University Of Wisconsin - Fox Valley
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Vaccinations and immunosuppression. 2 keypoints 
- give inactive agents instead of live agents 
- might not work as effectively 
 
 
live virus vaccine types 
Virus: 
- measles 
- mumps 
- polio (oral) 
- rubella 
- varicella 
- yellow fever 
- herpes zoster 
Bacteria: 
- typhoid 
 
 
inactive vaccine virus 
Virus: 
- Hep A and B 
- HPV 
- influenza 
- polio (subq) 
- rabies 
Bacteria: 
- anthrax 
- cholera 
- diphteria 
- Lyme 
- meningococcus 
- pertussis 
- plague 
- pneumococcus 
- tetanus 
...
Discrepancy between anatomical sex and gender is known as? 
B) Gender Discordance 
 
 
Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply 
Rapid dose escalation; parental route of administration; higher potency typical antipsychotics 
 
 
Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? 
B) Increases EPS 
 
Incorrect: reduces negative s/s, causes prolactinemia, reduces positive sympto...
Urine culture with UTI 
100.000 colonies in asymptomatic: bacteruria 
10 - 10.000 colonies in symptomatic patients but also pyuria 
pyuria: more than 10 leukocytes 
elevated erythrocytes with pyelonephritis 
WBC in urine 
 
false positive with tumor, urethritis and poor collection technique 
 
Repeat in pregnant women 
 
 
Lower urinary tract UTI and upper urinary tract UTI 
bladder and urethra: cystitis/ urethritis/ prostatitis 
kidney and ureters: pyelonephritis/ renal abcess 
 
 
Uncomplicate...
coup-contrecoup injury 
Dual impacting of the brain into the skull; coup injury occurs at the point of impact; contrecoup injury occurs on the opposite side of impact, as the brain rebounds. 
 
 
Scalp laceration: what, effect, management 
Primary head injury 
 
profuse bleeding - signs of hypovolemia 
 
Apply direct pressure 
Suture/ staple laceration 
Lidocaine 1% with epi to control bleeding, not close to nose/ ears 
 
 
Skull fracture: types, effect, management 
Primary head injury 
 
Simple...
An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? 
Abdominal aortic aneurysm 
 
 
 
Which of the followi...
Surgery risk classes 
Class 1: benefits outweigh risk, should be done 
Class 2a: reasonable to perform 
Class 2b: should be considered 
Class 3: rarely appropriate 
 
 
 
General rules for surgery: testing 
ECG before surgery only if coronary disease, except when low risk surgery 
Stress test not indicated before surgery 
Do not do prophylactic coronary revascularization 
 
 
 
Meds before surgery 
- Diabetic agents: Use insulin therapy to maintain glycemic goals(iii) Discontinue biguanides, alp...
Asexual 
person who experiences little to no sexual attraction or desire for sexual activity 
 
 
 
Binary Gender 
person who is attracted to people with both male and female gender identities 
 
 
 
Cisgender 
individuals whose gender identity matches his or her natal sex 
 
 
 
Gay 
person with male gender identity attracted to others with male gender identity, umbrella term for non-heterosexual people 
 
 
 
Gender 
social construction assigning roles and attributes to a person based on their...
Potassium 
Select the serum assessment that is used when prescribing drugs to treat psychiatric disorders in psychosomatic patients 
 
 
 
Erickson 
Select the theorist who developed the eight stages of the psychosocial life cycle 
 
 
 
Sexual abuse and Partner Betrayal 
Select two causes of dissociative amnesia 
 
 
 
AIMS 
Select the patient evaluation scale to be used before and during prescribing antipsychotic drugs 
 
 
 
Autism and Intellectual disability 
Select the two comorbid disorder...
2 year old 
speaks in 2 to 3 word sentences (family understands) 
Understands simple commands 
knows first name 
can copy straight line 
easily frustrated 
goes up stairs using same foot 
 
 
 
3 year old 
speaks in complete sentences 
speech understood by most strangers 
knows full name, has sexuality identity 
copies circle 
stack nine cubes 
throws ball overhead 
pedals tricycle 
walks up stairs with alternating feet 
 
 
 
Strabisma 
Eye disorder 
-Eyes unable to to focus on same object, can...
Describe cytochrome p450 system 
Cytochrome p450 system is a series of enzymes used to metabolize medications 
 
 
 
Inhibitors 
block metabolic activity from one or more CYP450 enzymes 
 
 
 
Inducers 
increase CYP450 enzyme activity by increasing enzyme synthesis 
 
 
 
Describe effect on low and high albumin levels on active drug levels especially for drugs that are highly protein bound 
Albumin is the plasma protein with the greatest capacity for binding drugs. Binding plasma proteins affect...