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AANP - Review Questions Flashcards

(49 cards)

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1
Q

S&S of Serotonin Syndrome (SHIVERS)

A 
Shivering 
Hyperreflexia/myoclonus +3 or >
Increased temperature
Vital sign instability (Increased HR, RR and decreased BP)
Encephalopathy 
Restlessness
Sweating
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2
Q

What class is aripriprazole and what is it used to treat?

A

Abilify/mood disorder/atypical antipsychotic

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3
Q

Cholinergic overdose (DUMBBELS)

A 
diaphoresis/diarrhea
urination
miosis
bronchospasm/bradycardia/bronchorrhea
emesis
lacrimation
salivation
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4
Q

Fever, bradyreflexia, diffuse muscular rigidity

A

NMS - too high dopamine

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5
Q

Onset of postpartum depression following birth

Criteria:

A

4-6 weeks

Criteria: >/=2 weeks of SIGECAPS

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6
Q

CXR with reticulonodular infiltrates, low grade fever, dyspnea in school age person.
What bacteria and what ABX to treat?

A

Mycoplasma pneumonia

Azithromycin or respiratory fluroquinolone

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7
Q

Personality disorders:

1) suspicious distrustful hypervigilant
2) prefers to be a loner, detatched, unemotional
3) unusual thoughts, perceptions, behaviours

A

1) paranoid
2) schizoid
3) Schizotypal

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8
Q

With elbow held in extension passive flexion of the wrist reproduces pain in elbow

A

Lateral epicondylitis (overuse of extensor muscles)

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9
Q 
What condition has the following and what is the treatment?
Transient visual disturbance,
Facial plethora
Splenomegaly
Acquagenic pruritis (itching following showering)
Splenomegaly
HTN
\+/- gouty arthritis
A

Polycythemia vera - treated by phlebotomy

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10
Q

Which medications are indicated for manic features of bipolar disorder:

1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine

A

1,2,3

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11
Q

Which medications are indicated for depressive features of bipolar disorder:

1) Lithium
2) Valproate
3) Carbemazepine
4) Lamotrigine

A

1, 4

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12
Q

What to monitor for w/ SNRI high dose?

A

BP

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13
Q

Which of the following are gram + or gram -:
Strep pneumo
Moraxella catarhallis
H. flu

A

Strep pneumo +
Moraxella catarhallis -
H. flu -

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14
Q

Thick blood tinged currant jelly sputum and pneumonia in IVDU or alcohol use: name pathogen

A

Klebsiella pneumonia

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15
Q

Sugar tongue splint is used for…

A

Colles fracture (ie. from FOOSH)

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16
Q

Manic symptoms (DIGFAST)

A 
distractability
impulsivity
grandiosity
flight of ideas
increased activity
decreased need for sleep
talkativeness
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17
Q

Lung cancer screening

A

50-80 years

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18
Q

Adjustment disorder occurs ____ months following stressful event

A

3 months

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19
Q 
What do these antibiotics have in common?
Clindamycin
Fluoroquinolones
Cephalosporins
PCN
A

Increased risk of C.diff

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20
Q

What GI condition increases risk of lymphoma?

Study These Flashcards
A

Crohns disease

21
Q

Gastrinoma located on pancreas or stomach, secretes gastrin –> increased levels of acid in stomach –> multiple ulcers in stomach and duodenum
Epigastric and mid-abdominal pain
Tarry stools
Screening by serum fasting gastrin

Study These Flashcards
A

Zollinger Ellison syndrome

22
Q

Obturator sign

Study These Flashcards
A

+ if inward rotation of hip causes RLQ pain

23
Q

Rosvigs sign

Study These Flashcards
A

Deep palpation of LLQ, results in referred pain to RLQ - + in appy and diverticulitis

24
Q

Markle test/heel jar

Study These Flashcards
A

+ = peritonitis

25
2 main S&S of GERD
Heart burn | Regurgitation
26
``` Which of the following meds have GERD SE: BB CCB alpha 1 adrengergic receptor antagonists alpha 2 adrengergic receptor antagonists ```
ALL
27
Long term PPI SE
fractures, pneumonia, C.diff
28
T/F | PPIs long term can/should be reduced abruptly
False
29
How is barrets esophagus diagnosed?
Upper endoscopy
30
What are the cullens sign and grey turner sign indicadive of?
Retroperitoneal hemmorhage ie. pancreatitis
31
T/F H pylori should have eradication test
T
32
H.pylori treatment regimen
``` 14 days of : PPI BID Amoxcillin BID Clarithromycin BID Metronidazole BID ```
33
ABX treatment for diverticulitis
Ciprofloxacin + metronidazole x 5-7 days OR TMP/SMX + metronidazole x 5-7 days
34
C. diff infection tx
Metronidazole x 10 days
35
T/F a person must be infected w/ Hep B before getting Hep D
True
36
Creatinine may be falsely increased in elderly. T/F?
False, Cr may be falsely decreased as reduced muscle mass
37
RBC casts are diagnostic of
Glomerulonephritis
38
Most common pathogens (3) for meningitis
Strep pneumo Nesseria meningitides H. flu
39
Bacterial meningitis treatment in children
Ampicillin + cefoxtamine
40
Meningitis treatment for 1) adults < 50 and 2) adults > 50 yrs
< 50 = ceftriaxone and vancomycin | > 50 = ampicillin, ceftriaxone and vancomycin
41
What cranial nerve is involved in tic douloureux and what is the first line treatment of this condiition?
``` Trigeminal nerve (CN 5/V) Carbemazepine ```
42
What cranial nerve is involved with Bells Palsy
Facial nerve (CN 7/VII)
43
What medications is used for cluster headache prophylaxis?
Verapamil
44
T/F | Males with cluster headaches have a higher risk of suicide?
True
45
Name that condition: | Sever headache, N/V, photophoia, nuchal rigidity that is accompanied by hemiparesis and difficulty speaking
Hemmorhagic stroke
46
Broca's aphasia
Difficulty w/ motor aspect of speech. NORMAL ability to comprehend
47
Wenicke aphasia
Difficulty w/ comprehension but no problem w/ producing speech
48
GET SMASHED mnemonic for pancreatitis
``` G allstone E thanol T rauama S teroids M umps A utoimmune S corpion/spider bites H yertiglyceridemia E RCP D rugs ```
49
How to treat C. diff infection?
Vancomycin

AANP (2 decks)

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