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Flashcards in PCM wrap up Deck (40):
1

what 6 things can be impacted by nutrition probs

BMI, loss of sensory acuity, dentition, kidney fxn, GI changes, immune system less efficient

2

what can lead to increase prevalence of allergies (5)

low birth weight (premie), lower exposure to dz, no breastfeeding, high n-6 diet, early intro to allergens

3

what allergy do you acquire late in life

shell fish

4

peanut allergy is linked to

earlier intro of peanut proteins found in peanut butter, cereals, confectionary and baked goods (except question)

5

how does IgE mediated allergies cause reactions

IgE causes degranulation of mast cells --> SOB, redness, edema, hypoTN, abdominal pain

6

what is an example of non-IgE mediated allergies

celiacs dz

7

Non-IgE mediated food rxns

Urticaria/dermatitis, infant colic, IBS, Asthma etc.

8

What is food aversion

unpleasant rxn to food that are not reproduced when the food is covertly presented

9

internally generated perceptions and false beliefs

hallucinations and delusions = schizo

10

what is the most common psychotic disorder

schizophrenia

11

what is the genera distribution of schizophrenia

equally m/f but males present earlier

12

what are the 3 phases of schizophrenia

prodromal, active, residual

13

what phase is a schizophrenic pt that is having gradual change in behavior that appears as a personality or mood change

prodromal

14

what phase is a schizophrenic pt that has delusions, hallucinations, disorganized thinking, and behavior

active

15

what phase is a schizophrenic pt that has continuing oddities of thinking and behavior, but hallucinations and delusions are absent

residual phase

16

pt has acute alteration of consciousness w/ fluctuating disturbances in cognition, perception, behavior, affect, and sleep due to an underlying physical cause

delirium

17

what are risk factors for delirium

age, pre-existing cognitive impairment, pre-existing medical condition, baseline poor health or disability, environmental conditions

18

what do secondary syndromes spare

vital fxns and lack signs of diffuse cortical impairment , making recognition less urgent

19

pt w/ cortical radiations of cholinergic neurons, beta amyloid, neurofibrillary tangles, loss of memory

alzheimers

20

pt w/ stepwise deterioration of cognition and diffuse cortical infarcts

vascular dimentia

21

butterfly pattern destruction of caudate and putamen

huntingtons

22

lewy bodies, cortical radiations of dopamine neurons lesioned, cogwheeling

parkinsons

23

lewy bodies, cortical radiations of dopamine neurons lesioned, cog wheeling but sparing temporal areas

lewy body dementia

24

frontal and temporal brain atroph

pick dz

25

can't see in 1 eye when in hot shower

MS

26

what does thiamine deficiency cause

deterioration of mammilary bodies --> wernicke korsakoff syndrome

27

compression of cortical tissue surrounding cerebral ventricles, prominent gait disturbances

normal pressure hydrocephalus

28

pin pooint pupils, clammy skin, shallow breathing, low BP HR & T

Opiate/narcotic tox

29

increased respirations, yawning, perspiration, diarrhea, dilated pupils, goose bumps, anorexia, muscle aches and rhinnorhea

opiate/ narcotic withdrawal

30

hand tremor, insomnia, n/v, transient allucinations, psychomotor agitation, anxiety, tonic-clonic seizures, autonomic instability; CIWA-Ar scale

alcohol withdrawal

31

irritablity, restlessness, insomnia, anxiety, muscle twitching, hunger, weight gain, poor concentration, craving, depression, dec BP HR

nicotine w/drawal

32

apathy, pseudo depression, no changes in BP HR

cocaine withdrawal

33

decreased appetite and weight, anxiety, insomnia, nightmares

weed withdrawal

34

schizophrenia and myoglobinuria

PCP intox

35

which has more consistent blood level nicotine patch or gum

patch

36

what is required to prescribe the patch

must stop smoking before using patch

37

what is the most effective nicotine cessation agent

varenicline (chantix)

38

what are ADEs of varenicline (chantix)

depression w/ suicidal ideation, agitation, nightmares

39

what is an inhalent

toluene

40

what is the most common thing physicians have problem with (type of substance abuse)

chemical abuse