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81 Cards in this Set
- Front
- Back
When evaluating blood pressure it is important to remember |
Diastolic BP is more potent for heart disease risk factor UNTIL age 50….AFTER age 50, systolic is more potent risk factor
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Sports physcials |
Have standardized forms that appropriate for all age groups |
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Macular degeneration |
Loss of central vision |
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Allergic conjunctivitis |
Pale yellow rope like discharge, itchy watery eyes, hyperemia bulbar, palpebral conjunctiva |
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Most prevalent anemia in the US |
Iron deficiency
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Partial gastrectomy is at risk for |
B12 anemia |
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G6PD foods to avoid to avoid a hemolytic crisis |
Fava beans or red wine |
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Most common causes of pancreatitis |
Gallstones or alcohol
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Murphy's sign |
abdomen assessment |
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MI Angina |
ST elevation ST depression
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Heart disease in women under 50 |
higher mortality rate than men |
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S3 is best heard |
Apex or left lower sternal boarder with the bell of the stethascope
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Difference between Parkinson tremor and essential tremor |
Occurrence at rest |
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10 Complex higher-order activities of alzheimer's disease assessment is |
ADL Independent Activities of Daily Living |
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CAGE questions should be asked |
Of all patients |
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Oral contraceptives decrease the risk for |
Ovarian cancer |
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Secondary prevention example |
vision and hearing screenings |
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Bells Palsey affects which cranial nerve |
VII |
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Perianal lesions are congruent with |
chron's disease |
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Emphysema findings |
decreased FEV, increased total lung capacity, and increased residual volume |
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What antibiotic is given if exposed to pertussis? |
Erythromycin |
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Flashes of light and painless eye |
Retinal detachment |
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When does S3 happen? |
Early systole |
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Secondary prevention in abuse? |
use of a protocol to identify an abused individual |
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Deciding factor for hyperlipidemia |
LDL |
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Epigastric tenderness and guarding, sudden pain that peaks within 10-30 minutes, severe, lasts several hours without relief |
aortic dissection |
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ABI for claudication due to atherosclerosis |
0.5-.8 |
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If see perforation of the nasal septum, what is suspected? |
cocaine use |
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Place hand above right knee and have the patient raise the right thigh against pressure... |
iliopsoas sign |
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Breath sounds are equal in length for inspiration and expiration is abnormal and indicate what? |
pneumonia that needs to be treated with antibiotics |
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If neuro signs last more than 15 minutes after head trauma |
the patient should be sent to the ER as this is abnormal |
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What does PTT reflect in heparin monitoring |
Intrinsic pathway for coagulation |
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National cholesterol education program recommends fasting lipid panel beginning at age 20 how often? |
every 5 years |
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Chronic use of topical steroids such as ? can cause thinning of the skin? |
triamcinolone cream |
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What will summation of the vector impulses indicate? |
muscle damage to the heart |
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When giving glaucoma medications, what must be included in the education? |
systemic effects |
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What are the broadest covering antibiotics for gram positive and gram negative organisms |
fluroquiniolones |
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What does depo-provera put someone at risk for? |
osteoporosis |
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A relative (not absolute) contraindication for the use of an oral contraceptive is? |
migraine without aura |
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What is bacterial vaginosis treated with? |
Flagyl |
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What does category 3 mean in reference to drugs and pregnancy? |
animal studies show no risk |
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What medications are contraindicated with pregnancy for hypertension? |
ACE inhibitors…don't give them Lisinopril (Zesteril)
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What should you do with a strawberry hemangioma? |
Watch for resolution |
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When is a PKU test most accurate? |
48 hours after the first breast feeding or formula feeding |
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How many calories are in breast milk and formula per ounce? |
20 |
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If an antiviral medication is started in someone with shingles, what is the rationale? |
Can produce faster healing of the lesions |
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Mycoplasma pneumonia is an atypical pneumonia that affects? |
children and young adults and should be treated with azythromycin |
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What is NOT a risk factor for carotid stenosis in older adults? |
obesity |
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Who should be referred to an endocrinologist? |
New diagnosis of diabetes in adolescent or child |
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Can an obstructive airway disease be reversed? |
YES |
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What does tine versicolor look like and how should it be treated? |
spagetti and meatballs and a topical antifungal |
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What is predominately found in those under 2 years of age, has a 2 week prodromal of malaise, paroxysmal cough, coryza (inflammation of the nares), anorexia? |
Bordetella pertussis and treated with macrolide or trimethoprin sulfameth. |
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Unequal corneal light reflexes are? |
Abnormal after 6 months of age |
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A woman comes to the office complaining of a unilateral headache, photophobia, blurred vision after watching a movie. What does the NP do? |
Refer to a specialist immediately for acute angle-closure glaucoma |
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How would you recommend a nosebleed be treated at home? |
spray afrin or neo-synephrine in the nostril |
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What are the following part of: collect, analyze, interpret data, state the dilemma, consider choices of action, analyze advantages and disadvantages, and make a decision |
ethical decision making process |
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Tay-Sachs disease is most prevalent in which population? |
Jewish |
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Health status indicators to measure progress of health behaviors of Americans through? |
Healthy People 2020 |
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What is a secondary prevention to recommend to someone who has had a 20# weight gain? |
Keep a food journal and RTC |
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What do open-ended questions do? |
help to define the patient's goals and potential problems |
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Reproducibility or reliability of the interview information is present when? |
Different interviewers are able to obtain the same information |
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E&M codes are established through? |
AMA |
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NPI numbers are established through |
HIPPA |
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Advanced nursing practice is a broader concept than advanced practice nursing and is described as? |
Any form of nursing interventions that influence health care outcomes |
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A patient comes in with a swollen non-tender scrotum for a week and is found to have a mass within the tunica vaginalis that transilluminates? |
hydrocele |
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Diastolic murmurs |
Begin with the onset of S2 and terminates before S1 |
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When should DTap boosters be given? |
every 10 years or Tdap after age 11 |
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A teenaged boy comes in and reports he has been having leg cramps. His lab work reveals an increased Alk Phosphate |
The NP knows an increased Alk phosphate is normal during rapid growth spurts |
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What medication causes an increased lipoprotein level? |
HCTZ |
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What is the NP evaluating when testing rapid movements of the hands? |
Cerebellar function |
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A total gastrectomy patient comes in and ℅ sore mouth, indigestion, tingling in the lower extremities. What test would the NP order? |
CBC |
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What is the main reason for progestin medications during perimenopause? |
promotes shedding of the endometrium |
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What is a health promotion strategy for obese adolescents? |
Put them in age-matched self-help group |
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A 45 year old patient comes in who is an opera singer. She ℅ progressive hoarseness for four weeks after a 3 hour opera performance. She does not smoke, denies neck pain, denies weight loss, denies a recent URI, denies dysphagia, denies SOB. What would the NP do? |
Refer for larynx evaluation |
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Patient is on Retrovir for HIV. What blood tests should be done? |
CBC to monitor for side effects |
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What treatment is recommended for viral conjunctivitis? |
Cold compresses |
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What is the most difficult aspect of determining occupational exposure to disease? |
Long latency period of occupational disease |
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A 49 year old female comes to your office who suffers from fibromylagia. She reports she is feeling overwhelmed. What would you recommend? |
Support group meeting |
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38 year old vietnamese man who's mother died of liver cancer comes to your office for a routine exam. You understand the man is most at risk for? |
Hepatitis B |
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60 year old patient with diabetes comes to the office. His BP is 150/96. He returns 3 months later after losing 10 pounds and his BP is 142/94. What should be done? |
Start enalipril (vasotec) |
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What causes the pain associated with lumbar herniated nucleus pulpous? |
Disc pressure on the nerve roots radiating from the spine |