TRUSTED TEST SOLUTIONS!
What is EBP? Answer: The delivery of individualized healthcare on the basis of an
awareness of the impact and strength of related scientific evidence
When can you treat a minor without parental consent? Answer: pregnant and
consents to treatment related to pregnancy, other than abortion
consent to diagnosis and treatment of STDS that must be reported to Texas Dept of
health
consent to examination or treatment for chemical addiction, dependency, or any
other condition related to chemical use
consent for counseling for suicide prevention, chemical addiction or dependency, pr
for sexual, physical or emotional abuse
***Parental consent is not required for minors to receive information about family
planning. Texas laws require minors to get parental permission to receive
contraception. When parental consent is required the parent must sign both the
general consent for treatment and method specific consent for for a prescription
method of contraception.
Under federal law, minors may give consent and receive confidential family planning
services if the funding source is Medicaid or Title Family Planning Program
MVP S&S Answer: CO usually uncompromised - usually goes unnoticed by patient
TYPICALLY BENIGN
tugging chest pain, dyspnea if severe regurge, can have tachycardia or palpitations
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,Cardiac exam in MVP Answer: presence of a Grade I-III/IV mid to late systolic
crescendo murmur with honking quality during peak pressure, which is the middle of
systole
Normal PMI
Best indicator for asthma flare Answer: FEV
Necessary for diagnosis of HTN Answer: >2 abnormal readings on >2 occasions
highest to lowest level of research Answer: meta analysis
systemic reviews
RCTs
Cohort studies
case-controlled studies
case series, case reports
editorial, expert opinion
Definition of primary prevention Answer: preventing the health problem, the most
cost-effective from of healthcare
examples of primary prevention Answer: immunizations, counseling, helmet, seat
belt, condom
Definition of secondary prevention Answer: Detecting disease in early
asymptomatic, or preclinical state
examples of secondary prevention Answer: screening tests - BP, mammo,
colonoscopy, pap smear, skin survey
definition of tertiary prevention Answer: minimizing negative disease induced
outcomes; a failure of primary prevention
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,examples of tertiary prevention Answer: adjusting therapy to avoid further target
damage
congenital rubella Answer: extremely teratogenic can lead to developmental
disability, blindness, hearing loss
Should immunization be deferred in presence of minor illness Answer: no,
immunization should be deferred only in the presence of a moderate to severe
illness with or without fever
What should be available if administering vaccines Answer: telephone to call 911
and epipen
When are babies fully vaccinated against pertussis Answer: 6 months
contraindicatons to live vaccines Answer: pregnancy, immune suppression (HIV)
Examples of live vaccines Answer: MMR, varicella, zoster, intranasal influenza
expected side effects of all vaccines Answer: discomfort, erythema at immunization
site
CAGE questionnaire Answer: provides very accurate information related to alcohol
abuse, 2 or greater response = + screen
Cut down on drinking
Annoyed you by criticizing your drinking
Guilty about your drinking
Eye opener - drink first thing in the morning or to get rid of hangover
Definition of alcoholic in women Answer: 3 or greater drinks/day
??drinks per week
How do you calculate pack-year history Answer: PPD x number of years smoked
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, What are the 5 A's of smoking cessation? Answer: Ask
Advise
Assess
Assist
Arrange
Top 3 cancers in women Answer: Breast, lung and bronchus, colon and rectum
Top 3 Deadly cancers in women Answer: Lung and bronchus, breast, colon and
rectum
Who gets annual screening at age 35 with EMB? Answer: Women who have
hereditary non polyposis colon caner, annual screening should be offered for
endometrial cancer with EMB beginning at age 35
Normal H&H values Answer: 12-14; 36-43
Normal MCV Answer: 80-96
Normal MCHC Answer: Normochromic MCHC 31-37
Hypochromic Answer: MCHC < 31 (pale)
Normal RDW Answer: 11.5-15%
Red blood cell distribution width - variation in RBC size
Normal reticulocyte percentage Answer: 1-2%
Etiology for
Normocytic (MCV WNL)
Normochromic (MCHC WNL)
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