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Kyle, a 32 year old male, is HIV+. When initiating a TB skin test, which result would show the minimal amount of elevation that would indicate he is positive for TB? - 5mm What baseline labs should be obtained prior to starting TB medication regimens? - lfts (AST, ALT); CBC, serum creatinine A prisoner has a TB skin test with a 10mm induration. What does this tell the NP? - Positive result, needs treatment Which of the following best describes asthma? - Chronic airway inflammation w...

At what point should lab work be done on stool of patient with diarrhea? - If it persists or worsens for more than 7 - 14 days, stool should be sent for analysis for viral, protozoal or bacterial pathogens. Criteria for prompt medical evaluation of patient with diarrhea - 1) Signs of inflammatory diarrhea, such as: Fever > 38.5 C (101.5 F), WBC ≥ 15k/mcL or more, bloody diarrhea, severe abdominal pain 2) Passage of *SIX* or more unformed stools in 24 hours 3) Profuse watery diarrhea ...

What is first line tx of chronic HTN in pregnant patients? - Methyldopa What HTN meds are contraindicated in pregnancy? - ACE and arbs are contraindicated in pregnancy When is PIH diagnosed? - BP > 140/90 after 20 weeks of pregnancy How is PIH distinguished from pre-eclampsia? - neg. Proteinuria in PIH How is PIH tx? - rest and medications. Instruct pt. To monitor bp at home What are the 3 most commonly used drugs in HTN of pregnancy? - Methyldopa, labetalol, nifedipine ...

What requires a prompt work up for cystic fibrosis? A. Frequent nosebleeds B. Immunosuppression C. A nasal polyp in a child less than 10 years old D. Discovery of staph in the nasal passage. - C How long would you prescribe an ABX with recurrent rhinosinusitis? A. 10-14 d B. 14-21 days C. 3 -4 weeks D. Daily forever - C How long should pressure be held for epistaxis? A. 10 minutes B. 2 minutes C. 5 minutes D. Several hours until bleeding stops. - C What is the appropriate...

Tachypnea - Increased respiratory rate and decreased TV Irregular rhythm - - Rapid, shallow breathing - Restrictive lung disease (precursor to respiratory failure) Kussmaul respiration - - Rapid large-volume breathing leads to intense stimulation of the respiratory center - R/T metabolic acidosis Cheyne-Stokes respiration - - Rhythmic - Waxing/waning of rate and TV - Regular periods of apnea - Seen in end-stage LV failure, neurologic dx, sleeping at high altitude Extrapul...

Who selects the QME - Patient In 1913, the Boynton Act - Required most employers to have workers' compensation coverage A trade-off between Employers and Employees is referred to as - The Historic Compromise You are required to keep and maintain all the medical-legal billings for _____ years from the date of examination - 3 years The employer provides workers' compensation benefits - regardless of fault A copy of the notice to request time extension to file a QME report mus...

Disciplinary action against APQME or QME is done by __ - Administrative Director Non AME must reschedule a cancelled appointment within __ days of the original scheduled appointment and within __ days of the initial request, unless parties agree in writing to accept a date past that - 30 days, 60 days AME must reschedule a cancelled appointment within __ days of the original scheduled appointment, but can be extended to __ days if both parties agree - 60, 90 (30 more days) Letter out...

Time limit for unrepresented injured worker to submit request for a QME panel after receiving form from employer - 10 days Time frame after which unrepresented worker has the right to obtain an evaluation from any QME within a reasonable geographic area - After 20 days, if request for QME panel is not issued Time frame in which an injured worker is required to select a physician from the QME panel, make an appointment for the exam and inform the claims administrator of the selection and ...

Occupational disease- Is a disease that in whole or in part was caused by work. Is treatment for pesticide poisoning considered first aid? - Treatment rendered for pesticide poisoning or a condition suspected as pesticide poisoning can never be considered first aid Excluded injuries- • Injuries caused by the employee's use of alcohol or illegal controlled substances (if it can be shown that the injury would not have occurred otherwise, which is often difficult to substantiate) • ...