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60 Cards in this Set
- Front
- Back
Front (Term) |
Charcots arthropathy Findings: painless swelling of the foot and lower leg, skin temperature higher Tx: limit weight-bearing, immobilization |
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When do pts get urethral sling |
Only for stress urinary incontinence |
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Risk factor for SI in geriatrics |
Self neglect (hoarding, hygiene, unsanitary living conditions,lack of utilities and need of home repair) |
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Age for shingles vax |
50 |
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Tx for mod-sev restless leg sd |
Pramipexole |
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25 OH D target level |
30-50 |
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when to start PJP prophylaxis for pts on steroids |
if predni 20mg for >1 month |
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when do you taper steroids |
when given for >2 weeks at doses >5mg predni equivalent |
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1 mg of dexa = ?? predni |
5 mg of predni |
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Gait disturbance in LBD |
No rigidity, destination, retropulsion and en bloc turning |
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Antipsychotics with most efficacy to tx Neuro behavioral sd in Alzheimer |
Risperidone, planea pibe, aripiprazole |
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Ortho static hypotension dx |
Drop >20mmHg in DBP >10mmHg in SBP |
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Side effect of spironolactone and other K sparing diuretics |
Zinc deficiency which can cause dysgeusia |
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Testing tb in older pts |
2-step PPD Repeat test 2 weeks after first pod |
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When to screen for prostate cancer |
55-69 |
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Front (Term) |
Charcots arthropathy Findings: painless swelling of the foot and lower leg, skin temperature higher Tx: limit weight-bearing, immobilization |
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Best DOAC choice for severe renal impairment |
Apixaban or betrixaban |
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When should patients take a-receptor blocker doxasozin |
At bedtime bc of first dose hypotension |
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25 OH D target lvl |
30-50 |
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When to start PJP prophylaxis for pts on steroids |
If prednisone >20 mg for 1 month |
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When do you taper steroids |
When given for >2 weeks at doses >5mg predni equivalent |
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1 mg dexa = ?? Prednisone |
5mg of predni |
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Gait disturbance in LBD |
No rigidity, destination, retropulsion and en bloc turning |
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When do you counsel pt to take Donepezil |
In the am bc of vivid dreams |
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Avoid Donepezil in what type of dementia |
Frontotemporal bc worsens behaviors |
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Rare side effects of Memantine |
Steven Johnson Is usually 2nd line, helps with behaviors |
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SSRI for behaviors that can also help with sleep |
Citalopram |
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Drugs that cause Urinary incontinence |
NSAIDs, CCB, ACEi |
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Most common vestibular dysfunction in older adults |
Saccular and semicircular canal dysfunction: Associated with hearing loss |
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Episodic memory loss means |
Forget things said in the last 20 mins Forgets new info Repeats questions Repeats stories It’s the first to go |
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Loves affected in AD |
Parietal and temporal |
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Hippocampus atrophy on MRI is seen with |
AD |
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Cognitive domain lost in LBD and vascular dementia |
Executive |
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Common meds causing insomnia |
A-blockers (decrease REM) B-blockers (decrease melatonin) Bupropion (activating antidepressant) |
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Venlafaxine dose for depression vs anxiety |
Low dose is for anxiety High dose is for depression |
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Tx for essential tremor |
Primidone, propranolol maybe gabapentin or topamax |
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Tx for post stroke depression |
Bupropion, fue to dopaminergic activation |
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Beta blockers that are no dialyzable |
Carvedilol and losartan |
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Sexual side affect of Donepezil |
Paradoxical emergence of hyper sexuality |
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Surgical abx prophylaxis indication |
Dental procedure with manipulation of gingival tissue or perforation of oral mucosa, , invasive procedure of respiratory tract, Pts with prosthetic valve or hex of endocarditis, heart transplant and valvulopathy |
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Examples of EPS |
Akathisia, dystonia, shuffling gait, rigidity, |
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Why are falls common in LBD |
Autonomic dysfunction (orthodtatic), EPS, cognitive dysfunction |
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Cholinesterase inhibitors and vagal tone? |
Enhances vagal tone |
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Meds with fewer EPS in LBD |
Quetiapine and clozapine |
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Brain area affected in alzheimers |
Hippocampus |
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Gene associated with early onset AD |
PSEN1, PSEN2. Occurs in <65yo, and accounts for 5% of AD |
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Gene associated in late onset AD |
APOE4 |
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Common sleep disorder in older adults with dementia |
Irregular sleep-wake rhythm: fragmented nocturnal sleep and daytime napping. |
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When should pts with Párkinson use a walker |
Only with impaired postural control (backward falls and festination) otherwise they reduce gait speed |
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Donepezil effects in sleep |
Activates cholinergic systems that increase wakefulness, alertness and REM sleep, pts have vivid dreams, |
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Serotonin sd presents as |
Neuromuscular hyperactivity ( hyperreflexia, tremor, myoclonus) or autonomic hyperactivity (diarrhea, diaphoresis, tachy) Altered mental status, agitation |
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Drugs that when given with SSRI can increase risk of serotonin sd |
MAOi, SNRI, TCA, tramadol, meperidine, methadone, fentanyl |
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Pain when pt first gets out of the chair or when climbing up stairs, groin pain, limp, limited internal rotation |
Hip! |
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Adrenal nodules f/u >4cm 2-4cm <2cm |
- Surgical removal if >4cm or if it grows >1cm on f/u - ct q 3mo if 2-4cms - CT q 3-6 months if <2cms |
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Oral mucosa white striae and patches |
Lichen planus |
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Arm squeeze test is to distinguish between |
Cervical radiculopathy vs rotator cuff tear |
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Mammogram screening |
Q2 years until 75 |
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Pap smear stop |
At age 65 |
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PSA stop at |
70 |
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Low dose CT for lung cancer screening |
Stop at 80 |
