ABFM In training exam pearls
Terms in this set (113)
Original
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first?
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first?
120 minutes
entry to balloon time for PCI!
should get it done w/in 12 hours
time limit from onset of MI to balloon time
Previous hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
Absolute contraindications to Fibrinolysis
Acute inflammation of the gallbladder wall
acute cholecystitis
NO! can make things worse
-maximize heart failure treatment!
Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?)
Calcaneal apophysitis, also called Sever's disease, is a common cause of heel pain in
young athletes, especially those who participate in basketball, soccer, track, and other
sports that involve running. Typically the heel apophysis closes by age 15. Treatment
options include activity modification, the use of ice packs and/or moist heat, stretching,
analgesics, and orthotic devices. The use of therapeutic ultrasound on the active bone
growth plates in children is contraindicated.
Sever's Diseaese
recommended that pressure ulcers not be cleaned with povidone/iodine, Dakin's
solution, hydrogen peroxide, wet-to-dry dressings, or any solutions that may impede
granulation tissue formation. These sites should be cleaned with either saline or tap
water and covered with hydrocolloid, foam, or another nonadherent dressing that
promotes a moist environment.
, in pressure ulcers what solutions to avoid, and what to use!
resembles cluster headache but has some important differences. Like cluster
headaches, these headaches are unilateral and accompanied by conjunctival
hyperemia and rhinorrhea. However, these headaches are more frequent in women,
and the paroxysms occur many times each day. This type of headache falls into a group
of headaches that have been labeled indomethacin-responsive headaches because
they respond dramatically to indomethacin.
Chronic paraoxysmal hemicrania
chronic pulmonary embolus
normal spirometry but low DLCO
give amoxicillin only if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart
-if allergic to penicillin, then give clinda!!
Antibiotic ppx for dental procedures
Current guidelines recommend referral to a nephrologist if a patient's renal disease is
either of unknown etiology, is deteriorating quickly (eGFR decreasing by >5 mL/min/1.73
m2 per year), or is severe. Thresholds used to define severe chronic kidney disease
include an eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine ratio >300 g/mg,
persistent acidosis or potassium imbalance, non-iron deficiency anemia with a
hemoglobin level <10 g/dL, and evidence of secondary hyperparathyroidism.
when to refer patient with CKD to nephrology
common treatable causes of peripheral neuropathy, which include diabetes mellitus,
hypothyroidism, and nutritional deficiencies. Additional causes of peripheral
neuropathy include chronic liver disease and renal disease. It is important to
consider medications as a possible cause, including amiodarone, digoxin,
nitrofurantoin, and statins. Excessive alcohol use is another important
consideration. In addition think MGUS, and Multiple Myeloma
Causes of peripheral neuropathy
The annual failure rate of combined oral contraceptive pills with typical use is 9%.
Typical failure rates for other contraceptive methods are 0.2% for the levonorgestrel
IUD, 6% for injectable progestin, 18% for male condoms, and 22% for the withdrawal
method.
Failure rates of contraception
Confusion Assessment Method (CAM)
mental status exam for acute changes like delerium
Age 12
to diagnose adult ADHD, symptoms must be present before what age?
Gastroesophageal reflux accounts for a significant number of cases of failure to thrive,
crib death, and recurrent pneumonia. Features of gastroesophageal reflux include a
Terms in this set (113)
Original
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first?
Pre-exposure prophylaxis (PrEP), what meds, and what do you have check first?
120 minutes
entry to balloon time for PCI!
should get it done w/in 12 hours
time limit from onset of MI to balloon time
Previous hemorrhage stroke
Previous ischemic stroke (4.5hrs-3months prior)
Suspected aortic dissection
Active bleeding (except menstruation)
BP >180/110 (severe hypertension)
Streptokinase 6 months prior
Absolute contraindications to Fibrinolysis
Acute inflammation of the gallbladder wall
acute cholecystitis
NO! can make things worse
-maximize heart failure treatment!
Patient with pulmonary HTN due to left heart failure, can they have vasodilators
(PDE5?)
Calcaneal apophysitis, also called Sever's disease, is a common cause of heel pain in
young athletes, especially those who participate in basketball, soccer, track, and other
sports that involve running. Typically the heel apophysis closes by age 15. Treatment
options include activity modification, the use of ice packs and/or moist heat, stretching,
analgesics, and orthotic devices. The use of therapeutic ultrasound on the active bone
growth plates in children is contraindicated.
Sever's Diseaese
recommended that pressure ulcers not be cleaned with povidone/iodine, Dakin's
solution, hydrogen peroxide, wet-to-dry dressings, or any solutions that may impede
granulation tissue formation. These sites should be cleaned with either saline or tap
water and covered with hydrocolloid, foam, or another nonadherent dressing that
promotes a moist environment.
, in pressure ulcers what solutions to avoid, and what to use!
resembles cluster headache but has some important differences. Like cluster
headaches, these headaches are unilateral and accompanied by conjunctival
hyperemia and rhinorrhea. However, these headaches are more frequent in women,
and the paroxysms occur many times each day. This type of headache falls into a group
of headaches that have been labeled indomethacin-responsive headaches because
they respond dramatically to indomethacin.
Chronic paraoxysmal hemicrania
chronic pulmonary embolus
normal spirometry but low DLCO
give amoxicillin only if prior endocarditis, prosthetic valve, heart txp, or severe or
repaired congenital heart
-if allergic to penicillin, then give clinda!!
Antibiotic ppx for dental procedures
Current guidelines recommend referral to a nephrologist if a patient's renal disease is
either of unknown etiology, is deteriorating quickly (eGFR decreasing by >5 mL/min/1.73
m2 per year), or is severe. Thresholds used to define severe chronic kidney disease
include an eGFR <30 mL/min/1.73 m2, a urine albumin to creatinine ratio >300 g/mg,
persistent acidosis or potassium imbalance, non-iron deficiency anemia with a
hemoglobin level <10 g/dL, and evidence of secondary hyperparathyroidism.
when to refer patient with CKD to nephrology
common treatable causes of peripheral neuropathy, which include diabetes mellitus,
hypothyroidism, and nutritional deficiencies. Additional causes of peripheral
neuropathy include chronic liver disease and renal disease. It is important to
consider medications as a possible cause, including amiodarone, digoxin,
nitrofurantoin, and statins. Excessive alcohol use is another important
consideration. In addition think MGUS, and Multiple Myeloma
Causes of peripheral neuropathy
The annual failure rate of combined oral contraceptive pills with typical use is 9%.
Typical failure rates for other contraceptive methods are 0.2% for the levonorgestrel
IUD, 6% for injectable progestin, 18% for male condoms, and 22% for the withdrawal
method.
Failure rates of contraception
Confusion Assessment Method (CAM)
mental status exam for acute changes like delerium
Age 12
to diagnose adult ADHD, symptoms must be present before what age?
Gastroesophageal reflux accounts for a significant number of cases of failure to thrive,
crib death, and recurrent pneumonia. Features of gastroesophageal reflux include a
