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Some study tipsCardiacKnow S3 what does it mean. Know S4 it is a sign of what? They describe a patient. Sounds like Tennessee.A murmur that is loud and heard with your scope plus thrill is 4. A loud murmur that you don’t need a scope for is 6They tell you asystolicmurmur one that radiates to the neck and one the radiates to the axilla- what are they calledHow do you rule out AAA -US gold standard in 65 and older especially if they smokeYou have a pt with HTN and osteoporosis what medication do you put them on for HTN- thiazidesHTN drug for DM with neuropathy- ACE or ARB You have a patient that on eye exam you notice copper and silver artioles AV nicking what else do you assess them for – HTNYou have an elderly patient with ISH BP log what medication do you start? CCBPAD pt what is treatment- exercisePAD what test- brachial indexKnow chronic venous insuff- edema, thick skin discoloredTest you do for stable angina – stress test.Know Systolic and Diastolic Murmur was asked about heart murmur with high pitch holosystolic and the other one is mid systolic. Question about Grade III/VI Murmur: (Loud murmur easily heard)Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency. Question about JVD causes? Know Bacterial endocarditis (There was a pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules) Osler’s nodesQuestions about carotid bruit signs can signifies what- narrowing of the carotidGI High triglycerides increase the risk of – pancreatitis You have a pt with chronic Hep C what will be high the AST or ALT or BothFirst line tx GERD H2 blockerHep serology you have to tell them what they have see Hollier notesYou have a positive psoas maneuver and it is positive. What does this mean?Rovsing sign Pt. with GERD and Barrett’s esophagus: Refer to Oncologist Question about Hepatitis B active Immunology. Question about pyloric stenosis (Hint is non bilious vomiting, olive like firm mass palpated on right upper quadrant)Common causes of GERD. Options are (Histamine blocker, BB, CCB, cant remember the last one)Increase in triglyceride can cause pancreatitis
First line treatment for Zollinger is PPISkinWhat is honey crusted lesions how do you treatActinic keratosis precursor to SCC look up in Leik how it presentsRosacea tx with metronidazole gelHow do you treat shingles – acyclovirOlder induration that has been there awhile what do you do? Bx itBasal Cell Cancer: Question description and the fact that it doesn’t have any tx: Waxy, pearly,telangiectasia, ulcer center lesionActinic Keratosis: Question about description (Scaly red to yellow located in sun exposed areaMelanoma question: Know ABCDESubungual Hematoma tx: Make a hole and drain the bloodTx for moderate acne