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24 Cards in this Set
- Front
- Back
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Positive likelihood ratio of 2, 5 and 10
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increase probability of disease by 15, 30, and 45 respectively.
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Indication for AAA screen
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One time, ultrasound, men, 65-75 years, who have ever smoked.
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Indication for live attenuated influenza virus
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5-49 who are not pregnant ,immunosuppresed, or living w an immunosupressed patient.
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Indication for Zoster Vaccination
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If over 60, get it, regardless of past history. Its contraindicated in patients with TB, pregnant, immunocompromised
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Indications for tetanus booster vaccination
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If you receive a wound, need to evaluate Tdap hx. Any doubt of the history, give the vaccine. If youve had the booster within teh past 5 years with a bad wound, dont need it. If clean minor wound and shot in the past 10 year dont need it. If more than 10 years, you need to get it done.
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Indications for HPV vaccine
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Women 9-26, period.
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Indications for colorectal screening
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Colonoscopy every 10 years after 50. or, sigmoidoscopy every 5 years with fecal blood testing every 3 years. or yearly fecal testing.
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Definition of orthostatic hypertension
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Systolic blood pressure decrease of at least 20 mmHg or diastoloic of at least 10 within 3 minutes of standing.
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Features of neurocardiogenic syncope
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Trigger, decreased sympathetic tone, nausea, diaphoresis, and pallor.
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Evaluation of infrequent syncope
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A loop recorder. Holter wont help, neither will even monitoring.
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SSRI duration length before changing to another
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6 weeks at least.
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Tx for suicidal ideation and a plan
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Mental health referral.
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Tx for bereavement associated deression
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Normal length of bereavement is 2 months. If you have MD symptoms for more than 2 weeks in a row, start SSRI. Mirtazapine. is remeron.
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Tx for alcohol withdrawal seizure.
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Benzo, such as lorazepam.
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Tx for acute cocaine intoxication
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Benzo, such as lorazepam. Even w seizures, phenytoin doesnt really work. Haloperidol might induce more seizures.
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Tx of alc dependence and decreasing fre. of relapse
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Naltrexone, an opioid receptor antagonist. You can use benzo in the acute detox period,
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Tx of opioid overdose
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Naloxone. Short half life.
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Tx for ethylene glycol and methyl alc.
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Fomepizole.
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Tx for smoking cessation
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Bupropion
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Tx for moderate menstrual bleeding
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Medroxyprogesterone for 10-21 days.
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Tx. of abnormal uterine bleeding in patents older than 35.
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Need to get an endometrial biopsy. this is after pap, pregnancy, and bi manual exam.
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Dx. Targetoid lesions, with skin and mucosal involvement.
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Erythema multiforme.
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Tx. of urge urinary incontinence
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Anticholinergics. These would be tolterodine and oxybutynin.
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Tx for stage 2 hypertension
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at least 2 drugs
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