Answers| Updated
Celecoxib (Celebrex)
-COX-2 inhibitor
-Last choice treatment for osteoarthritis
-Should not be prescribed to patients with a history of cardiovascular conditions =
increase risk of heart attack
Osteoarthritis (OA) Treatment
-ASA
-Tylenol
-NSAIDS (ibuprofen, naproxen)
-Celebrex
-Hot and cold therapy
First line management for acetaminophen intoxication?
-Emesis or gastric lavage
-Ipecac used to force emesis- only if patient is not altered
-N-acetylcysteine with 140mg/kg loading dose
,What needs to be reported to the health department?
-Chlamydia
-Syphilis
-Gonorrhea
-TB
-HIV
-Lyme Disease
-Animal Bites
-Injuries due to dangerous weapons
-Suspected child abuse
Malpractice
-Failure of a professional to render services with the degree of care, diligence and
precaution that another member of the same profession under similar
circumstances would render to prevent injury to someone else
-Involves: professional misconduct, unreasonable lack of skill, illegal/immoral
conduct, other allegations resulting in harm
Signs and symptoms of partial small-bowel obstruction
-Pronounced abdominal distention
,-Watery, mucous filled diarrhea
-High pitched, tinkling bowel sounds
"Battle sign" is an indication of a:
Bruising behind the ear at the mastoid process
Raccoon Eyes
Bruising around the eyes, indicative of a basilar skull fracture
Pap smear screening
-Start at age 21
-Pap + cytology is age 30-65 every 3 years
-Pap + cytology + HPV is age 30-65 years every 5 years
Migraine Pathophysiology
Dilation and excessive pulsation of branches of the external carotid artery
HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis?
, Chronic Hep B
-HBsAg = Hep B
-Anti-HBe = decreased viral load
-IgM = initial response/recent
-IgG = exposure/immunity
HBsAg, HBeAg, Anti-HBc, IgM
Active Hep B
-HBsAg = Hep B
-HBeAg = increase viral load
-Anti-Hbc = in all 3
-IgM = recent
Mitral stenosis murmur
-Low pitched
-Mid-diastolic
-Apical "creascendo" rumble
-Occurs during S1
-Does not radiate