You have an elderly patient with isolated systolic

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11. You have an elderly patient with Isolated systolic hypertension also known as ISH(on exam) what medication do you start? CCB 12. PAD pt what is treatment- exercise13. PAD what test- brachial index or ABI
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14. Know chronic venous insuff- edema, thick skin discolored (BUZZ WORD) 15. Test you do for stable angina – stress test 16. Know Systolic and Diastolic Murmur was asked about heart murmur with high pitch holosystolic and the other one is mid systolic. 17. Know the difference between Peripheral Arterial Disease and Chronic Venous Insufficiency (symptoms- should be on Walden review- write down buzz words from her and know them). 18. Question about JVD causes- occlusion, stenosis, or CHF 19. Know Bacterial endocarditis (There was a pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red nodules) Osler’s nodes and janway lesions(BUZZ WORDS) 20. Questions about carotid bruit signs can signifies what- narrowing of the carotid GI 21. High triglycerides increase the risk of – pancreatitis 22. You have a pt with chronic Hep C what will be high the a) AST b) ALT or c) Both 23. First line tx GERD- PPI or H2 antagonist-for this exam it will be one or the other, they wont have both 24. You have a positive psoas maneuver. This will be in a scenario- most know this means Appendicitis 25. Rovsing sign? 26. Pt. with GERD and Barrett’s esophagus: Referto Oncologist (worried about cancer)
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27. Question about pyloric stenosis (Hint is non bilious vomiting, olive like firm mass palpated (pediatric patient- these are BUZZ WORDS) o n right upper quadrant) 28. Common causes of GERD- CCB calcium channel blockers because they open everything up 29. Increase in triglyceride can cause pancreatitis 30. First line treatment for Ellis Zollinger is PPI- unknown reason for attack of the gastric system Skin 31. What is honey crusted lesions (BUZZ word) how do you treat? Impetigo. Muprocin 32. Actinic keratosis precursor to Squamous Cell Carcinoma (SSC)- bony growth out of face chin head- Both presentation and that it is a precursor is on exam- treatment is also on there- cryotherapy 33. Rosacea( know the presentation ) tx with metronidazole gel 34. How do you treat shingles – acyclovir 35. Older induration that has been there awhile what do you do? Bx it 36. Basal Cell Cancer: Waxy, pearly, telangiectasia, ulcer center lesion(these are BUZZ WORDS) they will be in a scenario format- just know it is basal cell carcinoma 37. Melanoma question: Know ABCDE. Described it . Irregular, 3 different colors .(BUZZ words) 38. Subungual Hematoma tx: Make a hole and drain the blood- ON EXAM
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39. Tx for moderate acne – will be case scenario that patient has tried OTC and your answer will be tetracycline 40. Review your skin issues for adult and kids. Question about Rubeola (Koplik), 41. How do you treat a skin fungal infection? clotrimazole- any med with azole in it Peds 42. What puts a new born at high risk for hyperbilirubinemia the answer is cephalohematoma 43. Tanner stage III female 44. 14 yo boy cc of bony mass on anterior tibial tubercle (pick out the BUZZ words)-Osgood-Schlatter 45. They describe a weak baby, doesn’t feed well sleeps a lot- it has
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