AEII: Exam 2 (Weeks 5, 6, 7, and 8)
(Amer. Cancer Society) are breast exams by a provider or self-exam still required? -
ANS-no
(Amer. Cancer Society) at the age of 55, how often should women have mammograms?
- ANS-every other year
(Amer. Cancer Society) at what age should women begin to have mammograms every
other year? - ANS-55
(Amer. Cancer Society) when do regular mammograms continue in breast cancer
screening? - ANS-as long as a woman is in good health
(USPSTF) recommends against teaching what? - ANS-breast self-examination (BSE)
(USPSTF) when should women be screened and at what age? - ANS-biennial
screening mammography
ages 40-74
75%-85% of cases are what types of hepatitis C carriers? - ANS-chronic
ambulatory and home care for UTI patients: - ANS-- compliance with antibiotic
treatment
- adequate fluid intake
- regular voiding
- void after intercourse
- discontinue use of diaphragm
- follow-up care with urine culture
- recurrent symptoms typically occur in 1-2 weeks after therapy
- cranberry juice/tablets
- avoid caffeine, alcohol, citrus juices, chocolate, and highly spiced foods (potential
bladder irritants)
are the clinical syndromes of AKI's reversible? - ANS-yes
are weight changes, stomach bloating and anorexia unifactorial or multifactorial in HF? -
ANS-multifactorial
,as HF is treated, what decreases? - ANS-BNP
at what age should men at HIGH RISK of developing prostate cancer, including african
americans and men who have a first-degree relative diagnosed with prostate cancer at
an early age (younger than 65) be screened? - ANS-45
BRCA 1 and BRCA 2 alone are? - ANS-normal
BRCA 1 and BRCA 2 mutations are? - ANS-abnormal
can genetic testing be done for breast cancer/BRCA 1 and BRCA 2? - ANS-yes
can hepatitis B survive outside the body?
how long?
can it still infect? - ANS-yes
7 days
yes
CKD is what type of kidney injury? - ANS-progressive, irreversible kidney injury
abnormalities of kidney structure or function, present for >3 months
clinical manifestations - ANS-- nocturia often the first symptom
- hyperirritable bladder (pain)
- urgency and frequency
- compression of the urethra leads to
a. decrease in caliber and force of the urinary system
b. difficulty in initiating voiding
c. intermittency of voiding
d. dribbling
- overflow urinary incontinence
- hypertrophied bladder wall muscles
DIGOXIN: DRUG INTERACTIONS
,Which drugs: Decreased Digoxin Absorption - ANS-antacids
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interaction
aloe - ANS-increase potassium loss
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interaction
Ma-Huang - ANS-increase risk of dig toxicity
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
GINSENG - ANS-falsely increase dig levels
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
Hawthorn - ANS-increase effect of dig
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
licorice - ANS-potentiates effect of dig as it causes hypo K
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
St. John's Wort - ANS-decrease absorption and decrease serum level
DIGOXIN: DRUG INTERACTIONS
, Which drugs: Increase Serum Digoxin Levels - ANS-quinidine
verapamil
flecainide
erythromycin
clarithromycin
amiodarone
- significantly decreases digoxin dose by 50%
thiazide and loop diuretics
- increase risk for dig toxicity due to decrease in K+ levels
f(Amer. Cancer Society) or women who are at average risk (so, most women), how
often should they get mammograms?
at what age should they start getting mammograms? - ANS-yearly
age 45
GERD affected areas of the GI tract: - ANS-- impaired esophageal motility
- defective mucosal defense
- LES dysfunction
- reflux of gastric contents
- delayed gastric emptying
- small intestine reflux of bile
hepatitis coagulopathies: what lab values should you monitor for hepatitis patients? -
ANS-- PT (10.5-13.5 seconds)
- INR
- platelet count for thrombocytopenia
- Hgb and HCT: decreases may indicate occult bleeding
- minimize IM injections: might cause hematoma
- handle patient gently
- monitor for fecal occult blood = Guaiac test
how can infants contract hepatitis B? - ANS-by being born to an infected mother
how can you contract hepatitis A by water? - ANS-by drinking water or eating shellfish
from contaminated water
(Amer. Cancer Society) are breast exams by a provider or self-exam still required? -
ANS-no
(Amer. Cancer Society) at the age of 55, how often should women have mammograms?
- ANS-every other year
(Amer. Cancer Society) at what age should women begin to have mammograms every
other year? - ANS-55
(Amer. Cancer Society) when do regular mammograms continue in breast cancer
screening? - ANS-as long as a woman is in good health
(USPSTF) recommends against teaching what? - ANS-breast self-examination (BSE)
(USPSTF) when should women be screened and at what age? - ANS-biennial
screening mammography
ages 40-74
75%-85% of cases are what types of hepatitis C carriers? - ANS-chronic
ambulatory and home care for UTI patients: - ANS-- compliance with antibiotic
treatment
- adequate fluid intake
- regular voiding
- void after intercourse
- discontinue use of diaphragm
- follow-up care with urine culture
- recurrent symptoms typically occur in 1-2 weeks after therapy
- cranberry juice/tablets
- avoid caffeine, alcohol, citrus juices, chocolate, and highly spiced foods (potential
bladder irritants)
are the clinical syndromes of AKI's reversible? - ANS-yes
are weight changes, stomach bloating and anorexia unifactorial or multifactorial in HF? -
ANS-multifactorial
,as HF is treated, what decreases? - ANS-BNP
at what age should men at HIGH RISK of developing prostate cancer, including african
americans and men who have a first-degree relative diagnosed with prostate cancer at
an early age (younger than 65) be screened? - ANS-45
BRCA 1 and BRCA 2 alone are? - ANS-normal
BRCA 1 and BRCA 2 mutations are? - ANS-abnormal
can genetic testing be done for breast cancer/BRCA 1 and BRCA 2? - ANS-yes
can hepatitis B survive outside the body?
how long?
can it still infect? - ANS-yes
7 days
yes
CKD is what type of kidney injury? - ANS-progressive, irreversible kidney injury
abnormalities of kidney structure or function, present for >3 months
clinical manifestations - ANS-- nocturia often the first symptom
- hyperirritable bladder (pain)
- urgency and frequency
- compression of the urethra leads to
a. decrease in caliber and force of the urinary system
b. difficulty in initiating voiding
c. intermittency of voiding
d. dribbling
- overflow urinary incontinence
- hypertrophied bladder wall muscles
DIGOXIN: DRUG INTERACTIONS
,Which drugs: Decreased Digoxin Absorption - ANS-antacids
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interaction
aloe - ANS-increase potassium loss
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interaction
Ma-Huang - ANS-increase risk of dig toxicity
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
GINSENG - ANS-falsely increase dig levels
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
Hawthorn - ANS-increase effect of dig
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
licorice - ANS-potentiates effect of dig as it causes hypo K
DIGOXIN: DRUG INTERACTIONS
Which drugs: herbal interactions
St. John's Wort - ANS-decrease absorption and decrease serum level
DIGOXIN: DRUG INTERACTIONS
, Which drugs: Increase Serum Digoxin Levels - ANS-quinidine
verapamil
flecainide
erythromycin
clarithromycin
amiodarone
- significantly decreases digoxin dose by 50%
thiazide and loop diuretics
- increase risk for dig toxicity due to decrease in K+ levels
f(Amer. Cancer Society) or women who are at average risk (so, most women), how
often should they get mammograms?
at what age should they start getting mammograms? - ANS-yearly
age 45
GERD affected areas of the GI tract: - ANS-- impaired esophageal motility
- defective mucosal defense
- LES dysfunction
- reflux of gastric contents
- delayed gastric emptying
- small intestine reflux of bile
hepatitis coagulopathies: what lab values should you monitor for hepatitis patients? -
ANS-- PT (10.5-13.5 seconds)
- INR
- platelet count for thrombocytopenia
- Hgb and HCT: decreases may indicate occult bleeding
- minimize IM injections: might cause hematoma
- handle patient gently
- monitor for fecal occult blood = Guaiac test
how can infants contract hepatitis B? - ANS-by being born to an infected mother
how can you contract hepatitis A by water? - ANS-by drinking water or eating shellfish
from contaminated water
