what is the most common cause of death of cancer - ✔✔lung
what is the most common cancer? - ✔✔skin-basal is most common type
most common cancer for males/females - ✔✔prostate/breast
disease causing the most deaths overall - ✔✔heart disease
most common cause of death in adolescents - ✔✔MVCs
most common gyno cancers - ✔✔uterine or endometrial cancer 2nd ovarian
torus palatinus - ✔✔bony growth midline at the hard palate of the mouth
breast cancer screening reccomendations - ✔✔baseline mamo at 50 screen every 2 years
until 74 over 75 no evidence
cervical cancer reccommendations - ✔✔21-29 cytology q 3 years 30- 65 cytology and hpv q 5
years
lung cancer screening guidelines - ✔✔age 55-80 with 30 pack history or quit smoking 15
years previously up to annual ldct
psa guidleines - ✔✔55-69 individualized not above 70
,colorectal cancer screening - ✔✔50-75 colonoscopy q 10 years unless fecal occult is annual
sigmoidoscopy q 5 years
aaa screening - ✔✔one time men aged 65-75 smoker or those who have quit ultrasound of
the abdomen
tanner stages for females and males - ✔✔females 2-breast bud and areola 3 breast continue
to grow one mound no separation 4 nipples and areola become elevated from breast secondary
mound
males- 2- testes and scrotum start to elnarge darker and more rugae 3 penis grows longer 4
penis grows wider and continues to grow longer
magnesium/potassium/folate food sources - ✔✔nuts beans whole wheat/ fruits some
vegetables/fortified cereals green leafy veggies and liver.
high tyramine foods avoid - ✔✔migraines maoi medications aged cheeses meats red wine/
vit k canola oil
maculopapular rash- what does it mean lace-like papules vesicles crusts oval-shaped with
herald patch - ✔✔skin rash that has both color and texture lace like- 5th disease/papules
vesicles and crustes-varicella zoster,herpes simplex/ oval shaped with a hearld patch pityriasis
rosea.
vesicular rashes on an eryethematous base is? - ✔✔herpes simplex genital herpes
larva migrans treatment and characteristics - ✔✔shaped like red raised wavy line few maybe
grouped prutic exposed directly to contaminated soil and sand soles of feet ivermectin is the
treatment
,best place to listen for s3 sound - ✔✔mitral area left 5th intervertebral space midclavicular
line
cage questions - ✔✔do you feel the need to cut down are you annoyed when your friends
comment about your drinking do you feel guilty about your drinking do you need an eye-
opening 2 or more is positive
minimum inhibitory concentration/trough - ✔✔the lowest concentration of an abx that will
inhibit growth of organisms/ lowest lowest concentration of the drug
pharmacokinetics and the elderly - ✔✔increase in fat to water ratio decrease in albumin
decrease in liver blood flow and size decrease in some p450 decrease in gfr
meds that affect the kidney - ✔✔nsaids acei-hyperkalemia warfarin lithium contrast dies
potassium-sparing diuretics oral sodium phosphate for colonoscopies
h2 antagonists ranitidine famotidine cimetidine nizatidine safety issues - ✔✔mental status
changes with kidney disease avoid if creat clearance is less than 50
ppi omeprazole/ safety - ✔✔increased risk of fracture pneumonia c diffhypomagnesemiaa
b12 iron malabsorption atrophic gastritis andkidneyy disease
coumadin safety - ✔✔interacts with g herbs garlic dc 7 days b4 surgery
tzd actos pioglitazone safety - ✔✔cause or exacerbate chf contra hx of mi stroke bladder
cancer diabetes eye or liver problems
, atypical antipsychotics risperidone olanzapine quetiapine safety - ✔✔high risk of weight gain
metabolic syndrome diabetes higher mortality in elderly patients
biphosphates alendronate riserdronate safety - ✔✔erosive esophagitis chest pain with
eating jaw pain osteonecrosis contra active gi disease GERD pud ckd esophageal stricture
statins safety - ✔✔risk of rhabdo higher if misxed with azole antifungals
clindamycin safety concerns - ✔✔higher risk of c dif
inhaled corticosteroids safety - ✔✔adrenal insufficiency in children hypoglycemia
hypotension growth deficit
systemic steroids safety concerns - ✔✔cataracts osteoporosis skin changes emotional lability
weight gain high bp
Dilantin tox sighns - ✔✔therapeutic level is 10-202 0and above horizontal nystagmus 30-40
ataxia above 40 if sever slurred speech ca cause gingival hyperplasia
cardiac glycosides digoxin info - ✔✔ind 2nd-3rd line for heart failure narrow windo 0.5-2
yellowish green tinge color change digi fab or digi bind antidote
anticoags coumadin - ✔✔must use for valve replacement inr 2.5-3.5 with asprin contra
surgery trauma esophageal varicies thrombocytopenia
anticogas direct oral anitcoagulants dabigatran direct factror xa inhib apixaban rivaroxban
edoxban betrixban - ✔✔vte prophylaxis
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