- Study guides, Class notes & Summaries

WHAT CONDITION PRESENTS WITH INSIDIOUS ONSET SUBTLE INITIAL SYMPTOMS (MORE IN TYPE II DM) S/S: HYPERGLYCEMIA, NO KETOSIS, HYPEROSMOLALITY; POLYURIA •POLYDIPSIA •WEAKNESS •NO KETOACIDOSIS •LETHARGY AND CONFUSION, COMA - Answer HHS Which meds can cause DM and iatrogenic hyperglycemia? - Answer GLUCOCORTICOID STEROIDS, ORAL CONTRACEPTIVES, THIAZIDES, CHANNEL BLOCKERS, CLONIDINE, NIACIN, ANTIPSYCHOTICS (CLONAZAPINE)

A patient comes in with severe pain and tenderness in the epigastrium or RUQ area, this pain is accompanied by nausea, vomiting, fever and leukocytosis, what would you suspect ??? - Answer cholecystitis What are the signs and symptoms of cholecystitis? - Answer severe pain and tenderness in the epigastrium or RUQ area, accompanied by nausea, vomiting, fever and leukocytosis What is the most common form of stone that occurs from cholecystitis?? - Answer cholesterol stones

In elderly patients, what factors can contribute to loss of appetite and malnourishment? - Answer Diminished taste/smell/vision, dry mouth, poor dentation, chronic illness, meds, pain, depression, loneliness, etc. What are the benefits of NSAIDS? - Answer Used frequently to help reduce pain and inflammation for patients with low back pain, spondylosis, headaches, stenosis, bursitis, arthritis, and other musculoskeletal injuries/pain.

What type of anemia includes Vit B12 deficiency, alcoholism, liver disease, use of methotrexate? - Answer Macrocytic-Normochromic What type of anemia includes Sickle cell anemia, acute blood loss, chronic bone disease - Answer Normocytic-normochromic What type of anemia includes Iron Deficiency, thalassemia, sideroblastic anemia - Answer Microcytic-Hypoochromic

What are ACD causes that would require erythropoietin alfa and darbepoetin alfa? - Answer Chronic renal failure and HIV or AIDS What is the dosage of erythropoietin alfa and darbepoetin alfa? - Answer Varies according to pt tolerance and hematological requirements. How often is erythropoietin alfa given? - Answer 3 times weekly, then adjusted What are trade names of erythropoietin alfa? - Answer Epogen or Procri

The greatest risk of long term complication for Geriatic population - Answer is related to a hip fracture, if you have a fall and break your hip, you are more likely to not do as well as you would if you fell and broke ankle and wrist. If they take a PPI, you want to try and get them off, because PPI's can increase the risk of fracture by 29%. What is the psoas sign? - Answer Right lower quadrant pain is elicited when the patient extends the hip. while lying on their left side. The pain is...

Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis? a. Cholinesterase inhibitors b. Anxiolytics c. Antidepressants d. Atypical antipsychotics - Answer A Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? a. CN V b. CN VII c. CN IX d. CN X - Answer A

A 45 y/o patient presents with a chief complaint of generalized abdominal pain. Her physical exam is remarkable for left LLQ tenderness. Which of the following should be considered in the differential diagnosis? A. Diverticulitis B. Endometriosis C. Colon cancer D. All of the answers - Answer D. All of the answers

What is the initial therapy in Addisons disease ? - Answer Hydrocortisone 15 to 30 mg in two divided doses, with two thirds given in the morning and one-third in the early evening In addition to treating addisons with steroids such as hydrocortisone and prednisone what must also be replaced? - Answer Mineralocorticoids must be replaced although not all patients require daily dosing. Fludrocortisone (Florinef) acetate is the drug of choice and has potent sodium retaining effects. Usual dose ...

Finkelstein's Test - Answer Assesses for de Quervains disease Have pt touch thumb into palm and make a fist. Test is positive if moving the wrist into ulnar deviation causes pain. Straight Leg Test - Answer L5-S1 nerve compression (sciatic) Reverse straight leg test - Answer L1-L4 compression. Lift leg with pt prone Prone rectus femoris test - Answer Pt prone, hip neutral and flex the knee. suggests compression of upper lumbar root