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Emma's NPLEX II Dx > Pass NPLEX II Path/Labs Video > Flashcards

Pass NPLEX II Path/Labs Video Flashcards

1
Q

In Diverticulitis, which diagnostic imaging procedure is most indicated?

A. CT scan of abdomen
B. MRI of lower abdomen
C. Abdominal US
D. Barium enema with radiograph

A

A. CT scan of abdomen

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2
Q

If bicipital tendonitis does not improve after 2 months Tx, you should run?

A. MRI
B. CT scan
C. US
D. Radiograph

A

A. MRI

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3
Q

In Meckel Diverticulum case, which imaging study would definitely diagnose?

A. PET scan
B. Endoscopy
C. Flexible sigmoidoscopy
D. Plain-film abdominal radiography with IV contrast

A

D. Plain-film abdominal radiography with IV contrast

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4
Q

In Tinea corporis, to focus your Dx, you:

A. IgG test for viral Ab
B. Microscopic exam of skin scraping to detect hyphae
C. Culture skin scrapings on blood agar to detect hemolytic colonies
D. Macroscopic exam of skin and clothing to look for small insects

A

B. Microscopic exam of skin scraping to detect hyphae

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5
Q

If ECG shows _____ it means _____

A. Premature beats, myocardial ischemia
B. Wide QRS complex, 2nd degree block
C. Prolonged PR interval, 3rd degree block
D. Elevated ST segments, myocardial ischemia

A

D. Elevated ST segments, myocardial ischemia

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6
Q

What underlying process most likely contributes to this patient’s HTN?

A. Psych stress INC glucocorticoid production, which INC BP
B. Psych stress DEC glucocorticoid production, which INC BP
C. Psych stress INC glucocorticoid production, which DEC BP
D. None of the above, his stress is chronic and only acute stress will affect glucocorticoid production

A

A. Psych stress INC glucocorticoid production, which INC BP

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7
Q

What are the 3 common symptoms of cancer?

A

Weight loss
Night sweats
Fatigue

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8
Q

What are 2 system specific symptoms of cancer?

A

Blood or Pain where there should not be!

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9
Q

If a pt has been recently bitten by a mosquito and is complaining of Fever and HA, what is their most likely Dx?

A

Malaria

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10
Q

What two labs should you pay attention to the most in a pt with anemia? What are 3 MC types?

A

HBG/HCT

Iron Def, B12 Def, and Hemolytic

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11
Q

If a pt has tanning skin with joint pain, cardiomyopathy, DM, and liver cirrhosis, what Dx should you consider? Why would you see DM in this pathology?

A

Hemochromatosis (iron overload)

DM d/t pancreatic cell failure

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12
Q

What is the Tx for hemochromatosis?

A

Blood letting

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13
Q

What test and what level does it need to be to consider hemochromatosis as a Dx?

A

Ferritin (nml level 15-300)

600-800, but m/b as high as 1000

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14
Q

What kind of anemia is thalassemia?

A

Microcytic

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15
Q

What are the 2 types of porphyria and what is it?

How do you tell them apart?

A

Enzyme do

Acute: abd pain, V, neuropathy, mental issues

Cutaneous: skin lesions after sun exposure

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16
Q

What is carditis? How many types are there?

How do you differentiate it from ischemia?

What would you hear on exam?

A

Inflammation of the heart (peri, endo, myo - carditis)

Better with motion, changing position, or sitting up and bending fwd (pericarditis)

Friction rub

17
Q

How do you treat A Fib?

A

Blood thinners

18
Q

What arrhythmia causes cardiac arrest and is often fatal?

A

V. fibrillation

19
Q

What Sx would make you concerned about a cardiac murmur?

A

CP, SOB, fatigue, syncope, palpitations, or SSX of CHF

20
Q

Which type of murmur is more severe diastolic or systolic?

A

DIASTOLIC! (heart should be at rest)

21
Q

What are 2 supplements and an herb that are good Tx for HTN?

A

Fish Oil
CoQ10
Crataegus

22
Q

What medication is used to Tx Hyperthyroidism and what herb(s)?

A 
PTU
3 Ls (Lycopus, Leonarus, and Lemon balm - Melissa)
23
Q

What are SSx of hyperthyroidism?

A

Palpitations, Tremors, Anxiety
Weight Loss
Oily skin/hair

24
Q

What are meds for hypothyroidism? What about a supplement and a precursor?

A

Levothyroxine, USP-thyroid

Iodine, Tyrosine

Emma's NPLEX II Dx (10 decks)

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