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