primary treatment for skin and soft tissue abscesses with or without adjunct abx tx correct
answers I&D
most common place for cutaneous abscess to form correct answers buttocks, axillary, extremities
localized collections of pus that occur within the dermis and subcutaneous space; erythema,
induration, TTP, and fluctuant are main characteristics correct answers cutaneous abscess
when is wound packing NOT recommended for abscesses correct answers less than 5cm in
diameter
where is the incision made when performing an I&D on an abscess correct answers directly over
the center of the abscess
most common causes of skin and soft tissues infections correct answers Staph aureus or MRSA
how often can you give Narcan correct answers every 2-3min
how should patient be positioned to receive nasal Narcan correct answers supine, on their back
local anesthetic which rapid onset of action, but shorter duration for most skin procedures correct
answers Lidocaine (Amides-Xylocaine)
local anesthetic that has a slower onset but a long duration correct answers Bupivacaine
(Marcaine)
steps to reduce pain with local anesthetic injection: correct answers stretch skin taut, pressure on
skin surface around the site, 30G needed, enter at 90degrees, aspirate plunger (avoid IV
placement), superficial placement first, allow to "set"
when and where to avoid use of Epi correct answers hx of tachyarrhythmia or vasospastic
disease (Raynauds); distal to wrist, ankle, and male genitalia
ratio when mixing Lido and Epi correct answers 10:1
shave biopsy is used for... correct answers exophytic lesions
punch biopsy is used for.. correct answers rashes and endophytic lesions
when are pre-procedure abx indicated for skin biopsies correct answers prosthetic heart valve,
joint replacement in past 2 yrs, hx of endocarditis, symptomatic valvular heart disease
pre procedure antibiotic choice for skin biopsy correct answers amoxicillin 2g po 1 hr prior; OR
clindamycin
cryotherapy is used for.. correct answers viral warts and actinic keratosis (precancerous)
, contraindications to cyrotherapy correct answers raynauds, pyoderma gangrenosum, cold
urticaria, cryoglobulienemia, cold intolerance, connective tissue disease
skin condition characterized by hives or wheals that results from some trigger correct answers
urticaria
acute urticaria lasts.. correct answers less than 6 weeks
most common cause of acute urticaria correct answers viral
most common cause of chronic urticaria correct answers idiopathic
what medication should someone with chronic urticaria avoid correct answers Aspirin
treatment for papular urticaria correct answers topical steroid - low dose
first line treatment for urticaria correct answers non sedating antihistamines (allegra, claritin,
zyrtec)
risk factor for anaphylaxis correct answers asthma
"Darrier's sign" is a symptom of what skin condition correct answers dermatographism
LDL normal range correct answers <100
HDL normal range correct answers >60
type of diet to prevent HLD correct answers mediterranean and DASH
therapy indicated if ASCVD preventative measures fail correct answers statins
statins may be started as primary prevention in those with: correct answers diagnosed ASCVD,
LDL >190, diagnosed with DM aged 40-75 and LDL between 70-189, ages 40-75 with LDL
between 70-189 and >7.5% 10yr ASCVD risk
MOA of statins correct answers inhibits the enzyme needed for cholesterol synthesis; decreases
LDLs
what should be performed before prescribing a statin correct answers baseline fasting lipid
profile, LFTs and pregnancy test
side effects you should monitor for while someone is taking a statin - and what lab to order if
presenting with symptoms correct answers myopathies and rhabdomyolysis; CK
LDL target goal for those on statin therapy correct answers <70 for secondary prevention; <100
for primary prevention