AND ANSWERS GRADED A+
◉ Signs and Symptoms of acute bronchospasm. Answer: spasmatic
cough, wheezing, SOB
◉ What diabetic meds increase weight gain. Answer: Insulin,
Thiazolidinediones (Roseiglitizone & Pioglitazone)
◉ What med classes are associated with weight gain?. Answer:
Diabetic meds, antidepressants, neuoleptics, seizure meds,
antihistamines, hormonal preps, and cardiac meds (BB & AARA)
◉ Three options for emergency contraception. Answer: Plan
B(levonorgestrel), Uliprstal acetate (Ella), IUD
◉ Causes of syncope. Answer: Neurally mediated (most common),
orthostatic hypotensive, Cardiac (most severe)
◉ Tests to order for cases of presyncope/syncope episodes. Answer:
Ct Scan/MRI, EKG, Labs: CBC, Lytes, glucose, Mg, BUN/Crt, UA, ABGs,
Coag Panel, Drug screen?
,◉ Symptoms of chemical exposure. Answer: HTN, hemodynamic
instability, resp depression, arrhythmias, conduction defects,
coronary ischemia
◉ Labs to order for chemical exposure. Answer: CBC w/diff, CMP,
Anion gap, liver fcn, Pt/PTT,
ABG inahalation, Methemoglobin for CO
Serum ammonia, lead, arsenic, mercury etc.
Carboxyhemoglobin or blood urine tox.
◉ Initial stabilization steps for chemical exposure. Answer: ABC,
orogastric lavage and/or whole bowel irrigation if ingested,
removed saturated clothing and irrigate for skin exposure
◉ The most frequent cause of orthostatic hypotension in elderly.
Answer: Peripheral autonomic dysfunction due to reduced
baroreflex sensitivity associated with aging
◉ Orthostatic hypotension associated medications and diseases.
Answer: diuretics, antihypertensive, alpha blockers, nitrates, CCB,
opiates, and antidepressants
degenerative neurological diseases and peripheral neuropathic
syndromes
, ◉ Heat stroke is.... Answer: An emergent condition when core temp
>104 CNS abnormalities occur
◉ Heat exhaustion is the result of. Answer: excessive sweating,
sodium and water loss that can quickly progress to severe and life
threatening heat stroke
◉ Complications of heat stroke include. Answer: rhabdomyolysis,
renal, hepatic, or cardiac failure
◉ Influenza s/s. Answer: Fever, cough, sore throat, runny nose, body
aches, headache, chills, fatigue
◉ Gold standard for influenza diagnosis. Answer: Conventional viral
culture or RT-PCT assays
◉ Treatment for Influenza incudes. Answer: Antivirals (Oseltamivir
/ Tamiflu, Zanamivir/Relenza, Peramivir/Rapivab)started within 48
hrs
Adamantane drugs(Amantadine & Rimantadine) only effective
against Influenza A
Antihistamines to relieve drainage (Brompheniramine (Dimetapp)
Chlorpheniramine
Cough suppressants (Dextromethorphan -Tussen DM or Delsym 12)