NR 603 AANP - Study Guide
Acne Vulgaris – “common acne” inflammation and infection of the sebaceous glands
Rosacea – chronic and relapsing skin inflammatory disorder, no cure, tx is sx control and
avoidance of triggers, flagyl topical gel
Fifth disease – caused by parvovirus B19, “slapped cheek” rash, lacy macular body rash
HIV CD4 count less than 200 means he has AIDS according to the CDC
Intussusception – sudden onset, intermittent abdominal pain, “currant jelly” stools
Pencil like stool and tenesmus: descending colon – tenesmus is incomplete sensation of
defecation
Encopresis – involuntary soiling of stool in a child 4 yrs +, caused by constipation, tx behavior
change and laxatives
COPD first line treatment – SABA is initial, then LABA, then + ICS, then + anticholinergics
Molloscum contagiousum description – smooth papules that are dome-shaped with central
umbilication with a white “plug” (it looks like a cervix with a white os to me)
otitis media- if there is bloody discharge indicates TM rupture
Otitis media treatment – amoxicillin x 10-14 days; if pcn allergic then z-pack
Otitis externa treatment - Cipro otic gtt; cortisporin otic gtt; + tragal pain = OE
Metformin stop on day of a MRI with contrast and for 48 hrs after – this is to monitor renal
function and impairment caused by contrast dye!
Lots of elderly – over 65 years of age
CHF: S3
TSH levels – 0.4-4.0 is normal; goal on Synthroid is 0.5-2.5
Subdural hematoma, post-concussion syndrome – headache, irritability, cognitive delay, noise
and light sensitivity
Serotonin syndrome symptoms – confusion, tachycardia, HTN, muscle rigidity, sweating,
diarrhea, agitation, dilated pupils (think drug overdose patient; it’s an overdose of SSRI)
Long term treatment for COPD – LABA + anticholinergic + ICS; Oxygen for long term and
best outcomes
giant cell arteritis (needs temporal artery biopsy) – elevated ESR is screening test, unilateral
headache on temple, indurated cordlike temporal artery; tx high dose steroids
polymyalgia rheumatic diagnostic criteria – muscle pain + stiffness in your neck, shoulders
and hips, age 50+, elevated CRP + ESR, tx with prednisone, increased risk of temporal arteritis
Meniere’s disease diagnostics – 2+ spontaneous episodes of vertigo lasting 20 mins-12 hrs with
hearing loss and tinnitus in affected ear
RA vs OA questions – RA stiffness >60 minutes, bilateral joints affected, fever and myalgias, tx
NSAID, steroids, referral to rheumatology to prevent long term damage; OA stiffness <60
minutes, unilateral, no systemic symptoms, tx exercise, Tylenol then NSAIDs;
Morton’s neuroma- benign nerve tumor of metatarsals, can be tested with MTP squeeze test
(Mulder test) will cause pain
Common bacterial pathogens in AOM: S. Pneumo
Alternative treatment for estrogen use (herb kava kava, or saw palmetto)
Dosing for calcium and vitamin D – 1,000 mg of calcium daily, 600 IU of Vit D daily
Aortic stenosis– systolic murmur, right second intercostal space hat radiates to neck
MCL test: valgus stress test; Valgus = knock knee, Varus = frog leg
Primary prevention – prevents onset, ex vaccination
STD: strawberry cervix: trich
INR 1.2, what do you do? Increase med- goal of 2.0-3.0
Acne Vulgaris – “common acne” inflammation and infection of the sebaceous glands
Rosacea – chronic and relapsing skin inflammatory disorder, no cure, tx is sx control and
avoidance of triggers, flagyl topical gel
Fifth disease – caused by parvovirus B19, “slapped cheek” rash, lacy macular body rash
HIV CD4 count less than 200 means he has AIDS according to the CDC
Intussusception – sudden onset, intermittent abdominal pain, “currant jelly” stools
Pencil like stool and tenesmus: descending colon – tenesmus is incomplete sensation of
defecation
Encopresis – involuntary soiling of stool in a child 4 yrs +, caused by constipation, tx behavior
change and laxatives
COPD first line treatment – SABA is initial, then LABA, then + ICS, then + anticholinergics
Molloscum contagiousum description – smooth papules that are dome-shaped with central
umbilication with a white “plug” (it looks like a cervix with a white os to me)
otitis media- if there is bloody discharge indicates TM rupture
Otitis media treatment – amoxicillin x 10-14 days; if pcn allergic then z-pack
Otitis externa treatment - Cipro otic gtt; cortisporin otic gtt; + tragal pain = OE
Metformin stop on day of a MRI with contrast and for 48 hrs after – this is to monitor renal
function and impairment caused by contrast dye!
Lots of elderly – over 65 years of age
CHF: S3
TSH levels – 0.4-4.0 is normal; goal on Synthroid is 0.5-2.5
Subdural hematoma, post-concussion syndrome – headache, irritability, cognitive delay, noise
and light sensitivity
Serotonin syndrome symptoms – confusion, tachycardia, HTN, muscle rigidity, sweating,
diarrhea, agitation, dilated pupils (think drug overdose patient; it’s an overdose of SSRI)
Long term treatment for COPD – LABA + anticholinergic + ICS; Oxygen for long term and
best outcomes
giant cell arteritis (needs temporal artery biopsy) – elevated ESR is screening test, unilateral
headache on temple, indurated cordlike temporal artery; tx high dose steroids
polymyalgia rheumatic diagnostic criteria – muscle pain + stiffness in your neck, shoulders
and hips, age 50+, elevated CRP + ESR, tx with prednisone, increased risk of temporal arteritis
Meniere’s disease diagnostics – 2+ spontaneous episodes of vertigo lasting 20 mins-12 hrs with
hearing loss and tinnitus in affected ear
RA vs OA questions – RA stiffness >60 minutes, bilateral joints affected, fever and myalgias, tx
NSAID, steroids, referral to rheumatology to prevent long term damage; OA stiffness <60
minutes, unilateral, no systemic symptoms, tx exercise, Tylenol then NSAIDs;
Morton’s neuroma- benign nerve tumor of metatarsals, can be tested with MTP squeeze test
(Mulder test) will cause pain
Common bacterial pathogens in AOM: S. Pneumo
Alternative treatment for estrogen use (herb kava kava, or saw palmetto)
Dosing for calcium and vitamin D – 1,000 mg of calcium daily, 600 IU of Vit D daily
Aortic stenosis– systolic murmur, right second intercostal space hat radiates to neck
MCL test: valgus stress test; Valgus = knock knee, Varus = frog leg
Primary prevention – prevents onset, ex vaccination
STD: strawberry cervix: trich
INR 1.2, what do you do? Increase med- goal of 2.0-3.0
