Exam (elaborations)
CMN 577 - Unit 1 Questions & answers
- Course
- Institution
CMN 577 - Unit 1 Questions & answers
[Show more]
Seller
Follow
EXAMQA
Reviews received
Content preview
CMN 577 - Unit 1S/S of acute intermittent porphyria - ANS-+ Abdominal pain of varying severity
+ Absence of fever or leukocytosis
+ Peripheral neuropathy (symmetric OR asymmetric)
+ CNS sx (seizures, altered consciousness, psuychosis, abnormalities of basal ganglia)
+ Hyponatremia
McPhee p 1690
Labs for acute intermittent porphyria - ANS-+ Hyponatremia
+ Urine which turns dark when exposed to light or air (r/t porphobilonogen excretion)
McPhee p 1690
Prevention of attacks in pts with acute intermittent porphyria - ANS-+ Sulfanoamides
and barbituates
+ Starvation or prolonged fasting
+ Hormone changes during pregnancy
McPhee p 1690
Typical patient with AIP - ANS-Young female
McPhee p 1690
Treatment for acute intermittent porphyria (AIP) - ANS-+ High carb diet
+ Analgesics and IV glucose in saline and hematin
McPhee p 1691
Cause of acute intermittent porphyria (AIP) - ANS-Genetic condition, inherited as an
autosomal dominant condition.
Pts have mutation in HMBS
McPHee p 1690
,At what point in pregnancy can Down Syndrome be detected, and what tests are used?
- ANS-+ Down syndrome can be detected in the 1st or early 2nd trimester
+ Screen maternal serum for alpha-fetoprotein (should be LOW) and other biomarkers
(multiple marker screening)
+ Detecting nuchal thickness and underdevelopment of nasal bone on ultrasonography.
McPhee p 1692
s/s of Down Syndrome - ANS-+ Typical craniofacial features (flat occiput, epicanthal
folds, large tongue)
+ Hypotonia
+ Single palmar crease
+ Congenital heart defects (50% of pts)
McPhee p 1692
Hematuria --What do proteinuria and casts in urinalysis suggest? - ANS-Renal origin
McPhee p 962
What do irritative voiding sx, bacteruria and a positive urine culture suggest in the
female patient? - ANS-Urinary tract infection
McPhee p 962
T/F - Urine cytology is recommended in the evaluation of asymptomatic microscopic
hematuria. - ANS-FALSE
McPhee p 962
In what type of patient is cystology indicated for evaluation of hematuria? - ANS-Pts with
gross hematuria and those > 35 yrs with asymptomatic microscopic hematuria
McPhee p 962
Common symtpoms of acute cystitis - ANS-Irritative voiding sx (frequency, urgency,
dysuria)
Suprapubic discomfort
NOTE: ♀ may also have gross hematuria and sx follow sexual intercourse.
, McPhee p 962
Urinalysis results in acute cystitis - ANS-Pyuria
Bacteruria
Varying degrees of hematuria
McPhee p 963
When are ♀ candidates for prophyactic abx tx for prevention of recurrent UTI? - ANS-♀
who have > 3 episodes of cystitis per year
McPhee p 963
Microscopic hematuria in male patients is most often caused by what? - ANS-BPH
McPhee p 962
Most common cause of acute cystitis? - ANS-Coliform bacteria (especially E.Coli and
occasionally gram positive bacteria).
McPhee p 962
Tx of uncomplicated cystitis in women - ANS-+ Short term antimicrobial tx (either single
dose, or 1-9 days)
+ 1st line therapies
-- Macrobid 100 mg BID x 5 -7 days
-- Bactrim 160/800 mg BID x 3 days
-- Fosfomycin trometamol (3 g single dose)
McPhee p 963-4
Most common causes of acute pyelonephritis - ANS-Gram negative bacteria (e.g. E coli,
Proteus, Klebsiella, Enterobacter, Pseudomonas)
OCCASIONALLY, gram positive are seen (e.g enterococcus faecalis, staph aureus)
McPHee p 965
s/s acute pyelonephritis - ANS-+ Fever with shaking chills
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79978 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now