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What would cause decrease in Digoxin levels? - ANSWER
✔✔Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANSWER
✔✔Hemolytic Anemia
What can PCOS result in? - ANSWER ✔✔Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
,What are the anti-hypertensives used in pregnancy? - ANSWER
✔✔Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANSWER ✔✔Painless,
red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANSWER ✔✔Tender,
warm, swollen joints
Medications that can cause ototoxicity? - ANSWER
✔✔Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal
decongestants
What is the treatment time for enterobiasis? - ANSWER ✔✔2 weeks
What does MCV lab value measure? - ANSWER ✔✔Mean
Corpuscular Volume helps diagnose different types of anemia such as
B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - ANSWER ✔✔27-28
weeks
What are Janeway lesions and what do they indicate? - ANSWER
✔✔They are irregular, non-tender hemorrhagic macules located on the
hands and feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - ANSWER
✔✔They are split pea-sized, erythematous, tender nodules located on
the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient
misses a dose? - ANSWER ✔✔If within 12 hours of the dose time,
take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - ANSWER ✔✔A
dry hacking cough is a common side effect of ACEs and will go away
within a week after discontinuing. ACEs & ARBs are indicated for
patients with DM, CKD, and HTN. Not recommended as 1st line agent
with African Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - ANSWER ✔✔Sulfa
allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ANSWER ✔✔MR = Mitral Regurge
(SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest
Pain
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, Diastolic Murmurs (Abnormal) - ANSWER ✔✔AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANSWER ✔✔S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ANSWER ✔✔S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ANSWER ✔✔CHF, possibly normal for athletic
adolescents
S4 is often heard in? - ANSWER ✔✔Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANSWER
✔✔Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANSWER ✔✔Gold
Standard = Angiography
Ankle Brachial Index (ABI)