Board Vitals Review Flashcards
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Questions and Answers

How would a 65-year-old Caucasian male with blood pressure ranging from 142-148/80-88 be classified according to JNC?

At goal

The anovulation associated with PCOS increases the risk of which of the following?

  • Breast cancer
  • Cervical cancer
  • Endometrial cancer (correct)
  • Ovarian cancer
  • What is the best management for a 30-year-old female showing evidence of preeclampsia?

    Close follow-up of urinary protein and serum creatinine

    What is the most common type of psychiatric condition in an emergency room?

    <p>Substance-related disorders</p> Signup and view all the answers

    Which of the following statements provides correct information about Acute Stress Disorder (ASD) and/or PTSD?

    <p>PTSD symptoms can recur when reaching a developmental point related to the initial trauma</p> Signup and view all the answers

    Which of the following conditions is not associated with intussusception?

    <p>Irritable bowel syndrome</p> Signup and view all the answers

    What is important for the NP to establish initially for a client with myasthenia gravis presenting with ptosis and weakness?

    <p>What medications the client is taking and when he last took them</p> Signup and view all the answers

    What is the most likely condition for an infant evaluated due to failure to pass meconium with a distended abdomen?

    <p>Hirschsprung disease</p> Signup and view all the answers

    Which of the following statements is correct regarding the incidence and prevalence of psychiatric disorders in childhood?

    <p>Major depression increases in prevalence with age</p> Signup and view all the answers

    Which medication could be related to symptoms of generalized weakness and low blood glucose in a patient with diabetes?

    <p>Atenolol</p> Signup and view all the answers

    What is the most likely diagnosis for an 18-year-old female with fever, a throbbing headache, and positive Brudzinski and Kernig's signs?

    <p>Meningitis</p> Signup and view all the answers

    What test will confirm the diagnosis for a 65-year-old male presenting with a cough and a chest mass?

    <p>Tissue biopsy</p> Signup and view all the answers

    What accurately depicts the iron profile in a patient diagnosed with iron-deficient anemia?

    <p>Low erythrocyte MCV, low serum iron, elevated TIBC, and low ferritin</p> Signup and view all the answers

    What should be ordered for diagnosed temporal arteritis?

    <p>ESR</p> Signup and view all the answers

    Which of the following is not a headache 'red flag'?

    <p>Photophobia</p> Signup and view all the answers

    Which of the following are headache 'red flags'?

    <p>All of the above</p> Signup and view all the answers

    What would be the best treatment option for a 12-year-old girl with a history of abdominal pain and diarrhea?

    <p>Oral rehydration therapy</p> Signup and view all the answers

    What is the most likely etiology for an 8-year-old boy with explosive diarrhea followed by foul, greasy stools?

    <p>Giardia intestinalis</p> Signup and view all the answers

    Study Notes

    Blood Pressure and Classification

    • A 65-year-old male has elevated blood pressures (142-148/80-88) over three visits.
    • Not diabetic and no renal disease; classified as "At goal" according to JNC.

    PCOS and Preeclampsia Risks

    • Anovulation from PCOS increases the risk of endometrial cancer.

    Management of Preeclampsia

    • For a 30-year-old female with evidence of preeclampsia, the best management involves close monitoring of urinary protein and serum creatinine.

    Common Psychiatric Conditions

    • Substance-related disorders are the most prevalent psychiatric conditions seen in emergency rooms.

    Acute Stress Disorder and PTSD

    • Symptoms of PTSD may recur during periods of significant stress or development linked to the initial trauma.

    Intussusception Associations

    • Irritable bowel syndrome is not typically associated with intussusception.

    Myasthenia Gravis Management

    • Important to determine the medications taken by clients with myasthenia gravis and the last dosage timing as an initial step.

    Hirschsprung Disease Diagnosis

    • An infant who fails to pass meconium, with distended abdomen and no stool in the rectal vault, likely has Hirschsprung disease.

    Childhood Psychiatric Disorder Statistics

    • Major depression shows increasing prevalence with age in children.

    Medications and Hypoglycemia

    • Atenolol can contribute to hypoglycemic symptoms in patients with diabetes, as exemplified by a 63-year-old male with insulin-dependent diabetes presenting with low blood sugar.

    Meningitis Symptoms

    • An 18-year-old female with fever, headache, and positive Brudzinski and Kernig's signs likely has meningitis.

    Lung Cancer Diagnosis

    • A right upper lobe mass in a 65-year-old male with a smoking history requires a tissue biopsy for diagnosis confirmation.

    Iron-Deficiency Anemia Profile

    • A 58-year-old male with colon cancer and melena exhibits low erythrocyte MCV, low serum iron, high TIBC, and low ferritin on iron profile tests.

    Temporal Arteritis Testing

    • An erythrocyte sedimentation rate (ESR) test should be ordered for suspected temporal arteritis.

    Headache Red Flags

    • Symptoms that are considered "red flags" for headaches include development after strenuous activity, presence of papilledema, and awakening from sleep.

    Treatment of Diarrhea in Adolescents

    • Oral rehydration therapy is an effective treatment for a 12-year-old girl with diarrhea due to suspected bacterial infection.

    Giardia Infection in Pediatric Patients

    • An 8-year-old male presenting with diarrhea is likely suffering from Giardia intestinalis infection, indicated by explosive watery stools and recent weight loss.

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    Test your knowledge with these flashcards from the Board Vitals Review. Covering important medical classifications and risks associated with various conditions, these cards are designed to help reinforce key concepts. Ideal for medical students or professionals looking to review specific topics.

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