Under Pressure
Three medication classes are used as first line treatment for hypertension according to JNC8
What is CCB, Thiazide diuretic, and ACE-i
A positive straight leg raise indicates
What is lumbar radiculopathy?
What is the A1C goal for most patients with T2DM?
What is A1c < 7?
The Centor criteria
Absence of cough, fever, tonsillar exudates, painful anterior cervical lymphadenopathy
The three acute coronary syndromes can be described as this
UA - classic symptoms in patient without know hx or progression of baseline symptoms. No EKG or serologic evidence.
NSTEMI - no ST elevation, can have other EKG findings, troponin elevation.
STEMI - ST elevation and troponin elevation.
Three lab abnormalities associated with thiazide diuretics
What is hyperglycemia, hyperuricemia, hypercalcemia, hyperlipidemia, hyponatremia, hypokalemia?
A special test that helps diagnose acromioclavicular joint arthritis
What is cross-body or cross-arm test?
What are three diagnostic criteria for T2DM?
What is FBG >/= 126, A1C >/= 6.5, OGTT 75 gram >200 over 2 hours, Random BG >200 with symptoms?
GBS screening in pregnancy is typically done at this time
What is on or after 36 weeks?
Three medications that are indicated for NYHA stage 3 heart failure
What is ACE-i, beta-blocker, Spironolactone, hydralazine plus nitrate, SGLT2-i, ARNIs?
Three medications/supplements/substances that can cause hypertension
What is high dose estrogen, prednisone and other steroids, decongestants, appetite suppressants, cyclosporine, TCAs, MAO-Is, erythropoeitin, NSAIDs, cocaine, nicotine, alcohol
Spurling's test diagnoses
What is cervical radiculopathy?
A class of medication for DM2 that can cause fluid retention, bladder cancer, heart failure, and increased fracture risk
What is thiazolidinediones (TZD/ -glitazones)?
Three vaccines that are given before 6 months of age
What is Hep B, PCV20, HIB, Rotavirus, Dtap, IPV?
The most common cause of diastolic heart failure/ heart failure with preserved ejection fraction
What is hypertension?
Four causes of secondary hypertension
What is OSA, pheochromocytoma, Cushing's disease, hyperaldosteronism, ETOH abuse, renal artery stenosis, fibromuscular dysplasia?
The Ottowa ankle and foot rules for imaging
What is inability to bear weight immediately after the injury and for four steps in office, pain at the posterior edge of fibula or tip of lat malleolus, pain at distal 5th metatarsal, pain at the navicular bone, pain at tip of medial malleolus or distal posterior edge of tibia?
Four secondary preventative health maintenance care needs for diabetic patients.
Annual eye exam, annual foot exam, annual urine microalbumin, ACE-i, PCV20, statin
The variables needed to calculate pediatric blood pressure
What is height, age, gender?
Treatment that is indicated in patients with EF less than or equal to 35% after 6 months of maximal medical therapy
What is ICD placement?
Definition of refractory hypertension
What is poor blood pressure control despite optimal doses of three anti-hypertensive agents including a thiazide type diuretic?
The most sensitive and specific test for rotator cuff impingement
What is Hawkins test?
The target fasting blood sugar for type 2 DM patients in the outpatient setting
What is less than 120?
Abdominal pain, joint pain, bloody urine, and rash are characteristic of this uncommon vasculitis of childhood
What is Henoch Schonlein Purpura/ IgA Vasculitis?
EKG findings that are associated with acute pulmonary embolism
What is sinus tachycardia, S1Q3T3, RBBB?