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