Rosa Romano
This test is used to screen patients for fall risks.
TUG test (timed get up and go test)
If >12 seconds, patient is at increased fall risk!
This landmark is found at the spinous process of T2.
SUPERIOR ANGLE of scapula
The sciatic nerve bifurcates in the _________ into the following branches: __________ .
Popliteal fossa
tibial nerve (medial) + common fibular nerve (more lateral)
High Vd!
Vd=Dose/[Drug]plasma
Vd describes the extent to which a drug partitions between the plasma and tissue compartments! If a drug has nonvascular targets, its Vd would be high since not really in systemic circulation!
A 12 yo female pt. comes into your clinic for her 11-12 yo vaccinations at her well visit. As the physician, you will recommend the following given her age.
11-12
T-TDap
Human-HPV
Men- Meningococcal
______ ________ are the legal writings that direct treatment in the event that patients lose decision-making capacity.
Advance directives!
These exist to provide patients with a voice in their care when they are unable to do so
Lower ribs 6-10 primarily have movement in this plane and have a ______ ______ motion.
Coronal (lateral plane).
Bucket Handle Motion
A positive Trendelenburg sign is defined by a contralateral/ipsilateral pelvic drop when asked to stand only on the affected limb.
A Trendelenburg gait causes patients to lean towards the contralateral/ipsilateral side of the nerve lesion.
contralateral
ipsilateral
Population that is deficient in the enzymes for Phase II
Infants
Infants have immature metabolic systems and develop at different rates! This may cause them to metabolize certain drugs and substances at slower rates when compared to adults
These are the 3 E's that SAMHSA uses to define trauma.
Event, Experience, and Effect
While most body functions decrease with age, these two factors increase!
Residual lung volume increases (decreased compliance as we age)
Increase in visceral and ectopic fat deposition (body trying to protect vital organs)
You find that your patient has an inhalation dysfunction of ribs 6-10 (yikes). The key rib is this one.
Rib 10
B-ottom
I-nhalation
T-op
E-exhalation
Intragluteal injections are safe only in the ________ quadrant.
superolateral
Acidic and neural drugs bind to _________, while basic drugs bind to ________________.
albumin
alpha1-acid glycoprotein
A cancer center launches two programs: (1) an effective screening program that reduces new cases by 30%, and (2) a new therapy that doubles average survival among people already diagnosed. Population is stable; assume steady effects after several years. The net effect of these measures are?
Incidence decreases
Prevalence increases (always increases with longer survival)
__________ refers to muscle atrophy and intramuscular adipose accumulation, while __________ refers to a loss of muscle strength.
Sarcopenia
Dynapenia
While motion testing rib 1, both hands came up with inhalation but only the right came down with exhalation. Your diagnosis is this.
Left rib 1 is inhaled.
The nerve to obturator internus supplies both of these muscles.
superior gemellus and obturator internus
Acetaminophen produces this byproduct via the CYP450 enzyme. Chronic alcohol consumption has what effect on this pathway (sorry not very jeopardy of me to ask a question)?
NAPQI
Chronic alcohol consumption induces CYP2E, which can exacerbate liver damaging effect of Tylenol. Glutathione (antioxidant) cannot convert NAPQI into its inactive form quickly enough-->toxicity!
A medical student on a sexual-assault response rotation develops intrusive images, hypervigilance, and poor sleep after repeatedly hearing survivors’ detailed histories. She has not been directly harmed. The preceptor reviews prevention using A-B-C (Awareness, Balance, Connection) and sets up peer debriefs. The most likely phenomenon is this.
Vicarious trauma (not directly exposed, but experiencing the trauma via others)
Clay Mock (lecture guest star) shared that he helped litigate this legal case (please describe in detail).
JK!
As our bones age __________ activity is unchanged, while ___________ activity is decreased.
osteoclast activity unchanged (resorption or crush)
osteoblast activity is decreased (not able to build as much bone, so bone mineral content decreases)
This side of your body more commonly experiences an inhalation dysfunction.
Left side
This nerve of the sacral plexus supplies sensory innervation to the perineum and genitalia.
Pudendal nerve
Help! I just gave my patient way too much aspirin (weak acid) and they are not okay! You will administer this to help prevent an overdose and save my medical license! How does this save my patient?
Bicarbonate
You are explicitly alkalizing the pH (increasing pH) to favor the ionized form of the drug (HA <--> A- + H+) so it can be trapped in the lumen and excreted into the urine!
A 13-year-old girl comes for a sports physical. She had menarche 6 months ago. On exam, her breasts show a distinct elevation of the areola and papilla above the contour of the breast, creating a “mound on mound” appearance. Pubic hair is coarse and curly over the pubis but does not extend to the medial thighs.
The Tanner stage of development that best describes these findings is this.
Stage 4