And yo u - Study guides, Class notes & Summaries

IBCLC EXAM 2024 Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ - ANSWER IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: - ANSWER prevents/limits the infant's exposure to non human proteins [p759-760] Amy is concerned that her 3 month old may have l...

Surgery NBME Form 2 - Questions and Answers 37 yo - ED 30 min after MVA arrival: abd pain vitals stable PE: abd - diffuse tenderness; dec bowel sounds supine X-ray shown - herniation of abd contents into thorax most likely dx? ruptured diaphragm hx of blunt trauma/MVA, abnormal CXR, left lower lung opacity, elevated hemidiaphragm, and mediastinal deviation MC on the left bc there's no liver to protect it CXR: herniation of abd contents into thorax 42 yo - 2 days of RU abd pain and gen itching...

Peds NBME Form 4 - Questions and Answers 13 yo boy no hx of serious illness past 2 yrs - brown urine when he has a cold; no dysuria or urinary urgency/incontinence CMP: inc BUN; Cr and C3 WNL UA: blood 4+, protein 3+ most likely dx? IgA nephropathy classic: "cola-colored urine" along w/ cold recurrent painless gross hematuria + URI 4 yo boy - fatigue, dec appetite, and 2.3 kg weight loss over past 2 months P: 80/min when supine; 105/min when standing BP: 85/60 mmHg when supine; 75/45 mmHg wh...

A 69 yo M with T2DM, obesity, and CAD sees you for f/u of DM. His A1c has increased to 8.7% despite therapy with metformin, 1000 mg BID, and insulin glargine (Lantus). Which one of the following additional medications would be the most effective for reducing his blood glucose level and lowering his risk of cardiovascular events? A. Exenatide (Byetta) B. Glipizide (Glucotrol) C. Liraglutide (Victoza) D. Rosiglitazone (Avandia) E. Sitagliptin (Januvia) - correct answer C. Liraglut...

Ob-Gyn NBME Form 1 - Questions and Answers 42 yo - G3P3 menses irregular at 2-3 month intervals, last 7-21 days LMP: 6 wks ago PMHx: T2DM (metformin) BMI: 32 PE: no other abnormalities pelvic exam: irregular enlarged uterus (12x8x6 cm) endometrial biopsy: atypical complex hyperplasia strongest predisposing factor for this pt's condition? anovulation endometrial proliferation is normal part of menstrual cycle BMI: 32 aka this woman is obese > excess adipose tissue = inc peripheral conversio...

Surgery NBME Form 3 - Questions and Answers 3 wk old - 18 days of inc yellow skin/eyes born to 24 yo woman, G2P2, uncomplicated preg/delivery > 3175g at birth breast-fed exclusively today weights 3345g BR = 15 (direct - 13) most likely dx? biliary artesia suspected in 6-8 wk old babies - persistent, prog inc jaundice (more conj) dx: 1 wk of phenobarbital > HIDA scan if no bile reaches duodenum w/ phenobarbital > surgical exploration 22 yo - pain/edema of R.upper ext > 10 days after...

IBCLC EXAM 2024 Food allergy is defined as an adverse reaction to a foreign substance or antigen. This causes an immunological change, a rise in _______ - ANSWER IgE [p657] When considering the effect of breastfeeding in the development of infant allergies, breastmilk: - ANSWER prevents/limits the infant's exposure to non human proteins [p759-760] Amy is concerned that her 3 month old may have l...

Pediatric Nurse Practitioner Exam1 The concept of health promotion consists of efforts to prevent rather than to cure disease or disability. This description best describes: a. tertiary prevention b. secondary prevention c. primary prevention d. morbidity prevention - ANSWER-c Standards for well child care and health promotion are set forth by the: a. Task Force on Preventive Services, US Department of Health and Human services b. American Academy of Family Physicians c. American Acad...

65 yo F has a 3 month hx of *increasing low back pain*. Had low back pain for past 3 yrs that's been treated w/NSAIDs and codeine. Now rated as 7/10 in severity. Pain radiates to both legs, worsens when walking or standing & Relieved when sitting. 1 YEAR AGO: X ray lumbosacral spine: mild osteoarthritis. Exam: 4/5 mm strength LE, hyporeflexia of knees&ankles b/, unsteady gait b/c of pain. No other abnormalities. Most appropriate diagnostic study of lumbosacral spine to order at this t...

65 yo F has a 3 month hx of *increasing low back pain*. Had low back pain for past 3 yrs that's been treated w/NSAIDs and codeine. Now rated as 7/10 in severity. Pain radiates to both legs, worsens when walking or standing & Relieved when sitting. 1 YEAR AGO: X ray lumbosacral spine: mild osteoarthritis. Exam: 4/5 mm strength LE, hyporeflexia of knees&ankles b/, unsteady gait b/c of pain. No other abnormalities. Most appropriate diagnostic study of lumbosacral spine to order at this t...