EOC End of Curriculum Exam Prep (A+ GUARANTEED)
abnormal laboratory tests with ______________ include -- increased LFT, NH4+
-- decreased Glucose correct answers Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
mechanical mitral valve replacement on warfarin presents to the office for routine management of his anticoagulant medication. What is the target international normalized ratio range for this patient? correct answers INR 2.5 to 3.5 (mechanical valve) INR 2.0 to 3.0 (organic valve)
LBP worse with walking, radiating to both legs, + paresthesia, +weakness
+ worse pain with spine extension correct answers Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
dx- MRI
Tx- PT and surgery
Decreased light touch and vibration sensation*** correct answers nerve compression
neuropathy
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles,
new murmur on left sternal border correct answers infective endocarditis
dx based on: -Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU, *Most often elevated lab marker- rheumatoid factor*
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and posterior auricular lymphadenopathy correct answers Rubella -- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
- Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
SUPER HIGH fever (104F) --> FEVER resolves--> RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities correct answers RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik spots correct answers rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
constipation, what medication could safely be added correct answers Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Which medication causes a rapid eye movement sleep behavior disorder in patients with Parkinson disease or Lewy body dementia? correct answers SSRI and antidepressants (common)
--- rare--BB, cholinesterase inhibitors (donepezil, rivastigmine, mimentamine), suvorexant (rare)
--- benzodiazepine withdrawal, barbiturate withdrawal. --- use melatonin or low dose clonazepam
SEVERE HA, _ conjunctival inject + tearing, occuring one minute
--- Oxygen does NOT help! correct answers short lasting unilateral neuralgiform headache attack
Note - no n/photophobia/ phonophobia
= no alcohol triggers
tx- Lidocaine
prophylaxis
persisitent rhinorrhea, frequent sneezing, itching, watering eyes correct answers allergic rhinitis
wash bed lining weekly
tx- antihistamine
glucocrticoid nasal sprays
cromolyn sodium
montelukast
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