Term
| abx used for prophylaxis of GBS during pregnancy? |
|
Definition
penicillin loading dose
then q4 hours during labor |
|
|
Term
| fetal lie vs fetal presentation |
|
Definition
fetal lie: long axis of baby in relationship to axis of mother
fetal presentation: part of the actual fetus that is closest to the birth canal |
|
|
Term
|
Definition
|
|
Term
|
Definition
| labor before 2 weeks pre EDC |
|
|
Term
|
Definition
| onset until cervix is dilated |
|
|
Term
|
Definition
subphases of first stage of labor
latent phase is when ctx are getting bigger and closer together. dilation to 3-4cm.
active phase is when dilation rate is fastest |
|
|
Term
|
Definition
| after dlivery of baby to delivery of placenta |
|
|
Term
|
Definition
power (strength of uterine ctx)
passenger (fetus size etc)
pelvis |
|
|
Term
|
Definition
|
|
Term
| normal variability of fetal heart rate |
|
Definition
|
|
Term
| what does fetal acidemia mean |
|
Definition
|
|
Term
| what tells you the baby is acidotic? |
|
Definition
| no beat to beat variability |
|
|
Term
|
Definition
| increase in fetal hear rate over 15 for 15 seconds |
|
|
Term
| what do normal accelerations say about the baby |
|
Definition
|
|
Term
|
Definition
| compression of fetal head |
|
|
Term
|
Definition
| uteroplacental insufficiency |
|
|
Term
|
Definition
| umbilical cord compression |
|
|
Term
|
Definition
| pulling legs up towards ear to pass baby through birth canal and prevent shoulder dystocia |
|
|
Term
|
Definition
| instrumental activities of daily living |
|
|
Term
|
Definition
| the letter chart to assess vision |
|
|
Term
|
Definition
| transport, shopping, cooking, using phone, manageng money, organizing meds, housecleaning, laundry |
|
|
Term
|
Definition
bathing
dressing
eating
continence
toileting |
|
|
Term
| leading cause of severe vision loss in old people |
|
Definition
| age related macular degeneration |
|
|
Term
| most common cause of blindness worldwide? |
|
Definition
|
|
Term
|
Definition
| hearing handicap inventory for elderly |
|
|
Term
|
Definition
| age related sensorineural hearing loss |
|
|
Term
| major features of presbycusis |
|
Definition
high frequency hearing loss
difficulty with speech discrimination |
|
|
Term
| does presbycusis result in complete deafness |
|
Definition
|
|
Term
| how is noise induced hearing loss different than presbycusis? |
|
Definition
| they can come together but noise induced hearing loss is associated with tinnitis |
|
|
Term
|
Definition
|
|
Term
| type of hearing loss with otosclerosis |
|
Definition
| progressive conductive hearing loss |
|
|
Term
| how old are ppl with otosclerosis |
|
Definition
|
|
Term
| speech discrimination in otosclerosis |
|
Definition
|
|
Term
|
Definition
central auditory processing disorder
general term for conditinos involving hearing impairment from CNS issues |
|
|
Term
|
Definition
| cannot understand spoken language but may be able to hear sounds ok |
|
|
Term
| leading cause of non fatal injuries in the elderly |
|
Definition
|
|
Term
| two question screen for depression |
|
Definition
1. have you felt down/depressed/hopeles sin the last 2 weeks
2. have you felt little interest or pleasure in doing things? |
|
|
Term
| drug of choice for first line in htn esp in older pts |
|
Definition
|
|
Term
| top two risk factors for stroke |
|
Definition
|
|
Term
| tx for osteoporosis to prevent fractures |
|
Definition
calcium carbonate (500mg tid)
vit D |
|
|
Term
| what percentage of ppl in the hospital who get CPR survive? |
|
Definition
|
|
Term
| complications of protein undernutrition in the elderly |
|
Definition
more infections
anemia
orthostatic hypotension
decubitus ulcers |
|
|
Term
|
Definition
| smoking causes osteoposrosis |
|
|
Term
| initial labs after someone appears suspicious for MI |
|
Definition
CBC
BMP
BUN/Cr
PT
PTT
INR
glucose
12 EKG
CXR
CK
troponin |
|
|
Term
| how often do you check troponins in suspected MI |
|
Definition
|
|
Term
| first step in therapy for suspected MI |
|
Definition
MONA-B
morphine
O2
Nitro
Aspirin
BB |
|
|
Term
| how does morphine help in MI |
|
Definition
| analgesia decreases levels of catecholamines--> reduction in myocardial O2 consumption |
|
|
Term
| dosing of nitro in acute MI |
|
Definition
sublingual q5 minutes
can give it 3 times |
|
|
Term
| contraindications to nitro |
|
Definition
|
|
Term
how much aspirin do you give in acute MI
how do you give it |
|
Definition
|
|
Term
|
Definition
st elevation
t inversion
q waves |
|
|
Term
| what is pt is allergic to ASA?q |
|
Definition
|
|
Term
| what does q wave usually represent |
|
Definition
|
|
Term
| pt with symptoms of MI but normal ekg except for LBBB |
|
Definition
LBBB can hide MI on EKG
draw troponins
cannot rule out MI |
|
|
Term
|
Definition
classes of angina
1. angina with extra strenous activity
2. angina with slightly difficult activity
3. angina with usual daily activity
4. angina at rest |
|
|
Term
|
Definition
any of the following
1. angina of new onset
2. angina at rest with minial exertion
3. crescendo pattern of angina with episodes of increasing frequency, severity or duration |
|
|
Term
| what kind of MI does cocaine cause |
|
Definition
|
|
Term
| what meds do you give after MONA-B in an MI |
|
Definition
heparin
abciximab (only if you are certain they are having an MI)
ACEI |
|
|
Term
| how long do you give MI pt heparin |
|
Definition
for 48 hours
OR
until angiography is preformed |
|
|
Term
| which of the drugs given in the acute setting reduce the risk of subsequent MI |
|
Definition
| the combo of nitro and BB |
|
|
Term
| what does hypomagnesium cause |
|
Definition
|
|
Term
|
Definition
dont give
the short acting ones actually increased mortality |
|
|
Term
| what do you do with pts who are asymptomatic from their angina after 48 hours |
|
Definition
stress test
if stress test positive assess for angiography |
|
|
Term
|
Definition
DM
HLD
Age
HTN
Cigs
fam hx
being male
being postmenopausal
LVH
homocysteine elevated |
|
|
Term
| when do you start statins in MI pt |
|
Definition
| within 24 hours of their MI |
|
|
Term
| goal LDL in pts with hx of CAD |
|
Definition
|
|
Term
| what does N/V tell you about the MI |
|
Definition
| N/V are associated with larger more severe heart attacks |
|
|
Term
| best way to tell the difference between MI and angina |
|
Definition
| angina should respond promptly to the O2 and nitrates and the initial meds |
|
|
Term
| sharp chest pain that rads to trapexius and increases with respiration and decreases with sitting forward |
|
Definition
|
|
Term
| sudden onset tearing chest pain that rads to back |
|
Definition
|
|
Term
|
Definition
|
|
Term
| how does gerd pain relate to meals |
|
Definition
|
|
Term
| when do you check heliobacter, gerd or pud? |
|
Definition
|
|
Term
| localized pain that is reproduced and tender to palpation |
|
Definition
|
|
Term
| unequal carotid pulses or UE pulses |
|
Definition
|
|
Term
| heart murmur + syncope + chest pain |
|
Definition
|
|
Term
| what do normal accelerations say about the baby |
|
Definition
|
|
Term
|
Definition
| compression of fetal head |
|
|
Term
|
Definition
| uteroplacental insufficiency |
|
|
Term
|
Definition
| umbilical cord compression |
|
|
Term
|
Definition
| pulling legs up towards ear to pass baby through birth canal and prevent shoulder dystocia |
|
|
Term
|
Definition
| instrumental activities of daily living |
|
|
Term
|
Definition
| the letter chart to assess vision |
|
|
Term
|
Definition
| transport, shopping, cooking, using phone, manageng money, organizing meds, housecleaning, laundry |
|
|
Term
|
Definition
bathing
dressing
eating
continence
toileting |
|
|
Term
| leading cause of severe vision loss in old people |
|
Definition
| age related macular degeneration |
|
|
Term
| most common cause of blindness worldwide? |
|
Definition
|
|
Term
|
Definition
| hearing handicap inventory for elderly |
|
|
Term
|
Definition
| age related sensorineural hearing loss |
|
|
Term
| major features of presbycusis |
|
Definition
high frequency hearing loss
difficulty with speech discrimination |
|
|
Term
| does presbycusis result in complete deafness |
|
Definition
|
|
Term
| how is noise induced hearing loss different than presbycusis? |
|
Definition
| they can come together but noise induced hearing loss is associated with tinnitis |
|
|
Term
|
Definition
|
|
Term
| type of hearing loss with otosclerosis |
|
Definition
| progressive conductive hearing loss |
|
|
Term
| how old are ppl with otosclerosis |
|
Definition
|
|
Term
| speech discrimination in otosclerosis |
|
Definition
|
|
Term
|
Definition
central auditory processing disorder
general term for conditinos involving hearing impairment from CNS issues |
|
|
Term
|
Definition
| cannot understand spoken language but may be able to hear sounds ok |
|
|
Term
| leading cause of non fatal injuries in the elderly |
|
Definition
|
|
Term
| two question screen for depression |
|
Definition
1. have you felt down/depressed/hopeles sin the last 2 weeks
2. have you felt little interest or pleasure in doing things? |
|
|
Term
| drug of choice for first line in htn esp in older pts |
|
Definition
|
|
Term
| top two risk factors for stroke |
|
Definition
|
|
Term
| tx for osteoporosis to prevent fractures |
|
Definition
calcium carbonate (500mg tid)
vit D |
|
|
Term
| what percentage of ppl in the hospital who get CPR survive? |
|
Definition
|
|
Term
| complications of protein undernutrition in the elderly |
|
Definition
more infections
anemia
orthostatic hypotension
decubitus ulcers |
|
|
Term
|
Definition
| smoking causes osteoposrosis |
|
|
