NSG6020 3P Exam Study
1.What would cause decrease in Digoxin levels: Antacids
2.Taking Pyridium for UTI, what can Pyridium cause?: Hemolytic Anemia
3.What can PCOS result in?: increased insulin levels, Androgens, hirsutism
4.What is a hypertensive used in pregnancy: Methyldopa
5.What is a characteristic of Placenta Previa?: painless red bleeding
6.What is a characteristic of Rheumatoid arthritis ?: Red hot joints
7.Medications that cause ototoxicity: Aminoglycosides, nasal decongestants, antihistamines
8.Treatment period for enterobiasis: 2 weeks
9.CBC Interpretation: MCV - mean corpuscular volume help diagnose different types of anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)
10.Rhogham given at how many weeks gestation?: 27 weeks
11.Janesway lesions: Happen with endocarditis, non painful lesions seen on hands and feet, Osler same but painful
12.Warfarin management - forgot a dose?: If under 12 hours take missed dose, if over skip and need INR redraw
13.Taking an ACE or ARB what to know?: ACE (dry hacking) cough
starts 1-2 weeks after med started, ACE (Lol) ARB (sartan) first line in
HTN avoid initially in african americans, angioedema can occur
14.Contraindication for hydrochlorithiazide: sulfa allergy, asthma, PCN
hyper- sensitvity
15.Murmurs Systolic: MR=Mitral regurge (SOB/Fatigue
HF) Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF) MVP=Mitral valve prolapse (palps, CP, "click")
16.Diastolic Murmurs (ABnormal): AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
17.Motivated: Systole-S1 closure of AV Mitral/tricuspid valve (lub) Mitral, Tricuspid, atrioventricular valves
18.Apples: Diastole s2 closure of the aortic pulmonic valves (dub) aortic pulmonic semilunar
19.Abnormal (extra) heart sounds: S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
20.Assessment of PAD: antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose .Coronary artery Disease tx: Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for LFTs and arthralgia. Change type and dose if problems. Stabi- lization of plaque with statins
22.HF treatment: ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
23.Scabies Treatment (Sarcopter Scabiei): Topical Permethrin massaged from head to soles of feet and wach off with shower or bath after 8-14 hours. Treat again in 1 week
24.Names of skin findings: Macule; freckle <1 cm, Papule Macule >1 cm chloas- ma, Papule <0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle (herpes simplex contact derm ,
25.Keloid: hypertrophic scar that is invasive beyond point of original injury
26.Skin continued: Bulla-second degree burn, friction
burn Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
27.Tinea: Fungal infections; Tinea capitis-round patchy scales on scalp