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AANP EXAM > AANP EXAM NOTES 4 > Flashcards

AANP EXAM NOTES 4 Flashcards

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1
Q

Name 1 virus that triggers oral hairy leukoplakia

A

Epstein-Barr virus (EBV), HIV

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2
Q

A painless elongated white papilla/patch that appears corrugated located on the lateral aspects of the tongue is associated with what condition?

A

Oral hairy leukoplakia

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3
Q

How do you test for oral hairy leukoplakia?

A

HIV Enzyme Immunoassay (EIA) TEST

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4
Q

The study of how your genes respond (or do not respond) to a drug is known as …

A

Pharmacogenocics/pharmacogenetics:

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5
Q

What is the branch of pharmacology concerned with how a medication is absorbed, distributed, metabolized, and eliminated by the body?

A

Pharmacokinetics

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6
Q

What is the branch of genetics concerned with the way in which an individual’s genes affect the response to therapeutic drugs.

A

Pharmacogenomics

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7
Q

A long-term goal of pharmacogenomics is to

A

develop medicine that is individualized for a person’s genetic makeup

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8
Q

Anothergoal of pharmacogenomics is to test individual response to certain medications. T/F

A

TRUE

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9
Q

What condx presents soft, disklike non-tender, smooth breast tissue that is mobile under each nipple/areola?

A

Physiologic gynecomastia

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10
Q

Presbyopia: age related condx where visual changes occur d/t decreased ability of the eye to accommodate & focus d/t stiffening of the lenses. T/F

A

TRUE

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11
Q

Presbyopia usually starts at what age?

A

60

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12
Q

Presbyopia affects near/far vision?

A

Near

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13
Q

What condx results in age-related hearing loss r/t the aging process

A

Prebycusis

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14
Q

What condx affects 60% of African Americans that is caused by inflammation from curly hair growing back into the skin?

A

Pseudofolliculitis barbae

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15
Q

Pseudofolliculitis barbae is aka

A

Barber’s itch

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16
Q

What is the TX for Pseudofolliculitis barbae

A

Allow beard/hair to grow for 3-4 weeks, avoid shaving close to skin

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17
Q

What condx causes drooping of the upper eyelid

A

Ptosis

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18
Q

What condx cuases lung scarring and CXR may show cavitations in upper lobes?

A

Pulmonary TB

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19
Q

What causes Pulmonary TB?

A

Mycobacterium tuberculosis

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20
Q

What is the definition of Resistant HTN

A

CONTINUED HTN DESPITE USE OF AT LEAST 3 ANTIHYPERTENSIVE AGENTS

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21
Q

What condx is caused by chronic use (> 3days) of nasal decongestants

A

Rhinitis medicametosa

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22
Q

What condition causes a classic rash on both wrists and ankles that spreads centrally to palms and soles

A

Rocky Mtn Spotted Fever

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23
Q

Name an example of Theophylline

A

Theodur

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24
Q

Theophyllines can cause elevated theophylline levels. T/F

A

TRUE

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25
Long term use of this drug can decrease bone mineral density & lead to osteoporosis
Levothyroxine
26
What therapy avoids eating large amt. of leafy green veg & cooking with canola.
o Anticoagulation therapy
27
Warfarin sodium is aka
Coumadin
28
Warfarin sodium (coumadin): Monitor INR for pt. with A fib (goal between 2 & 3) T/F
TRUE
29
Warfarin sodium (coumadin): Monitor INR for pt. with prosthetic heart valves (goal between 2.5 & 3.5). T/F
TRUE
30
PTs on ACE & ARBs should be monitored for serum K+ & serum creatinine when?
Baseline, within the 1st month, & periodically
31
NSAIDS is a drug affected by kidney dx. T/F
TRUE
32
PT on warfarin have a higher/lower incidence of over coagulation
Higher. (INR > 4). Check q 2 to 4 wks. up to q 12 weeks. A fib/DVT/Stroke, CVA: target INR 2.0 to 3.0 (ideal 2.5)
33
PTS on Warfarin with mechanical mitral valve: Lifelong anticoagulation, target INR: 2.5 to 3.5 (ideal 3.0). T/F
TRUE
34
A PT with heart valve on Warfarin has INR of 8 with no significant bleeding. When should medication be discontinued?
NOW
35
Warfarin is a VIT K antagonist that increases the risk of a GI ulceration. T/F
TRUE
36
SUCRALFATE & CHOLESTYRAMINE may potentially increase/decrease INR?
Decrease INR
37
Haldol has some safety issues. T/F
True
38
Name 1 atypical antipsychotic
Risperidone (Risperdal)
39
Risperidone has a high risk of wt gain, metabolic syndrome, type 2 DM. T/F
TRUE
40
Risperidone PTs should have their weight monitored every ...
3 months
41
Bisphosphonates can cause erosive esophagitis. T/F
TRUE
42
pt on Lincosamides such as Clindamycin (Cleocin) may have a higher risk of what?
CDAD clostridium difficile associated diarrhea
43
Statins should not be mixed with what type of juice?
Grapefruit juice
44
BPH can cause urinary retention. T/F
TRUE
45
Pioglitazone (Actos) is used to treat?
Diabetes. Order LFT in about 2-3 mos
46
What Black Box Warning applies to Actos
May cause CHF in some PTs (dont use class 3 or 4)
47
What is the reversal agent/antidote for warfarin
VIT K
48
WHAT IS THE REVERSAL AGENT/ANTIDOTE FOR HEPARIN
PROTAMINE SULFATE
49
Do not prescribe Digoxin more than 0.125mg per day in older adults for tx of a fib/ heart failure. Why?
Risk for dig toxicity
50
Name one reversal agent for Direct Oral Anticoagulants
Idarucizumab & andexanet alfa, FFP & prothrombin complex concentrate.
51
What is an example of perceived severity in the health belief model?
Pt. replies that nothing will happen if they develop cancer, a cure will be discovered in their lifetime.
52
Name top 3 causes of cancer death
Lung, breast, colon
53
Cancer with highest rate of mortality/death
Lung
54
Most common cancer
skin
55
most common skin cancer
basal cell
56
most common cancer in females
breast
57
most common cancer in males
prostate
58
Skin cancer with highest mortality
melanoma
59
most common cancer in children (0-14)
Leukemia
60
Leading cause of mortality birth - 12 mos
congenital malformation
61
Leading cause of mortality age 1-44
unintentional injury
62
Leading cause of mortality age 45-64
cancer
63
Leading cause of mortality 65 and older
Heart dz
64
Leading 3 causes of death in adolescents
1. unintentional injury 2. suicide 3. homicide
65
Most common GYN cancer
uterine/endometrial
66
2nd most common gyn cancer
ovarian
67
NORMAL BMI range
18.5 - 24.9
68
Overweight BMI range
25-29.9
69
Obese BMI range
30 - 39.9
70
Grossly obese BMI range
>40
71
Child normal BMI range
>5 to 85
72
Overweight child BMI
85 - 95 or 20% above expected height
73
Child OBESE BMI range
=> 95 or 50% above expected height
74
Child GROSSLY OBESE Range
80-100% above expected height

AANP EXAM (8 decks)

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