3P Exam Study 2024
What would cause decrease in Digoxin levels -ANS-Antacids
Taking Pyridium for UTI, what can Pyridium cause? -ANS-Hemolytic Anemia
What can PCOS result in? -ANS-increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy -ANS-Methyldopa
What is a characteristic of Placenta Previa? -ANS-painless red bleeding
What is a characteristic of Rheumatoid arthritis ? -ANS-Red hot joints
Medications that cause ototoxicity -ANS-Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis -ANS-2 weeks
CBC Interpretation -ANS-MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? -ANS-27 weeks
Janesway lesions -ANS-Happen with endocarditis, non painful lesions seen on hands and feet, Osler
same but painful
Warfarin management - forgot a dose? -ANS-If under 12 hours take missed dose, if over skip and need
INR redraw
Taking an ACE or ARB what to know? -ANS-ACE (dry hacking) cough starts 1-2 weeks after med started,
ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide -ANS-sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic -ANS-MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) -ANS-AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated -ANS-Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples -ANS-Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds -ANS-S3- CHF; possible normal for adolescent athletes,
, S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD -ANS-antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx -ANS-Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for
LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
HF treatment -ANS-ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) -ANS-Topical Permethrin massaged from head to soles of feet and
wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings -ANS-Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm
elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid -ANS-hypertrophic scar that is invasive beyond point of original injury
Skin continued -ANS-Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea -ANS-Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap) treatment
Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring
worm) Treatment is an azole for 2 weeks
Melanoma How do you assess -ANS-ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis -ANS-silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding occurs when
lesions are scraped
Shingles (Herpes Zoster) -ANS-Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir
within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients that have
not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis -ANS-papules or vesicles 5mm or less, scaling, crusting, oozing. Tx
corticosteroids/antihistamines
Acne Vulgaris -ANS-Inflamm disorder where androgen-dependent sebaceous glands produce excess
sebum. Areas most commonly affected are face, anterior and posterior chest, arms and shoulders.
Treatment: Erythromycin/Benzyl peroxide=limit exposure to sunlight peroxide can decrease resistance
to erythromycin
Atopic dermatitis -ANS-Patchy plaque like rash with inflammation. common in people with other atopic
illnesses (asthma, allergic rhinitis)
What would cause decrease in Digoxin levels -ANS-Antacids
Taking Pyridium for UTI, what can Pyridium cause? -ANS-Hemolytic Anemia
What can PCOS result in? -ANS-increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy -ANS-Methyldopa
What is a characteristic of Placenta Previa? -ANS-painless red bleeding
What is a characteristic of Rheumatoid arthritis ? -ANS-Red hot joints
Medications that cause ototoxicity -ANS-Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis -ANS-2 weeks
CBC Interpretation -ANS-MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? -ANS-27 weeks
Janesway lesions -ANS-Happen with endocarditis, non painful lesions seen on hands and feet, Osler
same but painful
Warfarin management - forgot a dose? -ANS-If under 12 hours take missed dose, if over skip and need
INR redraw
Taking an ACE or ARB what to know? -ANS-ACE (dry hacking) cough starts 1-2 weeks after med started,
ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide -ANS-sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic -ANS-MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) -ANS-AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated -ANS-Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples -ANS-Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds -ANS-S3- CHF; possible normal for adolescent athletes,
, S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD -ANS-antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx -ANS-Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for
LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
HF treatment -ANS-ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) -ANS-Topical Permethrin massaged from head to soles of feet and
wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings -ANS-Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm
elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid -ANS-hypertrophic scar that is invasive beyond point of original injury
Skin continued -ANS-Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea -ANS-Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap) treatment
Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring
worm) Treatment is an azole for 2 weeks
Melanoma How do you assess -ANS-ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis -ANS-silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding occurs when
lesions are scraped
Shingles (Herpes Zoster) -ANS-Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir
within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients that have
not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis -ANS-papules or vesicles 5mm or less, scaling, crusting, oozing. Tx
corticosteroids/antihistamines
Acne Vulgaris -ANS-Inflamm disorder where androgen-dependent sebaceous glands produce excess
sebum. Areas most commonly affected are face, anterior and posterior chest, arms and shoulders.
Treatment: Erythromycin/Benzyl peroxide=limit exposure to sunlight peroxide can decrease resistance
to erythromycin
Atopic dermatitis -ANS-Patchy plaque like rash with inflammation. common in people with other atopic
illnesses (asthma, allergic rhinitis)
