Cram guide

Question 1

Fetal heart rate

Answer 1

120-160 BPM

Question 2

Fetal respiratory rate

Answer 2

30-60 breaths/min

Question 3

Amniotic fluid volume

Answer 3

500-1200 mL

Question 4

Contraction duration and intensity

Answer 4

2-5 min apart with duration of <90s
intensity <100 mmHg

Question 5

Apgar score

Answer 5

7-10 excellent
4-6 moderately depressed
0-3 severely depressed

Question 6

Therapeutic range of digoxin

Answer 6

0.5-2.0 ng/mL

Question 7

Therapeutic range of lithium

Answer 7

0.6-1.2 mEq/L

Question 8

Therapeutic range of theophylline

Answer 8

10-20 mcg/mL

Question 9

What is theophylline

Answer 9

bronchodilator used for COPD or asthma

Question 10

What are s/s of digoxin toxicity?

Answer 10

ab pain, anorexia, n/v, visual disturbances, bradycardia, other arrhythmias

Question 11

What are s/s of theophylline toxicity?

Answer 11

anorexia, n/v, stomach cramps, diarrhea, confusion, headache, restlessness, flushing, increased urination, insomnia, tachycardia, arrhythmias, seizures

Question 12

What are s/s of lithium toxicity?

Answer 12

vomiting, diarrhea, slurred speech, lightheadedness, decreased coordination, drowsiness, muscle weakness, tremor, twitching

Question 13

Therapeutic range of phenytonin

Answer 13

10-20 mcg/mL

Question 14

What are s/s of phenytonin toxicity?

Answer 14

nystagmus, ataxia, confusion, nausea, slurred speech, dizziness

Question 15

What is the therapeutic range for magnesium sulfate?

Answer 15

4-7 mg/dL

Question 16

What is the therapeutic range for acetaminophen?

Answer 16

10-20 mcg/mL

Question 17

What is the therapeutic range for gentamicin?

Answer 17

5-10 mg/L

Question 18

What is the therapeutic range for salicylate?

Answer 18

100-300 mcg/mL

Question 19

What is the therapeutic range for valporic acid?

Answer 19

50-100 mcg/mL

Question 20

What is the therapeutic range for peak and trough of vancomycin?

Answer 20

peak: 20-40 mcg/mL
trough: 5-15 mcg/mL

Question 21

What is a common s/s for pernicious anemia?

Answer 21

beefy red, smooth tongue

Question 22

What is a common s/s for parkinson’s disease

Answer 22

pin-rolling tremors

Question 23

What is a common s/s for CSF leakage

Answer 23

a halo or ring will be seen on gauze when mixed with blood

Question 24

What is a common s/s for osteomyelitis

Answer 24

high fever

Question 25

What is a common s/s for ARDS

Answer 25

refractory hypoxemia

Question 26

What is a common s/s for gastric ulcer?

Answer 26

pain immediately after eating

Question 27

What is a common s/s for duodenal ulcer

Answer 27

relief of pain after eating(2-3 hrs after)

Question 28

What is a common s/s for any renal damage

Answer 28

increased BUN and creatinine

Question 29

What is a common s/s for bladder cancer

Answer 29

painless hematuria

Question 30

What is a common s/s for depression

Answer 30

anhedonia (loss of pleasure in activities usually found enjoyable)

Question 31

What is a common s/s in infants for fetal alcohol syndrome?

Answer 31

thin upper lip and smooth philtrum

Question 32

What is a common s/s in infants for spina bifida occulta

Answer 32

small tuft of hair, a dimple, or a hemangioma at the base of the spine

Question 33

What is a common s/s for epiglottitis

Answer 33

tripod position

Question 34

What is a common s/s for scarlet fever

Answer 34

strawberry tongue and sandpaper rash

Question 35

What are common diet modifications for celiac disease

Answer 35

gluten free No BROW: barley, rye, oat, wheat

Question 36

What are common diet modifications for burns

Answer 36

increase protein and calories

Question 37

What are common diet modifications for AKI

Answer 37

protein-restricted, increase calories

Question 38

What are common diet modifications for COPD

Answer 38

small, frequent meals increase calories and fat

Question 39

What are common diet modifications for pancreatitis

Answer 39

small frequent meals, decrease fat

Question 40

What are common diet modifications for gallbladder issues (ie. cholecystitis)

Answer 40

decrease fat

Question 41

What are common diet modifications for Cystic fibrosis

Answer 41

increase fats, calories, and fluids

Question 42

What are common diet modifications for sickle cell anemia

Answer 42

increase fluids

Question 43

What are common diet modifications for those with ostomies?

Answer 43

increase fluids and decrease odorous and gas forming foods

Question 44

What are common diet modifications for gout

Answer 44

decrease purines: shellfish, seafood, organ meats

Question 45

What are common diet modifications for cirrhosis

Answer 45

avoid foods high in protein: milk products, broccoli, eggs, tuna, chicken breast, ect

Question 46

What are common diet modifications for ulcerative colitis

Answer 46

low residue (fiber) diet

Question 47

What is contraindicated for NSAIDs?

Answer 47

cardiovascular history (ie. stroke, MI, CAD, ect) asthma

Question 48

Why should you not palpate the stomach of those with pheochromocytoma?

Answer 48

could cause a hypertensive crisis

Question 49

XWhat is pheochromocytoma?

Answer 49

benign tumor of the adrenal gland

Question 50

What foods should those on MAOIs avoid and why?

Answer 50

those that contain tyramine need to be avoided because of the risk of hypertensive crisis associated with use of this medication. Foods to avoid include figs; bananas; sauerkraut; avocados; soybeans; meats or fish that are fermented, smoked, or otherwise aged; some cheeses; yeast extract; and some beers and wine.