Emancipated if <18
Root cause analysis identifies
REM rebound
Abruptly stopping paroxetine
Drugs that suppress REM
Neurotransmitter that induces REM
SANDman
How to get rid of bacterial spores
Intense fear of being in certain situations where
escape is difficult (in car, out side of home)
Panic criteria
Adverse event that doesnt reach patient
Adverse event reaches pt but no harm occours
Metatarsal stress fracture
POS and HMO are same except for
Not sharing needles, type of prevention?
Makes up storries
Alchohol withdarawl
Drugs w/ no withdrawy
Cooperative play age
Never event
Dignosis based on IV drug traks
Payment @ time of service
Unanticipated adverse event (drug reaction)
identification defense mech
Lab value tests for recent etoh relapse
Comprehensive revoew of meds before dispensing
angry patient
Body dysmorphic is a form of
City sponsered construction of walking trail
SARS (china travel, airbone disease) management?
Married, living alone, military
Problems that couldve been prevented
Increase in REM after stopping long term EToh
abuse, dreams, toss and turn.
REM rebound
COCAINE, lithium, phenelzine, barbiturate, TCA,
MAO
acetylcholine
Serotonin initiates slee, Ach high in REM, NE low
in REM, Dopamine wakes you up.
Hand wash w/ soap (alcohol based doesnt get
rid)
Agoraphobia
3 attacks in 3 weeks out of th eblue
Near miss, good catch, close call (penicillin
allergy almost given penicilliln)
No harm event (wrong med)
Prolonged exercise in anerexia nervosa
Black box warning: phase IV
Phase III: ramping up
Pt can see out of network physician
Population primary prevention
Wernicke korsakoff, unconsciously, mammillary,
etoh abuse, younger (fiftys)
Convulsions, tremor, Halucinations
Hallucinogen & marijuana
4
Surgery on wrong site (should have never
happened)
Framing effect, listen to pt and symtpoms only
Copay
Do root cause analysis after, interview
Adopt characteristics/activities, makes losing
loved one easier
Serum GGT (elevated before LFTs)
Drug utilization review
1. Apologize, 2. Gather information
Obsessive compulsive disorder
Population primary prevention (every can
benefit)
Put in negative pressure room
ECT Side effects Amnesia, headache, cardiac ischemia
Dr. applies cast without asking Failed to get consent, Battery action, touching.
% HIV transmission to baby 20% chance, breast feeding increases risk
Incident that results in pt injury as a result of Adverse medical event
medical intervention
Forrget lapse
Doctor CHOOSES to forgoe through history procedural Violation
Doctor FROGETS to do through history Lapse
Inject insulin IV instead of SUBq SLIP (fatigue, tired)
Limits amt of money fed gov pays for each case Diagnostic related group (fixed fee, medicare)
ants crawling on me Etoh or cocaine withdrawl
Avoid what drug in old pt w/ htn Alpha1 blocker terazosin (falls, beers criteria)
You dont know what pt is talking about Ask, dont assume
Ventilator assiociated pneumoniia MOA Nosocomial 48 hrs post intubation, aspiration of
stomach bacteria into lungs
Agree to give birth control to 16 year old, what do Review benefits and rsisk s of all options before
you do next? prescribint
Tops that dont need parental involvment STD tx, Substance tx, Birth control, prenatal care
What step do you check for drug reaction At dispensing by the pharmacist
Vivid visual images in room when wakes up Narcolepsy
Muscle paralasis REM sleep
Man complans of long standing erectil edysf. Next What meds are you taking?
question?
Alcoholic w/ cirrosis has tremmins tx? Lorazepam, oxazepm, temazepam (LOT)
GLUCORONIDATION
PTSD goes away, prognosis Never will come back, cured
APGAR total 10, max of 2 per category
50 year old ACCUSES WIFE O FCHEATING DELUSIONAL DISRDER
Embarrased about something (too anxious to eat Social anxiety
or go pee, public speeking)
Specific TCA for OCD Clomipramine (if unresponseive to SSRI)
MOOD STABLIZER that causes thrombocytopenia Valproic acid
Mistrust of others Paranoid
Autism spectrum chromosomes 11 and 15
Man didnt finish highschool, has job, 3 word Fetal alcohol syndrome
sentences