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49 Cards in this Set

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When do you use allopurinol and colchione

allo- maintenance to keep uric acid down




col- acute gout attack

Dysdiadochokinesia refers to

neuro triad of symptoms with gait, memory, and speech - common in MS

What are the differences of symptoms that show in a TIA of ANTERIOR cerebral circulation vs POSTERIOR?

anterior- behavioral and cognition


posterior- vision disturbances with diplopia, dyarthria, motor and sensory

AST > ALT causes

alcohol, statins, and tylenol use

ALT > AST causes

infectious hepatitis

When can a child with Fifth's disease go back to school

after rash appears

Where does Roseola and Rubella start

Roseola- starts on trunk after fever spreads to extremeties




Rubella- starts on face and goes down trunk

Motor function of L4

foot dorsilexion


knee jerk reflex

Motor function of L5

great toe dorsiflexion



Motor function of S1

foot eversion

What drug can cause hyperflycemia

corticosteroids, niacin, thaizide diuretics

What drug can precipitate a gout attack

niacin, thiazides, ASA, cyclosporine

What drug can cause acute pancreatitis

corticosterioids, thiazides, alcohol

Three causes of sendary hypertriglyceridemia

excessive alcohol consumption


uncontrolled DM


untreated or untertreated huperthyroidism

Non-controlled substance used to treat ADHD

strattera

Parasytolic murmur that is heard best at the apex, radiates to axilla and is a loud- blowiing and high pitched murmur

mitral regurgitation

complete resolution of Osgood- schlatter disease takes how long

12- 24 months

Oral iron therapy antacid interaction

decreases iron absorption

Oral iron therapy levodopa interaction

decreases iron effects and levodopa

Ectopic pregnancy symptoms

hypotension and tachycardia with blood loss


abdominal tenderness

Raised and yellow soft plaques that are located below browns on upper and lower lids of eyes, usually on nasal side. Maybe a sign of hyperlipidemia if person <40

xanthelasma

What is target dose of an adult patient on Zoloft?

50-200 mg q daily

What is a target dose of Prozac in an adult patient?

20-80 mg q Day

What is the target dose of Celexa in an adult patient?

40 - 60 mg / day

What is the target dose of Lexapro in an adult patient?

10-20 mg / da

What do you always prescribe to patients with systolic dysfunction in CHF

ACE inhibitors-- decreases mortality and prolongs survival

What drug can cause contraceptive failure

Carbamazepine

Lipitor lab effects

LDL reduced by 20 - 60 %


HDL increased by 5 - 15 %


TRIG reduced by 10 - 40 %

Gemifibrozil lab effects

LDL reduced by 5-15 %


HDL increased by 14- 20 %


TRIG reduced by 20- 50 %

Nicotinic Acid lab effects

LDL reduced by 10 - 25%


HDL increased by 15 - 35 %


TRIG reduced by 20 - 50 %

Colestipol

LDL reduced by 10 - 20 %


HDL increased by 3-5%


TRIG: may reduce

Patient with latex allergy is usually also allergic to what

kiwi


avocado


bananas

Lipid panel findings in a person with chronic renal insufficiency

increased total cholesterol and triglycerides

Elevated triglycerides, HDL and LDL

alcohol abuse

Elevated total cholesterol, triglycerides and LDL

untreatead/ undertreated hypothyroidism

Physical findings associate with eating disorders

orthostatic hypotension


yellow skin


brittle nails


pruritus


halitosis


decreased temperature


bradycardia


arrythmias

Decreases and control hirsutism in PCOs

Spironolactone

Antidepressant used for neuropathic pain treatment

Elavil

The Chvostek sign

clinical sign of existing nerve hyperexcitability seen in hypocalcemia.It refers to an abnormal reaction to the stimulation of the facial nerve. When the facial nerve is tapped at the angle of the jaw (i.e. masseter muscle), the facial muscles on the same side of the face will contract momentarily (typically a twitch of the nose or lips) because of hypocalcemia

Drugs used to treat ADHD

Ritalin, Mehylin, Metadate, Concerta, Daytrana- methylphenidate)




Adderall (dextroamphetamine and amphetamine)




Dexedrine (dextroamphetamine




Vyvanse (lisdexamfetamine dimesylate




Focalin (dexmethylphenidat




Strattera (atomoxetine

Lyme disease treatment for pregnant and lactating women and children <8 years

amoxicillin 250-500mg tid x 10-21 days

High purine foods

certian seafoods (scallops, mussels)


organ and game meat


beans


spinach


asparagus


bakers yeast supplements

Hearing loss Values

mild hearing loss: 26- 40 dB


moderate loss: 41- 55 dB


profound loss: > 91 dB



Brachial Pulse Index

Normal : > 0.9


Moderate: 0.6 - 0.8


Severe: 0.5

First line treatment for essential tremors

betablockers propanolol

bethamethasone side effects (corticosteroid)

increased appetite


weight gain


difficulty sleeping


headache


dizziness


changes in menstration

What test is used to test for colorblindness?

ishihara chart

Most common form of urinary incontinence in the elderly

urge incontinence

Adam Position Test

diagnostic procedure to test for scoliosis




child bends forward withhead and hands down in this position assess for rib hump prominence