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During the interview you
note jerking movements first in one hand and then the
other, but when
the patient is distracted
the symptom resolves.
NEURO EXAM- WNL
WHAT KIND OF TREMOR IS THIS - ANSWER PSYCHO-GENIC
TREMOR= GOES AWAY WHEN PT IS DISTRACTED
VS
physiologic tremor
=
WORSE WITH MEDICATION OR ANXIETY OR COFFEE
Parkinsonian tremor is noted at rest, is asymmetric, and
decreases with voluntary movement.
patient with Alzheimer's disease has been taking quetiapine
(Seroquel), daily at bedtime, to manage behavioral symptoms
related to the dementia.
Symptoms have been stable on the quetiapine for 6 months
without any side effects should seroquel be continued on this pt?.
- ANSWER no if pt's sx have stabilized then
ANTI-PSYCHOTIC MEDICATIONS SHOULD BE TAPERED
DOWN WITH GOAL OF
DISCONTINUATION
This is recommended because antipsychotic medications have
adverse effects ESPECIALLY IN ELDERLY
NURSE TRAVELING TO COUNTRY WITH HIGH TB PREVALANCE
TB TEST PRIOR TO TRAVEL IS NEGATIVE
Assuming she remains asymptomatic, which one of the following
would you recommend?
A) Prophylactic treatment with isoniazid starting 1 month prior to
departure and continuing
throughout her trip
B) Prophylactic treatment with rifampin (Rifadin) starting 1 month
prior to departure and
continuing throughout her trip
C) A repeat TB skin test 2 months after she returns
D) A chest radiograph 2 months after she returns
E) An interferon-gamma release assay (IGRA) 6 months after she
returns
9. - ANSWER C) A repeat TB skin test 2 months after she returns
DON'T NEED TO TX FOR LATENT TB IS NO SX, TB TEST
ENGATIVE
DO NOT RE-TEST FOR TB UPON RETURN IMMEDIATELY
INSTEAD WAIT 2 MONTHS
discuss FIRST AND SECOND HEART BLOCK - ANSWER 1ST
DEGREE= NO MISSED BEATS= ONLY PR INTERVAL=
PROLONGED= FIXED
2ND DEGREE TYPE 1/WENKEBACH= MISSED BEAT + PR
INTERVAL THAT'S GETTING LONGER
2ND DEGREE TYPE 2/MOBITZ- MISSED BEAT= NOTHING
WRONG WITH P INTERVAL
PT WITH
EXCELLENT HOMEWORK HELP AND TUTORING ,ALL KIND OF QUIZ AND EXAMS WITH GUARANTEE OF A EXCELLENT HOMEWORK HELP AND TUTORING ,ALL KIND OF QUIZ AND EXAMS WITH GUARANTEE
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