XSarah Michelle Aanp Board Exam - In
Depth Diagnosis Study Guide
lifestyle modifications - how will you treat stage one HTN with ASCVD risk of <10%?
medications - how will you treat stage one HTN with ASCVD risk of >10%?
130-139/80-89 - according to the AHA/ACC guidelines, stage one HTN is defined as BP of _______-
_______/_____-_____
140, 90 - according to the AHA/ACC guidelines, stage two HTN is defined as BP of >_______/>_____
lifestyle modifications - the mainstay of hyperlipidemia treatment, regardless of medication use as well,
is _____________________ ________________________
strep pneumoniae - the typical culprit of bacterial pneumonia is ___________
_________________________
bacterial, viral - ________________________ pneumonia tends to be more significant/serious while
_______________ pneumonia tends to be more of a "walking" pneumonia
cough suppressants - do not given pneumonia patients ____________ _______________________, can
give them expectorants
8 - follow-up CXR from pneumonia should be performed around the ________ week mark
CAT assessment (COPD assessment test) - functional assessment tool that we can use to help us decide
how much COPD is affecting our patients daily life, a score >10 is considered significant day to day
disruption
spirometry, 0.70 - COPD diagnosis is confirmed with ________________________, an FEV1/FVC ratio
score of less than ___________ indicates COPD
dyspnea, sputum, purulence - what 3 things must be present in order to diagnose a COPD exacerbation?
1) increased _____________________
2) increased __________________ production
3) increased sputum __________________________
steroids - treatment options for Bell's palsy include __________________ (started within 72 hours of
symptom onset), antivirals may be utilized depending upon the patient, and lubricating eye ointment
should always be prescribed to avoid corneal abrasions
essential tremor - tremor that worsens with intent, managed with beta blockers (propanolol) and regular
physical activity
, MS (multiple sclerosis) - demyelination occurring in the CNS, very unpredictable, most patients go
through remissions and exacerbations, commonly diagnosed between ages 20-40
trigeminal neuralgia - patients with MS are at an increased risk of developing what condition?
absence seizures - type of seizure commonly diagnosed in childhood characterized by brief loss of
consciousness lasting around 20-30 seconds, these children are often accused of daydreaming, most will
outgrow this condition
tonic clonic seizures - also known as convulsive seizures, typically last around 1-3 minutes, biggest
concern is safety
serotonin syndrome - this condition occurs when there is too much circulating serotonin, symptoms
include shivering, seizures, agitation, tachycardia, tremors and possible death
GAD7 scale - anxiety screening tool
lupus, 4 - this condition, ________________, is often known as the "great mimicker" because the
presentation is so vague, in order to diagnose this condition the patient must have ______ of 11 of the
following criteria:
-malar rash
-discoid rash
-photosensitivity
-oral/nasal ulcers
-non-erosive arthritis
-cardiopulmonary complaints
-renal complaints
-neurological concerns
-immunological disorder
-hematological disorders
-positive ANA test
childbearing, African - lupus is most commonly seen in women of __________________________ age
and in __________________ Americans
rheumatology - which specialty should we refer lupus patients to?
myxedema coma - Life-threatening condition associated with hypothyroidism, symptoms include
abnormally low body temperature, swelling (including tongue thickening), confusion, lethargy and
difficulty breathing. Can be precipitated by lithium and amiodarone
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