EXAM WITH COMPLETE
.+ HBSAG & + IGM
+ IGG & + HBSAB
- IGG + HBSAB
HBeAg - ANSWER-Acute infection
Immunity from previous infection
Immunity from immunization
acute viral replication and high infectivity. Presence of HBeag in
chronic HBV pt indicates a higher risk of developing liver
complications
.12 month development - ANSWER-"think first"; first steps, first
words, anterior fontanelle closes, "stranger"
.12-18 MONTH IMMUNIZATIONS
MAD HPV - ANSWER-MMR, HEP A, DTAP, HIB, PCV, VARICELLA
,.18 mths development - ANSWER-Walking & going up/down steps, 20
words & 4 body parts, seperation anxiety; 1 st @ 9 months then @ 18
mths
.2 MONTH IMMUNIZATIONS
2 BE OR HIP - ANSWER-HEP B, DTAP, RV, HIB, IPV, PCV
.24 month - ANSWER-kicking and throwing balls, 50 words can
understand 50% of their language, preemies developmentally caught
up by 2 yo
.3 month old development - ANSWER-Brings hands to mouth, Coos &
smiles, moro reflex disappears, posterior fontanelle closes
.3 yo - ANSWER-can understand 75% of their words, copy a circle, ride
a tricycle bow legged resolves
.4 MONTH IMMUNIZATIONS
4 DR HIP - ANSWER-DTAP, RV, HIB, IPV, PCV
.4 yo - ANSWER-understand 100% of their words, draws a cross, play
make believe,, uses buttons
.4-6 YO
,VERY DIM BETWEEN 4-6 - ANSWER-VARICELLA, DTAP, IPV, MMR
.5 yo - ANSWER-drawing a stick figure with 7 body parts
conversational, tells & understands stories, can ride a bike
.6 month development - ANSWER-sitting and rolling both ways,
babbling, palmar grasps disappears, strabismus disappears
.6 MONTH IMMUNIZATIONS
BE DR HIP in 6 MONTHS - ANSWER-HEP B, DTAP, RV, HIB, IPV, PCV,
FLU
.9 months development - ANSWER-Crawling, pulls to stand w/
support
Bites, chews cookie
Indicates wants by pointing, uses sounds to get attention
Waves Bye-Bye
.abnormal vaginal bleeding - ANSWER-Most common symptom of
cervical cancer
r/o infections, if pregnancy previa/abruption
, .ACE Inhibitors ( slow down how much AT2 your body makes) -
ANSWER-"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE ( angiotension converting enzyme) lungs
from converting angiotensin I to angiotensin II (powerful
vasoconstrictor). Decreases BP, Decreased Aldosterone secretions,
Sodium and fluid loss. Heart and renal protective for DM
*Orthostatic Hypotension, cough, angioedema, HYPERKALEMIA RISK
.Acute Hepatitis (HEP B) - ANSWER-anicteric hepatitis; subclinical
anorexia, N/V, low grade fever, H/A, diarrhea, myalgia, fatigue,
aversion to food and cigs, intermittent mild to moderate RUQ &
epigastric pain, athralgia, rash, arthritis
.Acute sxs of pyelnephritis & tx - ANSWER-fever, N/V, increase
frequency of urination accompanied by pain & urgency severe flank
pain & costovertebral angle tenderness
U/A will show WBCs
Cipro - 1st line
cefixme
bactrim
.AFIB/ EKG finding - ANSWER-Abnormal atrial depolarization w/
normal ventricular depolarization
CHAOS IN THE ATRIUM