Transplant
Name one way compatibility is tested with transplants
Human leukocyte antigen (HLA), crossmatching, ABO typing
what is the most common progression type of multiple sclerosis?
relapsing-remitting
Name three negative symptoms of schizophrenia
flat affect, avolition (inability to initiate goal-directed activity), Anergia, Anhedonia (Inability to experience pleasure), social isolation
Hypotension
Pale, cool skin
Weakness
Angina
Dizziness or syncope
Confusion or disorientation
Shortness of breath
What virus mainly causes myocarditis?
Coxsackie A and B
What kind of transplant rejection is most common?
Bonus 100: when is it most likely to happen?
what chemical imbalance causes Parkinson's?
dopamine and acetylcholine
What therapy is used with PTSD?
EMDR
How to treat paroxysmal supraventricular tachycardia
Vagal stimulation, valsalva, coughing
Adenosine 6 mg bolus IVP rapid, repeat with 12 mg in 1-2 minutes if needed can give 2 doses of 12 mg.
unstable: cardioversion
What manifestations are specific to infective endocarditis?
Splinter hemorrhages in nail beds
Petechiae
Osler’s nodes on fingertips or toes
Janeway’s lesions on pads of the fingers and toes
Roth’s spots
Name two absolute contraindications for kidney transplants.
Advanced cancer
Refractory or untreated heart disease
Chronic respiratory failure
Extensive vascular disease
Chronic infection
Unresolved psychosocial disorders (nonadherence to treatment plan, drug and/or alcohol abuse)
What assessment is the most important in myasthenia gravis?
Respiratory!
What are neologisms?
What does paroxysmal mean
terminates spontaneously
What heart sounds are specific to mitral valve stenosis?
Loud S1
Diastolic murmur
What blood pressure range is acceptable post heart transplant?
90-100 systolically
What symptoms present first in Huntington's Disease?
Psychiatric symptoms: Depression, Anxiety, Agitation, Impulsivity, Apathy, etc
Name the personality disorder:
Patient is self-destructive, clings and distances to others, and verbalizes they cannot be alone. They have a history of manipulating past partners and a traumatic childhood.
Borderline personality disorder
What rhythm can V-tach turn into?
Bonus 100: how do you treat stable V-tach?
V-Fib
antidysrhythmics or cardioversion
what artery does the percutaneous transluminal balloon valvuloplasty enter?
femoral
What is a CRPA score?
Estimates the percentage of donors that would be incompatible with the patient
Patients with high scores (small chance of finding a compatible kidney) get priority on organs that are compatible
What does the edrophonium test help diagnose?
Bonus 100 - what is the reversal agent for edrophonium?
Myasthenia gravis
Atropine
what symptoms would you see in the prodomal phase of schizophrenia
Deterioration in role functioning and social withdrawal
Substantial functional impairment
Depressed mood, poor concentration, fatigue
Sudden onset of obsessive-compulsive behavior
How do you treat atrial fibrillation?
Decrease ventricular rate to less than 100
Prevent embolic stroke: anticoagulation
Drugs for rate control: calcium channel blockers β-adrenergic blockers, amiodarone, digoxin
Name the symptoms of Beck's Triad
Hypotension with a narrow pulse pressure
Bulging neck veins, also known as jugular venous distension
Muffled or distant heartbeats: