COMPREHENSIVE EXAM
◉ What time of contraceptive should be avoided when
breastfeeding? Answer: combined contraceptives
◉ What is cinnamon used for? Answer: Diabetes
◉ First line treatment for uncomplicated otitis media in pediatric
patient without comorbidities? Answer: amoxicillin
◉ What is the treatment for addisons disease or for the treatment of
salt losing adrenogenital syndrome? Answer: Florinef
◉ Side Effects of florinef? Answer: GI, Headache, menstrual changes,
skin changes(appearance, color, thinning, easy bruising/bleeding),
dizziness, bone/muscle pain, eye problems or mood changes
◉ Off label use for BPH or sleep aid for PTSD? Answer:
Prazosin/Minipress
◉ What med to give diabetic patient for hypertension? Answer: ACE
Inhibitor the "prils"
,◉ Common Side Effect of ACE Inhibitor Answer: dry cough, inc K
level, fatigue, headaches, loss of taste
◉ What should be avoided when on ACE Inhibitors? Answer:
NSAIDS
◉ 1st line treatment asthma Answer: SABA PRN
◉ step 2 of asthma Answer: start low dose ICS (when interupting
sleep at night)
◉ 3rd step asthma Answer: low dose ICS + LABA or medium dose
ICS
◉ 4th step asthma Answer: medium dose ICS + LABA
◉ 5th step asthma Answer: high dose ICS + LABA
◉ Step 6 asthma Answer: high dose ICS + LABA + oral corticosteroid
,◉ occurs when the body's immune system produces antibodies that
block the chemical needed for muscles to contract Answer:
Myasthenia Gravis
◉ Myasthenia Gravis treatment Answer: cholinesterase inhibtors
and autoimmune treatments like coritcosteroids
◉ side effects of cholinesterase inhibitors Answer: NVD, muscle
cramps, weigh loss, headaches, insomnia, abnormal dreams
◉ rare but dangerous worsening
of the thyrotoxic state, in which death can occur within 48 hours
without
treatment. The condition may develop spontaneously, but it usually
occurs in
individuals who have undiagnosed or partially treated severe
hyperthyroidism
and who are subjected to excessive stress from other causes. These
causes
may include infection, pulmonary or cardiovascular disorders,
trauma, burns,
seizures, surgery (especially thyroid surgery), obstetric
complications, emotional
distress, or dialysis Answer: Thyrotoxicosis/Thyrotoxic crisis
(thyroid storm)
, ◉ Symptoms of thyroid storm are caused by? Answer: The
symptoms of thyroid crisis are caused by the sudden
release and increased action of thyroxine (T4) and triiodothyronine
(T3)
exceeding metabolic demands.
◉ hypothyroidism Answer: High TSH, low T3
◉ Symptoms of thyroid storm Answer: hyperthermia; tachycardia,
especially atrial tachydysrhythmias; high-output heart failure;
agitation or
delirium; and nausea, vomiting, or diarrhea, contributing to fluid
volume
depletion
◉ treatment of thyroid storm Answer: (1) the use of drugs that
block TH synthesis (i.e.,
propylthiouracil or methimazole), (2) the use of beta-blockers for
control of
cardiovascular symptoms, (3) administration of corticosteroids or
(4) iodine (e.g.,
saturated solution of potassium iodide [SSKI]), and (5) supportive
care. Plasma