3P Exam Study Guide 162 Questions with Correct Answers 2023 What would cause decrease in Digoxin levels - Correct Answer Antacids Taking Pyridium for UTI, what can Pyridium cause? - Correct Answer Hemolytic Anemia What can PCOS result in? - Correct Answer increased insulin levels, Androgens, hirsutism What is a hypertensive used in pregnancy - Correct Answer Methyldopa What is a characteristic of Placenta Previa? - Correct Answer painless red bleeding What is a characteristic of Rheumatoid arthritis ? - Correct Answer Red hot joints Medications that cause ototoxicity - Correct Answer Aminoglycosides, nasal decongestants, antihistamines Treatment period for enterobiasis - Correct Answer 2 weeks CBC Interpretation - Correct Answer 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? - Correct Answer 27 weeks Janesway lesions - Correct Answer Happen with endocarditis, non painful lesions seen on hands and feet, Osler same but painful Warfarin management - forgot a dose? - Correct Answer If under 12 hours take missed dose, if over skip and need INR redraw 1 / 3
Taking an ACE or ARB what to know? - Correct Answer 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 - Correct Answer sulfa allergy, asthma, PCN hypersensitvity Murmurs Systolic - Correct Answer 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) - Correct Answer AR= Aortic Regurge (angina, HF, dizzinness, CP) MS=Mitral stenosis (Dyspnea, Afib) Motivated - Correct Answer Systole-S1 closure of AV Mitral/tricuspid valve (lub) Mitral, Tricuspid, atrioventricular valves Apples - Correct Answer Diastole s2 closure of the aortic pulmonic valves (dub) aortic pulmonic semilunar Abnormal (extra) heart sounds - Correct Answer S3- CHF; possible normal for adolescent athletes, S4 LVH poorly controlled HTN, unstable angina Assessment of PAD - Correct Answer antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose Coronary artery Disease tx - Correct Answer 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 2 / 3
HF treatment - Correct Answer ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist Scabies Treatment (Sarcopter Scabiei) - Correct Answer 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 - Correct Answer 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 - Correct Answer hypertrophic scar that is invasive beyond point of original injury Skin continued - Correct Answer Bulla-second degree burn, friction burn Wheal- raised, mosquito bite, hive Scales;dandruff Crusts-scab from abrasian, impetigo Tinea - Correct Answer 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 - Correct Answer ABCDE Asymmetry, border, color, diameter >6 mm, elevation Psoriasis - Correct Answer silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding occurs when lesions are scraped Shingles (Herpes Zoster) - Correct Answer 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.
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