Menstrual Dysfunction/Menopause
A patient in menopause has a decreased amount of estrogen. What does this put them at risk for? What can they do to help prevent this?
Osteoporosis
Weight bearing exercises
What vitamin regimens are encouraged in geriatric failure to thrive?
Vitamin D, Folate, & B12
What should be monitored carefully in a child who is taking a psychostimulant?
Childs growth pattern
Intense itching in both eyes presenting with redness and clear watery drainage is most likely which type of conjunctivitis?
Allergic conjunctivitis
What often precedes otitis media?
Upper respiratory infection
What medications can be given to help relieve hot flashes or night sweats in menopause?
SSRI or SNRI
What screening tool is preferred to diagnose failure to thrive?
MNA- Mini Nutritional Assessment
What nonpharmacologic therapies can be used to help treat a patient with ADHD?
Decreasing stimulation to help them focus, keeping the environment quiet, maintain a clutter free environment
What are the clinical manifestations for conjunctivitis?
pain, burning, redness, photophobia, scratchy sensation, tearing or purulent drainage
A baby recovering for otitis media is getting fed by their mother while laying flat on their back. What education should you provide?
Try to feed the baby in an upright position. This helps prevent further ear infections and decreases the amount of pain for the infant
What does menometrorrhagia mean?
irregular, excessive, prolonged menstruation
An infant has a cleft palate and is having difficulties feeding. Is this an example of organic or inorganic cause?
Organic because it is an underlying medication condition
What education should be provided to a patient prescribed the Daytrana patch to treat ADHD?
Rotate the sites of patch to prevent skin irritation
A patient is diagnosed with a herpes simplex virus related conjunctivitis and is prescribed Acyclovir. What should be monitored while the patient is on this medication and why?
monitor kidney function due to severe nephrotoxicity
A child is prescribed liquid Amoxicillin following the diagnosis of otitis media. What education should be given to the parent prior to administration?
Complete the entire course of antibiotics-even if/when there are no more symptoms present.
A patient of child bearing age has come to her doctor for treatment of DUB following prior unsuccessful therapies. The doctor suggests an endometrial ablation. What should the doctor ask prior to this procedure being done?
Are you wanting to become pregnant in the future?
A patient comes into the office to talk about alternative therapies for ED. The patient has a history of chronic venous insufficiency, diabetes, and high blood pressure. The patient has been looking into revascularization surgery. Is this patient a good candidate for this type of surgery?
Since this patient already has a history of vascularization issues, this surgery would be contraindicated for them. The results would most likely be temporary
Is there any medication that can cure autism?
NO
What are the teaching points to a patient who has never had to administer eye drops before?
Lean the head back and pull the lower conjunctival sac down and instill the medication there. Never touch the dropper to the eyelid, eyelashes or eyeball for the dropper to remain sterile
A child recently diagnosed with Fifths Disease is ready to return back to school but the mother does not want them to because they still have a splotchy rash on their face and trunk. What education should be provided at this time?
The child is no longer contagious once the rash is present. As long as the child is feeling better they are okay to return to school
What labs should be monitored in a patient who has chronic DUB?
H&H, iron
A patient is taking Sildenafil as needed for ED. The patient is also taking Nitroglycerin as needed for chest pain. What education should we provide to the patient?
These medications should not be taken together. They are both vasodilators and could bottom out their blood pressure.
Children have a higher risk of autism if the maternal age is greater than ____ and the paternal age is greater than _____.
Children have a higher risk of autism if the maternal age is greater than 40 and the paternal age is greater than 50.
What are some nonpharmacologic therapies for conjunctivitis?
soak eyelids with warm compress, avoid bright lights, avoid screens and reading
What treatment regimen is there for Fifths Disease?
No treatment needed- it will go away on its own. However, you can treat the symptoms: fever, headache, sore throat, cough