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PANRE Review

PANRE Multi system review questions

You can't fibrillate a patient with what rhythms? Asystole or PEA (Pulse-less Electrical Activity)
This antibiotic is never the correct answer on the boards for staph infection PCN
Treatment for chlamydia or gonorrhea Azithromycin (macrolide) + ceftriaxone
The electrocardiogram (ECG) demonstrates a short PR interval <12 sec
The presence of a short PR interval, frequently with a delta wave preexcitation syndrome
A short PR interval, <0.12 sec, with a narrow complex QRS and palpitations Lown-Ganong-Levine (LGL) syndrome
an accessory pathway, the Kent bundle, which directly links the atria to the ventricles, bypassing the atrioventricular (AV) node Wolff-Parkinson-White (WPW) pattern
slurred and broad upstroke of the QRS complex delta wave
The rotator cuff is a group of four muscles that support the shoulder joint. What are the four muscles? Supraspinatus, infraspanatus, teres minor and subscapularis
What is the standard oral antibiotic regimen for prevention of endocarditis in adults with high risk cardiac lesions? Amoxicillin 2g PO 30-60 min prior to procedure (for patients not allergic to penicillin)
What is the standard oral antibiotic regimen for prevention of endocarditis in adults with high risk cardiac lesions who are allergic to PCN? Cephalexin 2g or Clindamycin 600mg or Azithromycin 500mg
A Churg-Strauss Syndrome patient's anti-neutrophil cytoplasmic antibody (ANCA) blood test test comes back positive. What other conditions might he have? glomerulonephritis, alveolar hemorrhage, purpura or mononeuritis complex.
Cough in gi may suggest - suggests a malignant trachea-esophageal fistula.
Hoarseness - may be invasion into the left recurrent laryngeal.
esophagram - demonstrate an “apple core” or obstructive mass lesion with esophageal cancer.
Chemicals irritation to esophagus squamous cell cancer.
alcohol binge drinking and vomiting, over a chronic period of time, adenocarcinoma.
“apple core” type of appearance. esophageal cancer
Progressive dysphagia. Esophageal cancer. Surgery is the only curative option.
A Schatzki ring, this ring in the esophagus would be distal.
non-progressive dysphagia Schatzki Ring
An esophageal web will be more so in the upper portion. true or false True
the nails and it looks like they’re depressed, spooning of the nails.and the tongue looks beefy, beefy red. iron deficiency.
koilonychia - spooning of the fingernails, spooning, there’s esophageal webs, iron deficiency anemia Plummer-Vinson Syndrome
spooning of the fingernails, koilonychia
the esophageal web is made up of squamous cell, with persistent irritation may go on to develop dysplasia and squamous cell cancer of the esophagus.
Plummer-Vinson Syndrome treatment dilatation of esophageal webs
The fundus of the stomach herniating into the thoracic cavity? Hiatal hernia.
what % of your patients with GERD could have an associated hiatal hernia 40%
GERD associated in immunocompromised patients Infectious
GERD associated with - Herpes, Cytomegalovirus, HIV Viral GERD
The squamous cells of the esophagus may then turn into or undergo metaplasia into columnar cells. Barrett’s esophagus.
Barrett’s esophagus, which is not a cancer, but its metaplasia, is at risk for dysplasia and adenocarcinoma. True or False True
in GERD, there’s decreased relaxation of he esophagus. T or F False : in GERD, there’s excessive relaxation.
What kind of cancer would this be most likely with GERD? Adenocarcinoma..You go from Barrett’s esophagus to metaplasia, into dysplasia and into your adenocarcinoma, most likely located in your lower esophagus.
the perfusion of esophagus with acid to induce the symptoms of GERD The Bernstein test
Gerd use The histamine blockers H2 blocker ranitidine, cimetidine.
PPIs would be even better for gerd - Proton Pump Inhibitor Prevacid, Prilosec, Nexium (the purple pill).
Treatment if your patient is still exhibiting symptoms of GERD, after H2 blockers and PPIs surgery.
Barrett’s esophagus would be the beginning stages or confirmation that metaplasia is taking place. But this is not cancer, is it? So this is reversible? correct.
as the Barrett’s esophagus persists _________into columnar, associated with long term acid exposure. , metaplasia
What kind of dysphagia would this be in Barrett's Esophagus ? progressive solids first, then liquids
potassium compounds, NSAIDs , quinidine, iron, , alendronate due to osteoporosis, tetracycline, vitamin C; all this could cause pill-induced esophagitis.
Infectious Esophagitis diagnosis Endoscopy is the test of choice,
painful swallowing painful swallowing - odynophagia
Cytomegalovirus esophagitis, you’d find this ulcer to be circumscribed
Cytomegalovirus esophagitis, - biopsy shows viral inclusions
Cytomegalovirus esophagitis, treatment Foscarnet may be necessary for resistance., but also Acyclovir, Gancyclovir, Foscarnet - drugs that you want to keep in mind in the family of Herpes.
Cytomegalovirus esophagitis, Management, Management, it would be IV ganciclovir followed by something like Valgancyclovir and Foscarnet
Most frequent cause of esophagitis in immunocompromised patients. Candida Esophagitis
Candida Esophagitis findings the pseudo hyphae and the yeast.
Candida Esophagitis Management fluconazole, oral
obstruction of your lower esophageal sphincter. achalasia
Some peptides that you know of that are responsible for normal relaxation physiologically of the LES. VIP - Vasoactive Intestinal Peptide, and nitric oxide.
Failure of the relaxation of LES Found in achalasia.
Necessary to rule out achalasia Esophagogastroduodenoscopy necessary to rule out… EGD
Chagas disease for you, and I keep repeating this, will be responsible for 3 major sites for pathology. 04:11 One would be the esophagus with achalasia, dilation of the proximal esophagus.
Chagas with amastigotes in the heart destroying the myocardium, resulting in dilated cardiomyopathy.
Chagas disease down in the intestine. 04:31 Trypanosoma Cruzi resulting in toxic megacolon.
So what is the confirmatory test for achalasia? It is not endoscopy. do an Esophageal motility test
Created by: TutorDavis17
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