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63 Cards in this Set

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  • Back
teen pregnancy much _____ in US compared with rest of world
greater
a minor parent must have a court-appointed guardian for ______
placing child for adoption
parental notice explicitly required for _______
abortion
minor must be >16 for
outpatient mental health service
drop out of school
treating minor for alcohol or drug abuse?
parent doesn't have to know
normal BMI
18.5-25
overweight BMI
25-30
obese BMI
30-40
morbidly obese BMI
40-50
waist sizes for abdominal obesity?
men >40
women >35
the big 3 obesity-related conditions?
HTN
Type 2 DM
Cardiovascular Dz
your healthy weight for life is your weight at age ___
18-20
risk for obesity-related dz increases ________ as BMI increases
linearly
parental obesity matters for ________
younger kids, not adolescents (own weight matters then).
rx for obesity in kids?
cut out TV and sweet drinks
how do you keep weight off?
low fat, complex CHO diet
physical activity
EAT BREAKFAST
psych meds that don't cause weight gain?
topiramax (topomax)
bupropion
fluoxetine (prozac)
goal for obesity rx in adults?
5-10% weight loss
meds for obesity?
sibutramine
phenterimine
orlistat
metformin
indication for bariatric surgery?
morbid obesity (BMI>35)
2 most important CAD risk factors?
smoking
Type 2 DM
most common presenting sx of ischemic heart disease?
dyspnea
referral to ED for ACS if
hemodynamically unstable
sx >20min
syncopy or pre-syncopy
dunphy's sign for appendicitis
increased pain with coughing
roving's sign for appendicitis
more pain palpating L side of abdomen
Naegle's rule?
LMP-3 months + 7 days
indications for Rhogam?
1. all Rh- at 28 wks
2. w/in 72 hours of birth of Rh- infant
3. with bleeding, abortion, CVS, amnio
folic acid recommendation in pregnancy?
0.4mg/day
4mg if previous neural tube defect
air travel safe in pregnancy until
4 weeks before EDD
quad screen is done ___ wks
16-18
what's the quad screen?
AFP
unconjugated estriol
hCG
inhibin-A
screen for Down's ___wks
10-14
CVS and amniocentesis is for
genetic screening
normal value for 1 hr glucose toleracne test
<140
1hr GTT done in ___ trimester
2nd. 24-28wks
2nd trimeseter labs?
1hr GTT
anatomy scan
GBS screening at ___ wks
35-37
incidence of stillbirth increases after ___ wks
37
2 most common causes of anemia in US?
1. iron deficiency
2. alpha thal
thalassemia minor has ___ MCV and ____ RDQ
low MCV
normal RDW
rx for thal major?
chelation
HbA2 is found in ___ thal.
beta
Anemia in elderly is
women < ____
men < ____
12
13
heme iron is ___ efficiently absorbed than non-heme iron
more
anisocytosis (uneven cells) is found in _______
iron deficiency anemia
basophilic stippling, target cells, uniform cells
thalassemia
high RDW
low MCV
iron deficiency anemia
iron binding capactiy is ____ in iron deficiency anemia and ___ in anemia of chronic disease
high in iron-deficiency
low in chronic dz
what test should you order for iron deficiency anemia?
ferritin
what is hepcidin?
acute phase protein that decreases iron absorption, blocks iron release.
SEVERE ANEMIA
what distinguishes b/t iron deficiency anemia and anemia of chronic dz?
solube transferrin receptors are increased in Fe deficiency
adjust Hb/Hct for________ and ________
smoking and altitude
medical Ddx for depression?
hypothyroid
CVA
__________ and ___________ are SNRI (serotonin and NE reuptake inhibitors)
venlafaxine (effexor)
duloxetine (cymbalta)
psych drug with no sexual side effects?
buproprion
side effect of buproprion?
seizures
late side effects of SSRI?
sexual dysfunction
side effects of mirtazapine?
somnolence
weight gain
rx for mono?
symptomatic, supportive
mono spot test is not very ____
specific
complication of mono?
splenic rupture
components of excercise prescription?
cardiorespiratory endurance
muscular strength
muscular endurance
body composition
flexibility
drug for isolated systolic HTN?
diuretic, CCB