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SLCC Med Surg 2 Questions with Accurate Answers
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Exam of 5 pages for the course SLCC at SLCC (SLCC Med Surg 2)
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SLCC Med Surg 2rheumatoid arthritis - answer chronic systemic disease characterized by inflammation of
joints, stiffness, pain and swelling
cause of rheumatoid arthritis - answer Exact cause not known
Genetic factor is present.
Familial predisposition
Some links to viral infections
s/s of rheumatoid arthritis - answer fatigue, Malaise, Anorexia, Joint Pain, Warmth,
Swelling.
Bilateral and Symmetrical
Labs for RA - answer Positive RF, Positive Anti-CCP, Elevated ESR, Elevated CRP,
Anemia, Thrombocytosis and Low Albumin. Level of Albumin Correlates with Severity of
Disease.
Methotrexate - answer Antimetabolite
Immunosuppression
Side effects of methotrexate - answer- Bone marrow suppression
- Hepatotoxicity
- Oral ulcers/stomatitis
Hydroxychloroquine - answer immunosuppression
good pasture syndrome - answer involves lungs and kidneys resulting in pulmonary
hemorrhage and glomerulonephritis
Cause of goodpasture syndrome? - answerEpigenetics
environmental exposure that triggers
S/S of Goodpasture's syndrome - answerHemoptysis, dyspnea, decrease renal
function, crackles/Rhonchi, HTN
labs for Goodpasture's - answerCBC,CMP,Anti-GBM antibody, Kidney Biopsy, UA
Treatment for Goodpastures - answerSteroids, Plasmapheresis, Dialysis
Gout - answerhereditary metabolic disease that is a form of acute arthritis,
characterized by excessive uric acid in the blood and around the joints
, Risk Factors for gout - answerIncreased BMI, Age, ETOH, HTN, Diuretic use
s/s of gout - answerSudden onset of intense pain, usually in one joint.
Inflammation increases within hours then lasts for a few days to weeks.
Allopurinol - answerslows production of uric acid, used to treat gout (and cancer)
Good food for gout - answerVitamin C (kiwi)
Coffe
Cherries
Bad for for gout - answerRed/organ Meat
Shellfish
Tuna
Asparagus
Beer
Spinach
HIV/AIDS - answerVirus targets CD4+cells
Acute HIV - answerHIV infects dendritic cells in mucosa, lymphatics = increase in Viral
load
Body will react so decrease in viral load
Chronic HIV - answerSlowly destroys CD4 cells
Slow increase in viral load
Clinical Manifestations of HIV - answerCD4 < 200 mm3
Lyme disease - answerBorrelia burgdorferi
Deer tick
s/s of lyme disease - answerrash, flu-like symptoms, stiff neck, fever, swollen lymph
nodes, headache, joint pain, bulls eye rash
Labs for lyme disease - answerIgM, IgG
labs detect antibodies
treatment of lyme disease - answerDoxycycline, amoxicillin, or cefuroxime
Teach about antibiotic use
lupus - answera chronic autoimmune disease characterized by inflammation of various
parts of the body
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