AMCB Memorization Exam Questions and Answers All Correct

AMCB Memorization Exam Questions and Answers All Correct Diaphragm of Stethoscope - Answer-Used to listed to high pitch sounds-S1, S2, heart sounds Big and flat Bell of Stethoscope - Answer-Used to listen to low pitch sounds Bruits, murmurs concave Underweight BMI - Answer-18.5 Wt gain in preg: 28-40lbs Normal Weight BMI - Answer-18.5-24.9 Wt gain in preg: 25-35lbs Overweight BMI - Answer-25-29.9 Wt gain in preg: 15-25lbs Obese BMI - Answer-30-39.9 Weight Gain in preg: 11-20lbs Extreme Obesity BMI - Answer-40 RBCs - Answer-4.2-5.4 Hematocrit - Answer-33% in 1st and 3rd trimester 32% in 2nd trimester -2% for Black women Hemogobin - Answer-11 in 1st and 3rd trimester 10.5 in 2nd -0.8 for Black Women MCV - Answer-Average volume or size of a single RBC 80-100 WBC - Answer-3,900-12,500 Up to 16,900 is normal in 3rd trimester HbA1c - Answer-5.7 6.5%=DM ADA Criteria for DX of DM (primary care) - Answer-Random glucose 200 + s/s of Hyperglycemia Fasting of 126 or greater Two hr PP of 200 or greater Total cholesterol - Answer-200 mg/dL May be elevated in pregnancy Triglycerides - Answer-35-135 May be elevated in pregnancy HDL - Answer-"Happy" Removes cholesterol from peripheral tissues and transports to liver 40 or greater LDL - Answer-"Lowsy" 130 BUN - Answer-10-20 Indirect measure of kidney and liver function Creatinine Clearance - Answer-Calculated from serum 24hr, reflects GFR- which is determined bases on age, gender and race Serum Creatinine- 0.5-1.1 24 hr Urine 300=Proteinuria, normal 150 Urine Protein/Creatinine Ratio (PC Ratio) - Answer-0.3= Proteinuria TSH - Answer-0.4-4.1 1st trimester 0.1-4.0 2nd trimester 0.2-4.0 3rd 0.3-4.0 AST - Answer-0-35 ALT - Answer-12-38 Sickle Cell - Answer-+ Hgb S indicates disease or trait Hgb electrophoresis is the definitive test to determine ANA (autoantibodies/antinuclear antibodies) - Answer-+ 95% indicates SLE Treatment for HTN - Answer-General Population at 60 y/o for 150/90 60 y/o 140/90 HTN +DM 140/90 regardless of age Meds for HTN - Answer-Should be started for calculated 10-yr risk 10% or with CVD, DM or chronic kidney disease Non-Black-thiazide direuritic, ca channel blocker, ACE or ARB Blacks Thiazide diuretic or Ca Channel Blocker Reassess in 1 month, if no change add another medication **ACEs and ARBs not OK in Preg Murmur Referral - Answer-For all diastolic above grade 3 IDA - Answer-microcytic, hypochromic MCV 80, low MCH, Low HCHV low RBCs, Ferratin 10, high TIBC TX: Ferrous sulfate for 4-6mos Thalessemia - Answer-microcytic, hypochromic Usu asymptomatic if mild MCV 80, RBC 5.5, normal ferratin Hbg electrophoresis- Alpha all normal, beta abnormal Refer for all MAJOR B12 Anemia - Answer-Macrocytic, normochromic MCV 100, B12 100 could be d/t deficiency or intrinsic factor-- pernicious anemia s/s sore swollen tongue, fatigue, weakness, dyspnea, paresthesias TX: Vit B12 IM daily for one week, then weekly Folate Anemia - Answer-Macrocytic, normochromic, MCV 100, B12 normal, Folate 3, elevated homocysteine, normal methylmalonic acid d/t malabsorption, pregnancy, ETOH, PPIs, elderly, metformin S/S similar to B12, but not neural involvement TX: dietary first, then folic acid supplement