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Marty's Study Guide Flashcards

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1
Q

Recommendations on breast self-exam

A

USPSTF - does not recommend
ACS - BSE is an option beginning at 20y

Either way, women should be trained on how to do it if they decide that they are going to

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2
Q

Clinical breast exam recommendations

A

USPSTF - insufficient evidence outside of mammography

ACS - clinical breast exam Q3y for 20y-40y and yearly for >40y

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3
Q

Waist circumference cutoffs for increased risk

A

Men >40in

Women >35in

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4
Q

Who needs to have more frequent PAPs?

A

Immunocompromised
HIV+
History of CIN2, CIN3, Cancer
in-utero exposure to DES

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5
Q

Skin exam recommendations

A

USPSTF - insufficient evidence

ACS - part of yearly health maintenance

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6
Q

Endometrial cancer screening recommendations

A

No routine screening

Women with HNPCC - annual screening with endometrial biopsy beginning at 35y

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7
Q

Lung cancer screening recommendations

A

Screen in patients 55-65y with a 30+ pack year history, if quit within past 15y

Done with low-dose CT

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8
Q

Breast cancer screening recs

A

USPSTF - biennial starting at 50y

ACS - annual starting at 40y

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9
Q

DDx of nipple discharge

A 
Physiologic:
-Pregnancy
-Breast stimulation
Pathologic:
-Prolactinoma
-Cancer
-Hormone imbalance
-Trauma
-Breast abscess
-Medications
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10
Q

Definition of osteopenia

A

T-Score from -1 to -2.5

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11
Q

Dosing of calcium in females

A

Premenopausal = 1000mg daily

Postmenopausal = 1500mg daily

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12
Q

Recs for Calcium & Vit D supplementation

A

USPSTF recommends against supplementation in healthy pre or postmenopausal females. Instead, get it through diet & incorporate weigh-bearing exercise

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13
Q

Osteoporosis screening

A

DEXA if >65y or FRAX risk is >9.3% over 10y

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14
Q

Diabetes screening recs (adults)

A

ADA:
Screen if BMI >25 and a risk factor

USPSTF - Screen all adults with HTN

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15
Q

HbA1c cutoffs for screening

A

5.7-6.4% = prediabetes

> 6.5% = DM

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16
Q

Bethesda system reports

A
  1. Specimen adequacy
    - -Over 5,000 squamous cells with endocervical cells
  2. General
    - -Is there intraepithelial lesion or cancer?
  3. Interpretation
    - -ASC, LSIL, HSIL, SCC
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17
Q

Pt with ASC-US & negative HPV

A

Repeat cotesting in 3y

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18
Q

Ages for HPV vaccination

A 
Gardasil = 9-26
Cervarix = 10-25
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19
Q

Indications for statins

A

1) Clinical ASCVD (ACS, CVA/TIA, PVD)
2) 40-75y with DM
3) >21y with LDL >190
4) 40-75y with 10y ASCVD risk >7.5%

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20
Q

How often to screen fasting lipids

A

Every 4-6y in adults 20-79y

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21
Q

Adult immunizations

A

One-time TDaP booster for ages 11-64 then Td booster every 10y

Zoster vaccine at 60y

Pneumococcal vaccine at 65y (or earlier if risk factors)

Influenza yearly

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22
Q

Reasons for pneumococcal vaccine before 65y

A 
Chronic lung dz
Chronic renal dz
Chronic liver dz
Asplenia
Immunocompromised
Smokers
Long-term care facilities
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23
Q

Characteristics of a good screening test

A

1) Can be treated
2) Latent phase of dz
3) Screen acceptable to pts and reasonable cost

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24
Q

Screening for HepC

A

One-time screening for adults born between 1945-1965

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25
Target BP
Normally 140/90 If over 60y 150/90 All ages with DM or CKD: 140/90
26
Antihypertensives in blacks
Must contain thiazide or CCB
27
Antihypertensives in CKD
Include ACEi or ARB (regardless of race)
28
Antihypertensives in non-blacks
Thiazide CCB ACEi ARB
29
When to get next c-scope based on findings
1-2 small tubular adenomas = 5-10y 3+ tubular adenomas = 3y
30
Advanced sleep phase syndrome
Internal clock is set to sleep from early evening to very early morning Seen in the elderly
31
Most effective treatment for insomnia
CBT-I
32
Minimum length for MDD
2 months
33
Assessing suicide risk
``` Sex (male) Age (45) Depression Previous attempts EtOH or other substance Rationality impaired (psychosis) Social support lacking Organized plan No significant other Sickness ``` Score of 7+ = hospitalization
34
SE's of SSRI's
Headaches Insomnia or Sedation Nausea/Diarrhea
35
Presentation of depression in hispanics
More often somatic complaints Immigrant hispanics have 50% lower depression rates. US born hispanics are similar to other ethnic groups.
36
Suicidality in relation to age
Attempts do not increase, but completion rates do Drug overdose is most common means of suicide in the elderly
37
Presentation of compartment syndrome
6 P's: - Pain - Pallor - Pulselessness - Paresthesia - Paralysis - Perishing cold
38
DDx of traumatic ankle pain
``` Lateral ankle sprain Peroneal tendon tear Fibular fracture Talar dome fracture Subtalar dislocation ```
39
Most commonly sprained medial ankle ligament
Deltoid ligament
40
Sprained ligaments with inversion & plantar flexion
Anterior talofibular** Calcaneofibular Posterior talofibular **most often injured ligament
41
Ankle anterior drawer test
Tests anterior talofibular ligament
42
Ankle inversion stress test
Tests calcaneofibular ligament
43
Sprained ligaments with eversion & dorsiflexion
Deltoid ligament | Anterior tibiofibular ligament
44
Grading sprains
Grade I = little/no impairment Grade II = some impairment & some stretching on exam Grade III = complete tear, no weight bearing, no definite stretch endpoint
45
Ottawa ankle rules
1) Malleolar pain | 2) Pain in either distal posterior malleolus or non-weight bearing (immediately & in ED)
46
Ottawa foot rules
1) Midfoot pain | 2) Navicular bony tenderness or base of 5th metatarsal or inability to bear weight (immediately & in ED)
47
Negative inversion test
Inversion of ankle shows laxity of the calcaneofibular ligament
48
Crossed-leg test
Cross legs, apply pressure to medial knee Pain at the ankle indicates high ankle (syndesmotic) sprain
49
Effect of thyroid on periods
Hypothyroid = heavy periods Hyperthyroid = light periods
50
Most common symptoms of hyperthyroidism
Tachycardia Sweating Heat intolerance Fatigue
51
Causes of hyperthyroidism
Graves' Disease (toxic diffuse goiter) Toxic nodular goiter (single or multinodular) Thyroiditis Drug-induced (amiodarone, lithium)
52
Risk factors for thyroid nodule to be malignant
``` Male gender Extremities in age Rapid growth Local invasion (dysphagia, hoarseness) History of head/neck radiation FH of thyroid cancer ```
53
Causes of hypothyroidism
Hashimoto's thyroiditis Postpartum thyroiditis Subacute thyroiditis (de QuerPAIN) Riedel thyroiditis
54
What is considered normal RAIU?
15-30%
55
Ways to evaluate the thyroid
Nodule - US | Hyperthyroidism - RAIU or US
56
RAI vs. thyroidectomy
RAI - less permanent hypothyroidism Surgery - less recurrence of dz
57
Restrictions after RAI treatment
No pregnancy for 6mo No getting someone pregnant for 4mo No close contact with young kids or pregnant women
58
Follow up for RAI treatment
Follow TSH every 2mo | Teach symptoms of hypothyroidism
59
Fundoscopic findings of non-proliferative retinopathy
Retinal hemorrhages Cotton wool spots (previous infarction) Microaneurysms
60
Fundoscopic findings of proliferative retinopathy
Neovascularization
61
SE's of metformin
Renal insufficiency | B12 deficiency
62
T2DM Treatment algorithm
1) Lifestyle change + metformin 2) Add sulfonylurea or basal insulin 3) Intensify insulin regimen
63
Vaccines for DM patients
Influenza Pneumococcal HBV if unvaccinated
64
When to get first eye exam in DM patients
T1DM - 5y after diagnosis | T2DM - at diagnosis
65
Optimal blood glucose range
Fasting: 80-120 Postprandial:
66
Grades of ulcers
1: Superficial 2: Involves ligament, tendon, or fascia 3: Deep with abscess or osteomyelitis 4: Gangrene of forefoot 5: Extensive gangrene
67
Duration of anticoagulation after DVT
Provoked: 3mo Unprovoked: extended if low-moderate bleeding risk Active cancer: Extended
68
Highest dose of HCTZ
Doses >25mg don't provide added efficacy
69
Labs to get on newly diagnosed HTN patients
Urinary albumin/Cr | Serum Calcium
70
When to initiate aspirin
Men 45-79 (for MI risk) Women 55-79 (for CVA risk) *Only once BP is under control, to minimize hemorrhagic stroke risk
71
SE's of ACEi
Up to 35% Cr increase Angioedema Chronic cough
72
CCB SE's
Leg edema
73
ECG abnormalities suggestive of paroxysmal afib
Abnormal P wave PAC's Bradycardia
74
Delta wave
WPW
75
Findings in HOCM
LVH | Q waves in I, AVL, V4-V6
76
Most common causes of back pain
Lumbar strain Age-related DJD Herniated disc
77
Pain with back flexion
Hernation Osteoarthritis Muscle spasm
78
Pain with back extension
Degenerative disease | Spinal stenosis
79
Pt unable to heel walk
L5 disc herniation or peroneal n. injury
80
Pt unable to walk on toes
S1 disc herniation or tibial n. injury
81
Nerve route of DTR's
Ankle - S1, S2 Patella - L3, L4 Biceps - C5, C6 Triceps - C7, C8
82
Passive straight leg raise (Lasegue's sign)
Differentiates tight hamstring vs. sciatic nerve pain
83
FABER test
Positive if pain is in the hip joint or SI joint
84
How often can a joint receive a steroid injection?
Only once per month & only 3 max per year
85
What steroid is used in joint injections?
Triamcinolone
86
Indications for carpal tunnel syndrome electrodiagnosis
1) Symptoms fail to improve 2) Motor dysfunction present 3) Thenar atrophy present
87
AAA screening
One-time abdominal US in MEN 65-75 who have any history of smoking
88
Synovial fluid PCR can diagnose septic arthritis infection due to:
``` Yersinia Chlamydia Gonorrhea Ureaplasma Lyme dz ```
89
NSAIDs effect on other drugs
Decreases antihypertensive effectiveness | Increases anticoagulant & sulfonylurea effectiveness
90
Chlamydia screening guidelines
All sexually active women
91
Recommended folic acid supplementation
All fertile women 400-800mg daily DM or epilepsy = 1mg Previous NTD = 4mg
92
Chadwick's sign
blue-purple hue of cervix & vaginal walls during pregnancy
93
When to start fetal heart tones
10-12w | aka when the uterus is above the pubic symphysis
94
When can fetal movement be detected?
18-20w
95
When is abortion legal?
Up to 22w
96
Ectropion definition
Central cervix is red due to endocervical epithelium protrusion. Occurs in women on OCP's. Means nothing.
97
Results of progesterone testing in a pregnant patient
>25 = likely sustainable pregnancy
98
At what hCG level is an IUP detectable by US?
TVUS >1500 | Transabdominal >5000
99
Reliability of US in dating
``` 1t = 1 week 2T = 2 weeks 3T = 3 weeks ``` Do not change dates due to a 3TUS
100
Options for incomplete abortion
1) Expectant mgmt 2) D&C (1T) or D&E (2T) 3) Vaginal misoprostol
101
Nonasthmatic eosinophilic bronchitis
``` Chronic cough (>8w) Better with inhaled steroids Normal spirometry ``` Dx with induced sputum or lavage showing eosinophils
102
Acute sinusitis vs. chronic sinusitis
Acute: >7-10d Chronic: >12w
103
When to give abx for acute bacterial sinusitis
Fever > 101 Moderate-severe pain Worsening/Failure to improve after 7d
104
Diagnosis of asthma
1) Obstructive spirometry | 2) Improvement of FEV1 by 12% or percent predicted FEV1 by 10% after bronchodilator
105
When to screen for asymptomatic bacteruria in pregnant pts?
12-16w
106
When to administer Rhogam
- 28 weeks - Any prenatal bleeding - Within 72h postpartum
107
When to get structural US
18-20w
108
BP cutoffs for severe preeclampsia or sever gHTN
SBP >160 or DBP > 110 for at least 6h
109
Diagnosis of gDM
2 out of 3 glucose measurements abnormal
110
When to start OCP's postpartum
Progestin-only can be started immediately postpartum COC's should wait 4 weeks (may suppress initial milk & possible DVT)
111
When to screen for gDM
GTT at 24-28 weeks
112
PE signs of acute pancreatitis
Grey-Turner's sign - flank bruising Cullen's sign - periumbilical bruising
113
Which dermatophyte infx must be treated orally?
Tinea capitis | Tinea unguium
114
Tx for tinea unguium
Oral terbinafine or itraconazole pulse therapy
115
Tx for Tinea capitis
Oral griseofulvin
116
Margins for SCC excision in the clinic
If lesion is 2c, refer
117
What drugs should pts with enlarged prostate avoid?
Caffeine Anticholinergics: -Decongestants -Antihistamines
118
HRT effect on breast cancer
Combined Estrogen & Progesterone use for >3y increases breast cancer risk
119
Uterine bleeding with HRT
Bleeding within first 12m can be normal (physiologic) After 12m of therapy always requires evaluation
120
Endometrial thickness in postmenopausal women
If
121
Calcium & Vit D requirements for women over 50y
1200mg Ca | 600 IU Vit D
122
Duration of different headache types
Migraine: 4-72h Tension: 30m-7d Cluster: 15m-3h
123
Number of HA's needed to diagnose by HA type
Migraine & Cluster: 5 | Tension: 10
124
How often should prenatal visits be?
1T & 2T: Q4wks 29w-35w: Q2w 36w-birth: Q1w
125
When to offer prenatal testing?
Triple screen & CVS: 9-14w Quad screen & amniocentesis: 15-22w
126
Increased maternal serum AFP is associated with:
NTD Gastroschisis, Omphalocele Multiple gestation Wrong dating
127
Decreased maternal serum AFP is associated with:
Trisomy 18 & 21 Fetal demise Wrong dating
128
Quad screen results for Trisomy 18 & 21
All down Edward | T21: MSAFP & Estriol down
129
Migraine prophylaxis drugs
Propranolol Divalproex, Topiramate, Gabapentin Amitryptiline Verapamil
130
What is considered controlled HA?
Less than 2 HA's per week or 8 per month. And they are relieved with acute treatment.
131
What % of PUD is malignant?
2% so refer any known PUD to a specialist
132
Workup for dyspepsia
1) Rule out warning signs 2) Empiric PPI trial 3) H. pylori testing
133
Fecal immunochemical testing vs. FOBT
FIT only for occult lower GI bleeding
134
First line treatment for H. pylori
Triple therapy: - PPI - Amoxicillin - Clarithromycin Quadruple therapy - PPI - Flagyl - Tetracycline - Bismuth
135
Salvage therapy for H. pylori
PPI Amoxicillin Levofloxacin
136
HIV screening recs
Patients 15-65 and those at increased risk. All pregnant women
137
Syphilis screening recs
Those at increased risk
138
Criteria for strep throat
One point for each: - Fever >38 - Absence of cough - Tonsillar exudates - Anterior cervical LAD - Age
139
Indications for abx in AOM
1) Children under 2y 2) Children >2y with fever >39, otalgia for >48h, bilateral AOM, otorrhea, toxic appearance So normal children >2 with unilateral mild AOM can be observed
140
Empiric pneumonia abx therapy in children
0-3w: Amp & Gent 3w-5y: Amp or Ceftriaxone IP; Amox if >3mo as OP 5y-adolescence: Azithromycin
141
DM screening in children
All children with BMI>85th percentile at age 10y and then Q2y
142
Lipid screening in children
All children with BMI >85th percentile
143
Lipid goals for children
Total
144
Indications for lipid medications in children
LDL > 190 LDL > 160 with risk factors Only in children over 10y & have achieved Tanner stage 2 or menarche
145
Indications to screen for hepatic steatosis in children
At 10y if BMI >95th percentile or >85th with risk factors. Refer to GI if AST or ALT are >2x normal
146
Weight mgmt for obese children
If under 7y: - Maintain weight - If complications present, lose 1lb/mo until 85th percentile If over 7y: -Weight loss until 85th percentile
147
Best test for UE weakness
Pronator drift
148
Tests to get for suspected CVA
``` Accucheck CT/MRI Renal function/Lytes ECG Trops CBC Coags SpO2 ```
149
Criteria for immediate afib cardioversion
150
Mgmt of Afib patients
High risk - anticoagulation | Low-Mod risk - ASA, ASA+Plavix, or anticoagulation
151
Cause of viral croup
Parainfluenza
152
Complications of strep throat
``` Post-strep GN Rheumatic fever Peri-tonsillar abscess Mastoiditis Meningitis ```
153
Vaccines required prior to starting school
2 Varicella & MMR 3 HBV 5 DTaP & Polio
154
When can rotavirus vaccines be given?
15 weeks-8 months
155
Indications for annual PPD testing in children
HIV+ children | Incarcerated adolescents
156
Criteria for ADHD
Child >6y Symptoms more frequent or severe than other children of same age Behaviors present in 2+ settings Behaviors present for >6mo
157
Definition of colic
Crying for: >3h per day >3d per week >3 weeks Child must be otherwise healthy child age 2w-4mo
158
Fever workup in newborn
If under 2mo: - CSF - Urine - Blood
159
Arm adducted & internally rotated
Posterior dislocation
160
Actions of the rotator cuff muscles
Subscapularis = IR Infrapinatus = ER Teres minor = ER Supraspinatus = initiates ABduction
161
Tests for biceps tendonopathy
Speeds or Yergason's tests
162
Tests for rotator cuff pathology
Forced IR & ER Empty beer can test Apley's Scratch test (impingement)
163
Criteria for chronic fatigue syndrome
>6mo of disabling fatigue plus 4 of: - Impaired memory/concentration - Post-exertional malaise - Tender LAD - Sore throat - HA - Myalgias - Arthralgias
164
Lab workup of fatigue
CBC ESR Iron studies TSH
165
What to get after diagnosis of CRC
CT abd/pelvis CXR CEA Surgical/Onc consult
166
HEEADSS
``` Home Education/Employment Eating Activities Drugs Sexuality Safety/Violence Suicide/Depression ```
167
Signs indicative of testicular torsion
Blue dot sign | Absent cremasteric reflex
168
Sign indicative of epididymitis
Prehn sign Physical lifting of the testes relieves pain.
169
Symptoms of HSP
``` Nonthrombocytopenic purpura Arthralgia Abdominal pain GI bleeding Nephritic syndrome +- scrotal pain ```
170
What intraabdominal pathology can cause referred scrotal pain?
Retrocecal appendicitis
171
Viability of torsed testi based on time
``` 6h = 90% 12h+ = 50% 24h+ = 10% ```
172
When is the meningococcal vaccine given?
1st dose at 11-12y | 2nd at 16y
173
Types of testicular tumors
``` Germ cell tumors: -Seminoma -Yolk sac (kids) -Embronal cell tumor -Teratomas -Mixed GCT's Choriocarcinoma ``` Non germ-cell tumors - Leydig - Sertoli
174
Acute vs chronic bronchitis
``` Acute = under 3w Chronic = at least 3mo for the past 2y ```
175
Spirometric Dx of COPD
FEV1/FVC ratio
176
COPD severity (FEV1)
``` >80% = mild 50-79% = mod 20-49% = severe ```
177
Therapy for moderate COPD
- Inhaled anticholinergics (ipratropium/tiotropium) | - SABA
178
Therapy for sever COPD
- Inhaled steroids - LABA - Anticholinergic - SABA
179
Indications for abx in a COPD exacerbation
1) dyspnea, ^sputum, purulence 2) purulence & one of the above 3) requiring intubation
180
Dementia DSM-IV criteria
Acquired impairment in memory & one of more cognitive domains: - Executive function - Language - Praxis (motor) - Gnosis (recognition)
181
Labs to get in pt suspected of dementia
``` CBC BMP Calcium TSH B12 (no folate) +/- RPR +/- Neuroimaging ```
182
Most common causes of dementia
Alzheimer's Vascular dementia Lew body dementia
183
Symptoms of Lewy body dementia
Dementia Delirium Parkinsonian Sx Hallucinations
184
DDx corneal arcus
Arcus senilis = benign | Arcus juvenilis = HLD & possible CAD
185
Causes of delirium in a demented patient
``` Elelctrolyte disturbance UTI Respiratory infx Urinary retention Pain ```
186
Normal post-void residual
200cc = abnormal
187
SE's of Haldol
Sedation Constipation EPS & TD QT prolongation
188
What medications can precipitate or worsen delirium?
Sedating meds | Anticholinergics
189
Medications to treat dementia
``` AchE inhibitors (Donepezil) Memantine (NMDA receptor antagonist) Olanzapine & Resperidone ```
190
`When to give peripartum GBS prophylaxis
1) Women who screened positive for GBS | 2) Unknown GBS status and preterm or PROM
191
Normal fetal HR
110-160
192
Normal FHT variability
6-25 bpm
193
What is considered a reactive FHT?
2+ accels over 20 mins Accels must be 15bpm and last 15 seconds
194
Definition of active labor
Strong regular contractions Q3-5m and cervical dilation of 4-5cm
195
Thickness of a non-laboring cervix
3cm Can base % effacement off of this value
196
Contraindications to digital cervical exam
Patient-reported vaginal bleeding Undocumented placental location PPROM
197
Stages of labor
First Stage: - Latent = contractions - Active = 4cm dilated Second stage: Full dilation to birth Third stage: Baby to placenta
198
FHT tracing categories
Cat I: Moderate variability, no late or variable decels Cat III: No variability, recurrent late or variable decels
199
Mgmt for late decels
Place pt on her l side Monitor maternal BP Supplemental O2
200
Definition of failure to progress in labor
No cervical change for 2h during the active phase of labor
201
What are the cardinal movements of labor?
``` Engagement Descent Flexion Internal rotation Extension External rotation Expulsion ```
202
Postpartum hemorrhage causes
4T's - Tone - Trauma (perineal or cervical) - Tissue (retained placenta) - Thrombin (coagulopathy)
203
When it betamethasone appropriate for fetal lung maturity?
24-34w
204
Age of MI in relative that gives increased risk for CAD
Male relative
205
What drugs lower mortality in systolic CHF?
ACEi Carvedilol Eplerenone
206
Criteria for menorrhagia
>80cc of blood loss
207
Treatment options for PMS
Danazol (androgenic/progesterone) OCP's SSRI during menses
208
Types of "dizziness"
1) Presyncope 2) Disequilibrium 3) Vertigo
209
Meniere's dz triad
1) Unilateral hearing loss 2) Tinnitus 3) vertigo
210
Head thrust test
Positive - peripheral lesion Normal - central lesion
211
Treatment for BPPV
Epley maneuver
212
Treatment for Meniere's disease
Diuretics | Low salt diet
213
Classic signs of a TORCH infx
Microcephaly Hepatosplenomegaly Purpuric rash
214
Dx of congenital rubella
Anti-rubella IgM
215
Dx of congenital toxoplasmosis
Anti-toxo IgM
216
Dx of congenital CMV
Urine culture
217
Symptoms of congenital CMV
``` Microcephaly Sensorineural hearing loss IC calcifications Purpuric rash HSM ```
218
What are mandatory on the newborn metabolic screen?
PKU | Hypothyroidism
219
PKU symptoms
Vomiting Hypotonia Musty odor Decreased hair/eye pigmentation
220
Symptoms of homocystinuria
Marfanoid body habitus | Hypercoagulable state
221
Niemann-Pickk symptoms
``` Heptatomegaly Ataxia Seizures Developmental delay Cherry-red macula ```
222
Hurler syndrome symptoms
HSM Corneal clouding Developmental delay
223
Von Gierke's disease symptoms
Hypoglycemia HSM Metabolic acidosis
224
When to screen for autism
18m & 2y
225
Calorie requirements of neonates
Normal: 100-120 cal/kg/day Preterm: 115-130 cal/kg/day
226
Most common neoplasm in infants
Neuroblastoma
227
Which infant tumor crosses the midline?
Neuroblastoma can | Wilms' (nephroblastoma) cannot
228
Workup of suspected neuroblastoma
Urine or serum catecholamines (VMA & HVA) CXR - for mets Skeletal survey Abdominal US
229
When for children to first go to the dentist?
Within 6mo of first tooth eruption
230
When can a child ditch their booster seat?
At 4'9"
231
When can a child face forward in the car?
2y or when they outgrow their small carseat
232
When should a bottle be stopped for children?
By 12-15mo
233
When to screen for anemia?
12mo & prior to kindergarten
234
SE's of stimulant use to treat ADHD
Appetite suppression Tic disorders Insomnia Decreased growth velocity
235
HTN classes in children
99th+5 = Stage 2 HTN
236
Secondary causes of HTN
``` Umbilical artery/venous access UTI w/ parenchymal scarring Catecholamine excess FH of renal dz Coarctation of the aorta ```
237
Criteria for positive PPD test
>5mm in high risk >10mm in mod risk >15mm in low risk
238
Normal I:E ratio
Inspiration:Expiration Normal is 1:2 or 1:3
239
What does stridor signify?
Inspiratory: Laryngeal obstruction Expiratory: Tracheobronchial obstruction Both: Glottic or subglottic obstruction
240
Weekly albuterol need in well-controlled asthma
Less than 2x per week
241
Definition of unstable angina
1) Chest pain at rest 2) New onset angina (past 4-6w) 3) Angina that is worsening

Family Medicine (1 decks)

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