answers
2 most common pathogens for acute bacterial rhinosinusitis✔✔strep pneumoniae,
haemophilus influenzae
group A strep pharyngitis tx✔✔PCN V
hgb✔✔11.9-14.8
hct✔✔35-43
mcv✔✔82.5-98
plt✔✔153-361
wbc✔✔3.8-10.4
microcytic anemia value mcv✔✔mcv less than 80
causes of microcytic anemia✔✔iron def
chronic disease
thalassemia
macrocytic anemia value mcv✔✔mcv greater than 100
causes of macrocytic anemia megaloblastic✔✔folate def
B12 def
AKA pernicious anemia
causes of macrocytic anemia nonmegaloblastic✔✔liver disease
etoh
drugs
reticulocytosis/hemolytic anemia
lab values that indicate hypothyroidism✔✔TSH 2.5-5
low free T4
weight based levo dose and normal dose for initiation of therapy✔✔1.6 mcg/kg
normal to start at 50 mcg
how often do we recheck TSH after starting/changing levo dose✔✔6 weeks
interpret this hep B screening result
HBsAg -
, anti-HBc +
anti-HBs +✔✔natural immunity
interpret this hep B screening result
HBsAg -
anti-HBc -
anti-HBs +✔✔vaccine immunity
interpret this hep B screening result
HBsAg +
anti-HBc +
IgM anti-HBc +
anti-HBs -✔✔acute infection
interpret this hep B screening result
HBsAg +
anti-HBc +
IgM anti-HBc -
anti-HBs -✔✔chronic infection
cholecystitis sx and PE findings✔✔RUQ pain/radiates to shoulder or back
N/V
fat intolerance
abd distension
fever
jaundice
cholecystitis tx✔✔augmentin
lap chole
what is manning criteria✔✔dx IBS
pain relieved with defecation
frequent stools
loose stools
abd distension
mucus
incomplete evacuation sensation
ACOG mammography starting age and frequency✔✔age 40 annually
USPSTF mammography starting age and frequency✔✔age 50 biannually
frequency of bone density scan for woman with risk factors✔✔every 2 years