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41 Cards in this Set
- Front
- Back
Two ways to deal with teenage high risk sexual behaviors
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1. Where do you see yourself in 2 years? What are you going to do with the baby?
2. Do you have any friends that are pregnant? 3. Prescribe prenatal vitamins! |
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An advantage of the pill
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If you don't do well on it, you can stop it.
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Counselling people about contraception and confidentiality
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1. Might show up on parents' insurance bill. Parents can request what meds they've bought.
2. Title 10, planned parenthood. Sliding scale. |
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Birth control and insurance
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Check insurance to see if they cover contraception. Many don't.
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How do you tell a teen to start taking contraception?
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Sunday after next period.
Quick start method. Start right away - may get more spotting this way. |
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Why give triphasic vs. Monphasic?
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Bc triphasic is a lower dose of meds.
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Good for UTIs in pregnancy
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Cephalexin (QID) is safe in pregnancy
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Very important with abx and birth control
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Use backup through the whole course.
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When will people get seasonal allergy relief?
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After the first frost.
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Household allergies
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Take up the carpeting - it breeds dust mites.
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Pollen season
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St. Patrick's day until the first frost.
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Asking about infidelity
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Any other partners in the past year?
Any concerns about infidelity? |
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How many calories does breastfeeding burn?
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300-400 cal/day
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How much weight should a person lose in a week
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1-3 lbs per week
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How long does post-partum blues last?
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10 days
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Don't take what with metronidazole?
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Alcohol! Disulfram like effects.
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Side effects of intranasal steroids
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No rebound congestion like with afrin. Only absorbed locally. Maybe can stop after first frost. No effect on bones, no Inc in cancer. Some people hate the taste/smell, some bloody noses.
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When is use of Afrin indicated?
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Very addictive - use only for people that are flying and need relief.
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Getting an abortion under 18 in Massachusetts.
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Need to get parental consent or get a court order. Need to argue that physical or mental health is in danger.
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Shoulder pain - also check what on PE?
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Check neck and cervical spine. Do spirling's test for cervical stenosis.
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Adhesive capsulitis
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Pain with both active and passive ROM
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empty can test
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Supraspinatous. Putting thumb Down takes deltoid out of equation. Positive = pain
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Instability of shoulder
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Apprehension test
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Biceps tendonitis: test
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Speeds test. Resist forward flexion. Positive = Anterior shoulder pain.
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Laxity/Instability of shoulder
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+ Apprehension, < 25, new activity
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Severe shoulder pain while waiting for surgery
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Lean forward and swing arm in circles - if leave in sling will get adhesive capsulitis
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Knee trauma: question to ask about swelling
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Did it swell up like a big balloon? Yes - dislocatin, ACL/PCL
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Swellng with ACL/PCL vs meniscal
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ACL/PCL < 2 hours
Meniscal > 2 hours |
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How do you tell if the shoulder is internally rotated on X-ray?
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The humeral head looks like a lightbulb.
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Hill Sachs fracture
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Anterior dislocation with a fracture. I popped it back but it still hurts.
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Bankart lesion
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Fracture inf aspect of the glenoid
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What radiographs do you want to order for knee injury?
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AP (weight bearing in older pt)
Sunrise Tunnel Lateral |
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What does edema look like on MRI?
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White on T2 MRI
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Lipohemarthrosis: sign of
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Fat-fluid levels often assoc with fractures
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What color will an ACL be on MRI?
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It will be a black line
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When standing, most of weight goes on lateral or medial meniscus?
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Medial meniscus
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Ankle injury: what X-rays do you order?
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AP
Lateral Oblique |
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Ottowa Rules
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> 18 and < 55
Can't bear weight Point tenderness over medial and lateral malleoli, navicular bone, and base of 5th metatarsal |
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What lig of the foot tears first?
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ATFL
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Fraction of the base of the fifth metatarsal
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Jones fracture
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High ankle sprain
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Foot plantarflexed and
Squeeze test. Positive if pain in foot. Need to squeeze up high. |