :Dorsalis
pedis and posterior tib pulses
Ankle jerk reflex
Filament testing
Skin for hair loss, breaks in skin, bony prominences etc
Quiz :What labs should be ordered for someone with
diabetes that hasn't been seen for a year? -
√Answer :A1C
Lipid panel
TSH
Creatine/ GFR
B12 levels (metformin Lowers this)
Spot albumin to creatinine ratio (testing for
microalbuminuria)
Quiz :When should moderate intensity statin be
administrated? - √Answer :Age 40-75 with LDL over 70
and DM
, Quiz :When to use high intensity statin? -
√Answer :Moderate risk plus 7.5% estimated 10 yr CVD
risk
Quiz :Goal BP for patients with diabetes? -
√Answer :Less than 130/80
(That is stage 1 hypertension)
Quiz :Does aspirin decrease risk of heart disease in
someone with diabetes and no other CVD risk factors? -
√Answer :No
**only give them aspirin if they have hex of CVD... aka
over 50 with HTN, HLD, smoking, microalbuminuria and
are not at an increase risk of bleeding
Quiz :What A1C is known to decrease microvascular
complications? - √Answer :Less than 7
Quiz :Tx based on A1C - √Answer :Les than
9=metformin
Between 9-10 dual oral therapy
Above 10=insulin
Quiz :How long do you wait before starting someone on
the next step of therapy? - √Answer :3 months of
therapy where the A1C doesnt drop to below 7
Quiz :What is tx goal for patients with essential
hypertension? - √Answer :<130/80
Quiz :When do you start 1 or 2 drugs? - √Answer :start
2 drugs if more than 20/10 increased from the goal
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HELLENAH. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now