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3P Exam Study Set: Questions And Correct Solutions
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3P Exam Study Set: Questions And Correct Solutions
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3P Exam Study Set: Questions And Correct SolutionsWhat would cause decrease in Digoxin levels Right Ans - Antacids
Taking Pyridium for UTI, what can Pyridium cause? Right Ans - Hemolytic
Anemia
What can PCOS result in? Right Ans - increased insulin levels, Androgens,
hirsutism
What is a hypertensive used in pregnancy Right Ans - Methyldopa
What is a characteristic of Placenta Previa? Right Ans - painless red
bleeding
What is a characteristic of Rheumatoid arthritis ? Right Ans - Red hot joints
Medications that cause ototoxicity Right Ans - Aminoglycosides, nasal
decongestants, antihistamines
Treatment period for enterobiasis Right Ans - 2 weeks
CBC Interpretation Right Ans - MCV - mean corpuscular volume help
diagnose different types of anemia (High=macrocytic like B12,
Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? Right Ans - 27 weeks
Janesway lesions Right Ans - Happen with endocarditis, non painful lesions
seen on hands and feet, Osler same but painful
Warfarin management - forgot a dose? Right Ans - If under 12 hours take
missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? Right Ans - ACE (dry hacking) cough
starts 1-2 weeks after med started, ACE (Lol) ARB (sartan) first line in HTN
avoid initially in african americans, angioedema can occur
,Contraindication for hydrochlorithiazide Right Ans - sulfa allergy, asthma,
PCN hypersensitvity
Murmurs Systolic Right Ans - MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) Right Ans - AR= Aortic Regurge (angina, HF,
dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated Right Ans - Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples Right Ans - Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds Right Ans - S3- CHF; possible normal for
adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD Right Ans - antiplatelets (Plavix, ASA), Pentoxifylline
(decreases blood viscosity) to treat, ankle brachial index to check,
angiography gold standard to diagnose
Coronary artery Disease tx Right Ans - Atorvastatin/rovustatin- use high
dose meds for LDL>150, watch for LFTs and arthralgia. Change type and dose
if problems. Stabilization of plaque with statins
HF treatment Right Ans - ACEI, ARB, or ARNI with BB and aldosterone
receptor antagonist
Scabies Treatment (Sarcopter Scabiei) Right Ans - Topical Permethrin
massaged from head to soles of feet and wach off with shower or bath after 8-
14 hours. Treat again in 1 week
Names of skin findings Right Ans - Macule; freckle <1 cm, Papule Macule >1
cm chloasma, Papule <0.5cm elevated nevi (molluscum wart), Plaque
, (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle (herpes simplex
contact derm,
Keloid Right Ans - hypertrophic scar that is invasive beyond point of
original injury
Skin continued Right Ans - Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea Right Ans - Fungal infections; Tinea capitis-round patchy scales on
scalp (cradle cap) treatment Grisefulvin take with high fat meal 4-6 weeks 500
mg tinea corporis -red and scaly plaque on trunk (ring worm) Treatment is an
azole for 2 weeks
Melanoma How do you assess Right Ans - ABCDE Asymmetry, border,
color, diameter >6 mm, elevation
Psoriasis Right Ans - silvery white scales, nails are pitted; positive Auspitz
sign- pinpoint bleeding occurs when lesions are scraped
Shingles (Herpes Zoster) Right Ans - Unilateral dermatomal rash- painful
as it progresses to vesicles, Acyclovir within 48-72 hours or symptoms. May
only transmit chickenpox virus to susceptible patients that have not gotten
exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis Right Ans - papules or vesicles 5mm or less, scaling,
crusting, oozing. Tx corticosteroids/antihistamines
Acne Vulgaris Right Ans - Inflamm disorder where androgen-dependent
sebaceous glands produce excess sebum. Areas most commonly affected are
face, anterior and posterior chest, arms and shoulders. Treatment:
Erythromycin/Benzyl peroxide=limit exposure to sunlight peroxide can
decrease resistance to erythromycin
Atopic dermatitis Right Ans - Patchy plaque like rash with inflammation.
common in people with other atopic illnesses (asthma, allergic rhinitis)
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