3P Exam Study Guide Actual 100 Correct verified

3P Exam Study Guide (Actual / ) |100% Correct verified Answers

Major Depressive Disorder symptoms - ---Answers----S:

Sleep Disturbances

I: Interest/Pleasure loss in activities once enjoyed (anhedonia)

G: Guilt or Worthlessness feelings

E: Decreased Energy or Fatigue

C: Difficulty concentrating or making decisions

A: Changes in appetite or weight (Increase/Decrease)

P: Psychomotor agitation or retardation (slow movements)

S: Suicidal thoughts/behaviors

Neurotransmitters in Depression - ---Answers----Serotonin

• Regulate mood, sleep, appetite, social behavior

Norepinephrine - Mood, Arousal, Attention Dopamine - Pleasure, reward, motivation, movement GABA - Inhibitory - Calmness, Relaxation, Sedation NMDA (Glutamate) - Excitatory - Learning, Memory

Munchausen syndrome by proxy - ---Answers----A factitious disorder in which parents make up or produce illnesses in their loved one. Also known as factitious disorder by proxy.

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Suicide Screening - ---Answers----Are you thinking of hurting yourself?If yes, do you have a plan?Do you have means to make the plan happen?

Risk Factors: Prior attempts, adolescents, Males, Elderly

males

Asthma - Mild Intermittent - ---Answers----Symptoms present < 2 days/week, or < 2 nights/month

Asthma - Mild Persistent - ---Answers----Symptoms present > 2days/week but not everyday, 3-4 nighttime awakenings/month

Asthma - Moderate Persisent - ---Answers----Daily symptoms or more than 3-4 nights per month

Asthma - Severe Persistent - ---Answers----Continuous symptoms, frequent nocturnal symptoms, <60% FEV

Asthma Diagnostic - ---Answers----Spirometry, Pulmonary Function Tests (PFTs), Allergy Testing, Peak Flow

COPD - ---Answers----Progressive pathological changes to the airway and/or alveoli due to increased inflammatory response to pollutants or inhaled irritants

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COPD Diagnostics - ---Answers----Gold Standard - Spirometry with bronchodilation.Other criteria - Prolonged expiratory phase, wheezing with forced exhalation, barrel chest & tripod position in late phase.

Empyema - ---Answers----Prescence of pus in the pleural space. Develops when pulmonary lymphatics become blocked leadingn to an outpouring of contaminated lymph fluid into the pleural space.S&S - Cyanosis, pleural pain, fever, tachycardia

Pleural Effusion - ---Answers----Presence of fluid in the pleural space from blood or lymphatic vessels.S&S - Dyspnea, atelectasis, pleural pain. Dullness on percussion, mediastinal shift.

Treatment of Mycoplasma Pneumoniae "Walking PNA" - --- Answers----Infants - Amoxicillin School age - Amoxicillin or Macrolide

Treatment of Streptococcus Pneumoniae "Deadly" - --- Answers----Previously Healthy - Macrolide or Doxycycline Previously Healthy with Recent Abx use - Flouroquinolone or Advanced Macrolide (Azithromycin) PLUS high dose Amoxicillin Comorbidities with No ABX use - Advanced macrolide OR Flouroquinolone 3 / 4

Comorbidities recent ABX - Flouroquinolone or Advanced Macrolide PLUS beta-lactam

Pertusis - ---Answers----Whooping cough caused by Bordatella Pertussis. Can last 6wks to 2months.

Pertussis Treatment - ---Answers----macrolide (Azithromycin) or sulfonamide (Bactrim). Everyone in the household is treated. Pregnant women get Tdap @ 27/28wks

Tuberculosis (TB) Diagnostics - ---Answers----Gold Standard

• sputum sample. Other - Quantiferon Gold, T spot, TB Skin

Test S&S - Hemoptysis, weight loss, night sweats, Fever, Cough

TB Treatment - ---Answers----Isoniazid, Rifampin - Both very liver toxic.Do treat latent, but not infectious

Croup - ---Answers----Acute viral illness S&S - Barking Cough, Stridor, Sub-glottal swelling, Hoarseness.

Croup Treatment - ---Answers----Racemic Epinephrine, Corticosteroids, Cool-Mist Humidification

** DO NOT USE TONGUE DEPRESSORS, CAN CAUSE SPASM!!

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