Reflexes expected at 1 month - Answer-Moro until 4 months, Palmer until 4 months,
Plantar util 8 months, Babinski (2 years is disease)
/.Signs of fetal alcohol syndrome - Answer-small head, shoey palpebral fissure, inner
epicanthal folds. Do IEP and early intervention specialist
/.Rhett Syndrome - Answer-a rare disorder found virtually exclusively in girls, is a
neurodevelopmental disorder in which the child usually develops normally unitl about 6
to 18 months of age at which characteristics of the syndrome emerge; characteristics
include: hypotonia (loss of muscle tone), reduced eye contact, decelerated head growth,
and disinterest in play activities
/.EPS types - Answer-Tardive dyskinesia happen after years (eps is a precursor). Acute
dystonia (hours), Parkinsons (weeks), Akathisia (days)
/.Where do EPS originate - Answer-nigrostiatal tract.
/.How does tegretol interact with cipro - Answer-cipro and erythromycin are inhibitors.
Cause increased level of Tegretol. Black box warning
/.Tegretol side effects - Answer-Aplastic anemia, agranulocytosis, steven johnsons,
hyponatremia. Watch with cipro and erythro
/.nuchal rigidity - Answer-stiffness in cervical neck area, meningitis
/.ACE inhibitors - Answer--pril, CHF
/.signs of serotonin syndrome - Answer--shivering
-anxiety
-diaphoresis
-hyperthermia
Shits and Shivers
diarrhea, shivering, hyperreflexia/myoclonis, increased temperature, vital sign instability,
encephalopathy, restlessness, sweating
/.Serotonin Discontinuation Syndrome - Answer-syndrome caused by abrupt withdrawal
of an antidepressant drug, resulting in sensory disturbances, sleeping disturbances,
disequilibrium, flu-like symptoms, dizzy, vertigo, paresthesia (brain zaps),
nausea/vomiting, and gastrointestinal effects
, /.NMS - Answer-neuroleptic malignant syndrome
*S*evere fever
*C*hanging LOC
*A*utonomic instability
*R*igidity
*S*weating and drooling
FEVERS- fever, encephalopathy, vitals instability, elevated white blood cell count/cpk,
rigidity
/.Levels of Prevention - Answer-Primary: prevent/promotion, classes, safety initiatives,
education, classes, modifying environment
Secondary: screen-early detection, crisis hotlines, disaster
Tertiary: treat- to prevent further deterioration, rehab, restoration, day treatment, social
skills
/.Risk factors for serotonin syndrome - Answer-more than 1 SSRI, st johns wart,
tramadol, demerol, ultram, maperidone, 5HT
/.Grade 2/5 hoarse systolic heart murmur - Answer-aortic stenosis
/.Woman with GAD advise on medication - Answer-stop benzos because can cause
floppy baby syndrome and cleft palate, cotinue buspar
/.What to give to agitated pt in seclusion - Answer-IM Geodon
/.Labs for macrocytic anemia - Answer-Folic acid, vitamin B12, ESR/CRP, HGB, MCV
(liver)
/.When to assess a patient in restraints for face/face - Answer-1 hour then 8 hours
/.therapeutic communication - Answer-open ended, 'tell me'
/.Reluctant/silent patient - Answer-open ended questions
/.Patients husband shows up but not the patient - Answer-both people need to be
present, reschedule
/.Abnormal Trendelenburg Test - Answer-Hip disease, refer child out, assessed during
head to toe
/.Hamilton Depression Scale - Answer-i. Severe 19- 23 (monitor for SI)
ii. Moderate 14 - 18
iii. Mild 8 -13
0-7 normal
