D487 STUDY GUIDE FULLY SOLVED
2024 UPDATE||GRADED A+||100%
CERTIFIED
Autosomal Dominant - CORRECT-ANSWER-1 parent has, 50% change of
child having
Autosomal Recessive - CORRECT-ANSWER-Both parents are carriers,
25% change of child having, 50% chance child is a carrier.
Treatment of a mild reaction to Igm - CORRECT-ANSWER-slow infusion
rate, try tylenol, benadryl, and steroids
PPD skin test - CORRECT-ANSWER-check skin after 48 - 72 hours;
>10mm is positive. Induration seen on patient who has had TB
immunization is normal and not positive. Someone who has been
vaccinated for TB should not receive skin test.
,Sjogren's syndrome - CORRECT-ANSWER-autoimmune destruction of
minor salivary glands and lacrimal glands; anti-nuclear antibodies, anti-
SSA +SSB
Small cell lung cancer (SCLC) - CORRECT-ANSWER-most common type of
lung tumors, 15% of lung cancers, 25% of lung cancer deaths. Arise
from central part of lung, cell size range from 6-8mm. strong
correlation to tobacco smoking. rapid rate of growth, metastasize early
and widely, worst prognosis of all lung cancers. left untreated survival
rate is 8% at 5 years.
hormones related to small cell carcinoma - CORRECT-ANSWER-arise
from neuroendocrine cells that contain neurosecretory granules, exist
throughout the tracheobronchial tree, associated with tumor-derived
hormone production.
resultant s/s called paraneoplastic syndromes are first manifestations
of the underlying cancer.
examples: hyponatremia (antidiuretic hormone), cushing syndrome
(adenocorticotropic hormone), hypocalcemia (calcitonin), gynecomastia
,(gonadotropins), carcinoid syndrome (serotonin), Lambert-eaton
myasthenic syndrome (muscle weakness of limbs)
Diagnosing lung cancer - CORRECT-ANSWER-chest x-ray, mutation in
EFGR (gene mutation in people who have never smoked)
Step 1 asthma treatment - CORRECT-ANSWER-(intermittent asthma);
Preferred: SABA inhaled
Step 2 asthma treatments (persistent asthma) - CORRECT-ANSWER-
Preferred: low dose ICS, Alternative - theophylline
Step 3 asthma treatments - CORRECT-ANSWER-Preferred: low-dose ICS
(inhaled corticosteroid) plus LABA or medium dose ICS
Step 4 asthma treatment - CORRECT-ANSWER-Preferred: med dose ICS
plus LABA
, Step 5 asthma treatment - CORRECT-ANSWER-Preferred: high dose ICS
plus LABA
Step 6 asthma treatment - CORRECT-ANSWER-Preferred: high dose ICS
plus LABA plus oral systemic corticosteroid
Quick relief medication for all asthma patients - CORRECT-ANSWER-
inhaled SABA as needed for symptoms. Intensity of treatment depends
on severity of symptoms (up to 3 treatments at 20 minute intervals
PRN). Short course of systemic corticosteroids may be needed.
Use of inhaled SABA for more than 2 days/week indicates: - CORRECT-
ANSWER-inadequate control and the need to step up treatment
Cystic Fibrosis - CORRECT-ANSWER-affects pancreas causing secretions
in lungs
2024 UPDATE||GRADED A+||100%
CERTIFIED
Autosomal Dominant - CORRECT-ANSWER-1 parent has, 50% change of
child having
Autosomal Recessive - CORRECT-ANSWER-Both parents are carriers,
25% change of child having, 50% chance child is a carrier.
Treatment of a mild reaction to Igm - CORRECT-ANSWER-slow infusion
rate, try tylenol, benadryl, and steroids
PPD skin test - CORRECT-ANSWER-check skin after 48 - 72 hours;
>10mm is positive. Induration seen on patient who has had TB
immunization is normal and not positive. Someone who has been
vaccinated for TB should not receive skin test.
,Sjogren's syndrome - CORRECT-ANSWER-autoimmune destruction of
minor salivary glands and lacrimal glands; anti-nuclear antibodies, anti-
SSA +SSB
Small cell lung cancer (SCLC) - CORRECT-ANSWER-most common type of
lung tumors, 15% of lung cancers, 25% of lung cancer deaths. Arise
from central part of lung, cell size range from 6-8mm. strong
correlation to tobacco smoking. rapid rate of growth, metastasize early
and widely, worst prognosis of all lung cancers. left untreated survival
rate is 8% at 5 years.
hormones related to small cell carcinoma - CORRECT-ANSWER-arise
from neuroendocrine cells that contain neurosecretory granules, exist
throughout the tracheobronchial tree, associated with tumor-derived
hormone production.
resultant s/s called paraneoplastic syndromes are first manifestations
of the underlying cancer.
examples: hyponatremia (antidiuretic hormone), cushing syndrome
(adenocorticotropic hormone), hypocalcemia (calcitonin), gynecomastia
,(gonadotropins), carcinoid syndrome (serotonin), Lambert-eaton
myasthenic syndrome (muscle weakness of limbs)
Diagnosing lung cancer - CORRECT-ANSWER-chest x-ray, mutation in
EFGR (gene mutation in people who have never smoked)
Step 1 asthma treatment - CORRECT-ANSWER-(intermittent asthma);
Preferred: SABA inhaled
Step 2 asthma treatments (persistent asthma) - CORRECT-ANSWER-
Preferred: low dose ICS, Alternative - theophylline
Step 3 asthma treatments - CORRECT-ANSWER-Preferred: low-dose ICS
(inhaled corticosteroid) plus LABA or medium dose ICS
Step 4 asthma treatment - CORRECT-ANSWER-Preferred: med dose ICS
plus LABA
, Step 5 asthma treatment - CORRECT-ANSWER-Preferred: high dose ICS
plus LABA
Step 6 asthma treatment - CORRECT-ANSWER-Preferred: high dose ICS
plus LABA plus oral systemic corticosteroid
Quick relief medication for all asthma patients - CORRECT-ANSWER-
inhaled SABA as needed for symptoms. Intensity of treatment depends
on severity of symptoms (up to 3 treatments at 20 minute intervals
PRN). Short course of systemic corticosteroids may be needed.
Use of inhaled SABA for more than 2 days/week indicates: - CORRECT-
ANSWER-inadequate control and the need to step up treatment
Cystic Fibrosis - CORRECT-ANSWER-affects pancreas causing secretions
in lungs
