board vitals Flashcards Preview

my NPLEX II > board vitals > Flashcards

Flashcards in board vitals Deck (127)
Loading flashcards...
1

electronystagmography

diagnostic test to record involuntary movements of the eye

dx for vertigo, dizziness, balance dysfunction by testing vestibular system

2

Dx for acoustic neuroma

MRI with gadolinium

3

BENIGN PARAOXYSMAL POSITIONAL VERTIGO

dizziness that comes and goes - lasts less than a min
-lack of hearing loss

4

MENIERES DZ

vertigo: mins to hours
hearing loss
tinnitus

5

Acoustic Neuroma
Vestibular schwannoma

hearing loss, tinnitus, dizziness

6

Vestibular Neuritis

abrupt severe dizziness
nausea/vomiting

7

Epley maneuver

vertigo
rotate head 45 degrees to side that causes worst vertigo
lie pt down while maintaining the head position so that head hangs over table

rotate head to 90 degrees

hold position for 30 secs or until vertigo stops

turn head to opposite side and hold again for 30 seconds

8

magnesium for:
Bromelain for:
MSM for:
CoQ10 for:

decrease muscle hypertonicity and associated spasm

reduce pain if inflammation present

pain relief with osteoarthritis

CoQ10: fatigue, CV disease and reduce deficiency with statin therapy

9

what test is most indicated to evaluate urethritis caused by gonorrhea or chlamydia

NAAT: nucleic acid amplification test

or dNA probe: but dna probe without amplification requires more invasive testing with a urethral swab

10

what is indicated to diagnose syphilis

dark field microscopy

11

chlamydia v. gonorrhea v. syphilis v. candida balanitis

chlamydia: often asymptomatic, can cause urethral inflammation, dysuria, and clear meatal discharge in men

gonorrhea: purulent meatal discharge

syphilis: hard chancre, which later becomes a painless ulcer

candida balanitis: beefy red rash and white patches on the penis with a lot of burning and itching

12

what is used to tx chlamydia

doxycycline

13

what is drug of choice for syphilis

penicillin

14

Benign prostatic hypertrophy

enlarged prostate on DRE
increased urination and urgency
nocturia

15

Prostatitis

low back pain
fatigue
dysuria
tender and BOGGY prostate

16

Prostate cancer

avg age 66
induration and asymmetrical nodules of prostate
fatigue, bone pain, weight loss, hematuria, hematospermia

17

Tamsulosin

BPH
alpha-adrenergic blocking agent

SE: dizziness, headache, rhinitis, abnormal ejaculation

18

Sildenafil

ED

headache, stuffy nose, and hypotension

19

Metformin

type 2 diabetes
insulin-sensitizing drug

SE: digestive upset,B12 deficiency, and lactic acidosis

20

Prostate HERBS

Serenoa repens (saw palmetto): 5-alpha reductase inhibitor used in BPH
*5-alpha converts diT to testosterone*

Urtica dioca: prostatic agent used in BPH

Hydrangea: BPH and prostatis
soothing demulcent for urinary tract

21

prostate size is correlated with

fasting glucose levels
reducing sugar intake and stabilizing blood glucose could be helpful

most helpful * limit caffeine and alcohol*

22

Acute CLOSED-angle glaucoma
v.
Acute OPEN-angle glaucoma

closed: *medical emergency* : immediate tx to prevent blindness
unilateral eye pain, blurred vision, halos around light and a dilated and unresponsive pupil

open: no eye pain
blind spots in peripheral or central vision
often affects both eyes

23

Acute conjunctivitis

profuse tearing
normal pupillary response
mild-burning pain
no change in vision

*eye culture could be helpful

24

Anterior Uveitis

diminished vision
moderate-severe pain
redness
photophobia
pupillary constriction rather than dilation

25

slit lamp
goinoscopy

used to estimate the width of the angle by shining light beam on the peripheral anterior chamber of the eye

*closed angle glaucoma

26

tonometry

measures intraocular pressure
in open-angle glaucoma

*not typically used for closed-angle

27

Amslers chart

macular degeneration

28

LATANOPROST

*open angle glaucoma
to reduce intraocular pressure

prostaglandin f2alpha analog: increases aqueous fluid outflow

29

Supplement for glaucoma after stabilized

quercetin

tyrosine kinase inhibitor that relaxes the trabecular meshwork tightening ciliary muscle
can prevent recurrence of glaucoma

30

tx for plantar fasciitis

ultrasound: decreased inflammation, breaks up adhesions and promotes healing