poverty, and feeding resistance are causes of ?
organic Failure to thrive
non-organic failure to thrive
idiopathic failure to thrive
Possible etiology of SIDS includes
sleeping on stomach
smoking
suffocation
hx of shoulder dystocia in labor
brainstem abnormality
Being treated with methadone instead of abusing heroin is the safest option for a durg-addicted mother during pregnancy
On the finnegan (NAS) scoreing system the higher the score the better the baby is doing
Causes of Postpartum hemorrhage include:
tone
tissue
tiredness
trauma
thrombosis
Postpartum hemorrhage is defined as any blood loss from uterus greater than _______ post vaginal birth and any blood loss greater than ______ post Csection
500,200
500,1000
1000,250
100,200
Medication given to contract the uterus that is contraindicated fore htn and cautioned with asthma is
pitocin (oxytocin)
postaglandin F2 (carboprost tromethamine)
methylergonovine (methergine)
suspect lacerations when bleeding persists but uterus is firm
Idiopathic Thrombocytopenic Purpura is an autoimmune disorder and Von-Willebrand Disease is a _____________. They both can cause postpartum hemorrhage.
autoimmune
type of hemophilia
type of preeclampsia
condtion caused by eeclampsic seizure
Lower urinary tract infection is referred to as _________________- while an kidney infection is referred to as____________________
pyelonephritis, cystitis
thrombosis, cystitis
cystitis, pyelonephritis
Postpartum mood disorder are most liekly to occur after the _____________ but may occur anytime within ________________
2nd week, 2nd year
24 hours, 6 months
4th week, 1 year
8th week, 1 year
Interventions that help prevent DVT include all of the following EXCEPT
TED stockings
Early ambulation
avoid giving mg
anticoagulants
Select all the hallmark signs of delirium (4)
acute change/fluctuating mental state
Visual hallucinations
Inattention
Disorganized thinking
Altered LOC
Euphoria
The three I's in the THINK acronym for causes of delirium include
Independence
Infection
Intracranial pressure
Inflammation
Immobolization
On the CAM assessment tool for Delirium a pt. must exhibit both Acute onset/ fluctuating course, and inattention, as well as at least 1 of the following.......
altered LOC and disorganized thought
violence and confusion
disorganized thought and panic
lethargy and confusion
A pt. with dementia during a mini mental exam states that you are holding a chicken when you hold up a pen and has incomprehensible speech for much of the interview...... You document these findings using which medical terminology
aphasia
agnosia
apraxia
loss of ability to think abstractly
A dementia pt has significant problems performing ADL's, suffers from apraxia and agiation, and follows caregive around for most of the day would most likely me in which stage of Alzheimer's Disease?
Stage 1 (mild)
Stage 2 (moderate)
Stage 3(severe)
End stage
Which medication is often given with cholinergic medications such as (donepezil, Aricept) to help slow Alzheimer's disease and decrease the GI effects associated with cholinesterase inhibitors?
tacrine (cognex)
rivastigmine (exelon)
memantine (namenda)
galantamine (razadyne)
A pt with a tisomy of the 21st chromosome will have: (pick 2)
Down syndrome
Patau syndrome
Edwards Syndrome
47 chromosomes
45 chromosomes
All of the following are symptoms associated with Down syndrome expect:
hyperflexibility
protruding abdomen
small low set ears
eyes slanted upward and outward
thyroid dysfunction
spasticity
excess skin of the neck
CHromosomal abnormalities of structure include:
Cri Du Chat syndrome
Down Syndrome
Fragile x syndrome
Huntington's
Find 4 answers associated with autosomal dominant inheritance
an abnormal gene overshadows the normal gene to produce the triat
children have 50 % change being affected
breast/ovarian cancer
huntington's
hemophilia
no male to male transmission
You are explaining to parents who are both carriers for cystic fibrosis about how CF is transmitted. The best way to explain the risk is to say?
"your children will all be carriers"
"Your children will have 50% chance of having CF"
"Your children will have a 50% change of being a carrier and a 25% change of having CF"
"Your female children will be carriers"
Can a man with hemophilia pass on this trait to his son?
no
yes
All the following are conditions associated with Multifactorial inheritance except:
cleft palate
heart defect
dislocated hips
htn
color blindness
heart disease
In diet for phenylketonuria (PKU) a pt should avoid all of the following expect:
meat
cheese
nuts
fruit
a pt has blood in the front chamber of his eye and is suffering from increased sensitivity to light. Use medical terminology to describe these conditons
myopia
hyperopia
hyphema
photophobia
sympathetic opthalmia
A pt with hyperopia will have an easiest time seeing objects placed...
in the periphery
far away
close to him
in the center field of vision
In macular degneration ___________- vision is lost; in glaucoma ___________ vision is lost
central, peripheral
Far, near
peripheral, central
Top of field of, bottom field of
Which form of glaucoma is considered a medical emergency
closed angle
open angle
macular angle
Charles Bonnet syndrome
A prostaglandin medication used to treat glaucoma by increasing the outflow of aqueous humor; may change pigment of the eye...
timolol (timoptic)
bimodidne (tartrate)
latanoprost (xalatan)
mannitol (osmitrol)
Your patient has a perscription for pilocarpine (pilocar) a miotic agent written to be aminstered OD; how would you administer this medication?
both ears
left eye
once daily
Both eyes
Which of the following is a beta blocker used in the treatment of glaucoma
acetazolomide (diamox)
Sensorineural hearing impairment might involve cranial nerve 8 (vestibulocochlear)
Symptoms of Otitis media include all of the following expect
pain
fluid in ear
fever
common cold
sudden attacks of dizziness
To administer ear drops to a 6 year old...
up and back
down and back
Meniere"s Disease is characterized by (pick 4)
tinnitus
pressure in ear
progressive deafness
Medications given to treat vertigo include
meclizine (antivert)
droperidol (inpasine)
osmitrol (mannitol
diazepam (valium)
Interventions for Meniere's DIsease (pick 4)
low na diet
diuretics
antihistamines
smoking cessation
removing adenoids
Anorexia is associated with:
fear of obesity
loss of at least 25% of original bw
amenorrhea
refusal to maintian healthy body weight
Fluoxetine (prozac) is fda approved for depression and anxiety as well as:
bulimia
anorexia nervosa
BED
Obesity is defined as __________ over upper limit of normal and morbid obesity is ____________ over ideal
50,90
10,60
20,100
100,300
A biliopancreatic Diversion Duodenal switch procedure is associated with weight loss and what?
rapid improvement of diabetes
dumping syndrome
may return to work in 7 days
Gastricplication and POSE are associate with all of the following expect?
reversable
less invasive
restrictive
involve cutting and stapling of bowel