5.28 Biostats Ii

Front 1

1. What do you do if a patient says they find you attractive?

2. What weight is considered "low birth weight"?

3. At what age does the babinski reflex in infants go away?

Back 1

1. direct closed-ended questions and chaperone

2. <2500g

3. by 12 months

Front 2

1. What to do if a 17-year old wants an abortion?

2. Describe the developmental milestones at ages 1, 2, 3, and 4?

Back 2

1. requires parental consent

1. age 1: single word, age 2: two word sentences, 2 word commands; age 3: tricycles, toilet training, sentences; age 4: draws square, counts 4 objects

Front 3

1. What to do when family members ask for patient's prognosis?

2. By what age do the rooting and Moro reflex go away in children?

3. At what Tanner stage does pubic hair develop?

Back 3

1. Must ask patient first

2. 3 months

3. Stage 1

Front 4

1. Terminally ill patient wants help ending his life, what do you do?

2. By what age do children start walking?

3. Comment on the prevalance of psychiatric disorders in the elderly

Back 4

1. offer pain meds that, coincidentally, can shorten patient's life

2. 15 months

3. lowest prevalence for healthy people

Front 5

1. Patient is angry about a long wait, how do you deal with this?

2. Comment on suicide rate for the elderly?

3. What is the BMI equation?

Back 5

1. apologize and don't make excuses

2. Very high suicide rate

3. BMI: kg/m^2

Front 6

1. What to do if a child wants to know more about his illness?

2. What are the BMI cutoffs for underweight, normal, overweight and obese?

Back 6

1. Must ask parents; they have the final say

2. underweight:<18.5, normal 18.5-25, overweight 25-30, obese 30+

Front 7

1. What does APGAR stand for and at what specific times does it get used? What is the maximum score for each category?

2. What to do if a minor requests birth control?

Back 7

1. appearance, pulses, grimacing, activity, respirations. Each tested at 1 and 5 minutes after birth. Max score=10 (2/category)

2. Can give it to them without parental consent

Front 8

1. Describe the male and female tanner stages?

Back 8

1. MALE 0: nothing, 1: red scrotum/6cm, 2: penis lengthens/6-12cm, 3: penis widens 12-20cm, 4 adult. FEMALE 0: nothing, 1: breast buds under nipple, 2: breast tissue beyond nipple, 3: double mounds, 4: single mound

Front 9

1. What are the stages of sleep, their characteristic EEG waveforms, and the amounts of time spent in each stage?

Back 9

1. "BATS Drink Blood"
Awake (eyes open): Beta
Awake (eyes closed): Alpha
1: Theta (5%)
2: Spindles/K complexes (45%)
3/4: Delta (25%)
REM: Beta (25%)

Front 10

1. During what sleep stage does bedwetting occur?

2. Extraoccular movement during REM is caused by what area of the brain?

3. What is catoplexy? What condition is it associated with?

Back 10

1. Stage 4

2. PPRF

3. Loss of all muscle tone after strong emotional stimulus; narcolepsy

Front 11

1. During what sleep stage does erection occur?

2. What is the principle NT involved with initiating sleep?

3. Describe the sleep stages of a narcoleptic?

Back 11

1. REM

2. 5-HT

3. Disordered, begins with REM

Front 12

1. During what sleep stage does sleepwalking occur?

2. What is the principle NT involved with REM stage sleep?

3. Describe the regulation and effects of the suprachiasmatic nucleus? (HINT: draw the relationships)

Back 12

1. Stage 4

2. ACh

3. light → SCN → NE → pineal gland → melatonin

Front 13

1. What affect does Imipramine have on sleep cycles? What is it used for?

2. What is the difference between medicare and medicaid?

3. Leading causes of death, ages 65+

Back 13

1. bedwetting, ↓stage 4

2. MedicarE=elderly, MedicaiD=destitute

3. heart, cancer, stroke

Front 14

1. What affect does benzodiazepines have on sleep cycles? What is it used for?

2. What is the difference between Medicare A and Medicare B?

3. Leading causes of death, ages 25-64?

Back 14

1. Sleepwalking, ↓stage 4

2. A: for hospital bills, B: for doctor's bills

3. cancer, heart, accidents/suicide

Front 15

1. Leading causes of death, ages 15-25?

2. What is an oral advanced directive?

Back 15

1. injuries/suicide, cancer, heart disease

2. a, now, incapacitated patient previous made their wishes known to somebody

Front 16

1. What are the exceptions to informed consent?

2. Two types of advanced directives. Which is more flexible*?

Back 16

1. WIPE: waiver, incompetent, privledge, emergency

2. living will, power of attorney*