Lisarhodes411

2-5/6 best at LUSB, ejection click @ 2nd L ICS. Radiates to back. May involve wide S2. Usually d/t fusion of valves - Ans - Pulmonic valve stenosis Organ problem or aldosterone. Cushings. Refer to cards - Ans - HTN in peds Joints, CNS, post infectious group a strep. affects mitral valve. Jones criteria (carditis, chorea, erythema marginatum, esr elevated, arthralgia, fever, prolonged PR interval) - Ans - Rheumatic heart disease Toxic vasculitis. Fever several days, rash, swelling, peeling,...

Pectus excavatum. Tall, wide arm span. Risk of MVP, aneurysm, aortic regurgitation. Do not clear for sports. - Ans - Marfan's Syndrome DVT in another location - Ans - What to look out for with superficial thrombophlebitis Increase total weekly dose by 5-20% Recheck q2-3 days until at goal - Ans - INR <2.0 Decrease weekly dose by 5-15% Recheck q 2-3 days until at goal - Ans - INR 3.0 - 3.5 Consider withholding 1 dose decrease weekly by 10-15% - Ans - INR 3.6 - 4.0 Consider withho...

R. eye changes, L. arm weakness - Ans - How do R. sided strokes present in eye and limb changes? No LOC, less than a minute, maybe parasthesias and flashing lights - Ans - Partial seizure Staring, aura, impaired LOC - Ans - Complex partial seizure Petite mall, staring. - Ans - Absence seizure Not enough dopamine. Pt. will have bradykinesia, rigidity, tremors at rest. Treat with anticholingerics, dompaine. Carbidopa, levodopa. Tremor is not about the dopamine. - Ans - What causes Parkins...

3 Month Old infant with Down Syndrome, due to milk intolerance, mom started infant on Goat's Milk; now has pale conjunctiva but otherwise healthy; with low Hematocrit, what other test would you order? - ANSWER a. CBC b. Iron, TIBC 4 Month Old with Strabismus, mom worried, what do you tell her? - ANSWER a. Normal? 4 Month Old "won't keep anything down", what is the main thing you look for? - ANSWER a. Dehydration? Man with HTN, CAD, present femoral pulses, but absent pedal pulses? - ANSWER...

Awake state with abnormal motor, sensory, autonomic or psychic behavior Movement can affect any part of body Localized or generalized Onset 3-15 years - Ans - Simple partial or focal seizure (Jacksonian) up to 24 hours - Ans - How long can a TIA last 1. Ischemic stroke 2. Cerebral hemorrhage 3. Subarachnoid hemorrhage (in younger adults, 5% of all strokes are d/t carotid artery dissection) – Ans - Most common forms of stroke, in order CT or MR angiography - Ans - imaging for steno...

3 months of synthroid, TSH increased, T4 normal, what do you do? - ANSWER Increase Medication 3 ways to assess cognitive function in patient with signs/symptoms of memory loss - ANSWER Mini mental exam Dacrocystitis - ANSWER Darcryotosis lacrimal sac, rub down towards mouth. If think secondary infection abx. EXAM how it presents. Acne Rosacea - ANSWER Acne Rosacea- chronic small acne like papules/pustules around nose mouth chin. TREATMENT- Metrogel, Azelex. Low dose tetracycline. EXAM Pa...

Which of the following murmurs would produce a thrill that could be palpated on exam of an adult patient? A. Aortic stenosis B. Mitral regurgitation C. Mitral stenosis D. Mitral valve prolapse - ANSWER C. Mitral stenosis Mitral stenosis (C) is the narrowing of the mitral valve, which can cause a thrill on palpation.A thrill is a vibratory sensation felt by palpating an overlying area of turbulence and is usually caused by an incompetent heart valve. A palpated thrill comes from a loud ...

A nurse practitioner student is reviewing causes of community-acquired pneumonia with the preceptor. The preceptor notes that which of the following pathogens leads to the most overall deaths in patients with community-acquired pneumonia? A. Legionella pneumophila B. Mycoplasma pneumoniae C. Staphylococcus aureus D. Streptococcus pneumoniae - ANSWER D. Streptococcus pneumoniae Community-acquired pneumonia (CAP) is an infection of the lung tissue, which is responsible for gas exchange....

A 39-year-old woman presents to the clinic with increasing left foot pain. She reports no injury to the area but states the pain has been worsening over time. Upon physical exam, the first metatarsophalangeal joint is observed to deviate inward, causing a clear deformity of the foot. Which of the following angles observed on X-ray is regarded as the cutoff for a diagnosis of hallux valgus? A. >15° angle B. 1° angle C. >20° angle D. 5° angle - ANSWER C. >20° angle The hal...

A 50-year-old patient presents to their nurse practitioner after their yearly eye exam with the ophthalmologist. They tell the nurse practitioner that they were told their vision is 20/200 in both eyes when they are not wearing their prescribed glasses. They ask what this means. Which of the following is the most appropriate response? A. They are okay to drive short distances without their glasses on B. They can see at 200 feet what someone with 20/20 vision can see at 20 feet C. They will...