PhPr812 Final Exam Exclusions Quiz
What are all the exclusions for heartburn and dyspepsia?
Frequent heartburn more than 3 months
Frequent heartburn more than 1 month
Adults >50 with new onset
Severe heartburn/dyspepsia
Moderate heartburn/dyspepsia
Nocturnal heartburn
Hypertension
Chronic hoarseness, wheezing, coughing, or choking
Continuous nausea, vomiting, or diarrhea
Diabetes
Adults >40 with new onset
Adults >45 with new onset
Dysphagia
Odynophagia
Lactating
Upper GI bleed
Unexplained weight loss
Chest pain
Age <12 years old
Pregnancy
Who is eligible for self treatment?
24 year old with new heartburn 2 times a week
46 year old with new heartburn 2 times a week
27 year old with heartburn and painful swallowing
32 year old with heartburn every time spicy food is eaten
16 year old with heartburn 3 times a week
8 year old with heartburn after certain foods
55 year old with heartburn experiences since 20 years old occasionally
25 year old with heartburn and wheezing
Which patients should be referred?
Patient with heartburn who also has HTN
Patient with heartburn throughout the night
Patient with heartburn associated with occasional nausea and vomiting
Patient with frequent heartburn for 1 month
Patient with frequent heartburn for 2 months
Patient with frequent heartburn for over 3 months
Patient with heartburn associated with chest pain
Patient with heartburn who is pregnant
What are all the exclusions for self treatment for constipation?
Marked abdominal pain or distention or cramping
Marked or unexplained flatulence
Fever
Nausea and or vomiting
Age <12 years old
Chronic medical condition that may preclude self care
Daily laxative use
Unexplained changes in bowel habits
Patient with diabetes
Bloody/dark tarry stools
Marked change in stool character
Any bowel sx present for >2 weeks
Any bowel sx that recur over a period of 3 months or more
Patient with HTN
Pregnancy
Any sx that recur after dietary or lifestyle changes or laxative use
IBS
Anorexia
Age <2 years old
Lactating
Who is eligible for self treatment?
4 year old struggling to go to the bathroom
1 year old struggling to go to the bathroom
24 year old who cannot make a bowel movement and is vomiting
43 year old who cannot make a bowel movement
16 year old who cannot make a bowel movement and has a fever
20 year old who cannot make a bowel movement for 3 days
27 year old who cannot make a bowel movement and is pregnant
50 year old who cannot make a bowel movement in a couple days
Who needs to be referred?
Pt with constipation and diabetes
Pt with constipation and IBS
Pt with constipation for over 2 weeks
Pt with constipation and HTN
Pt with constipation and significant abdominal distention
A 68 year old with constipation
A 1.5 year old with constipation
Pt with constipation using laxatives daily for 3 days
Pt with constipation for 4 days
Pt with constipation that is pregnant
What are all the exclusions to self treatment for diarrhea?
Age <3 months or <17.5 lbs
Persistent fever of >102.2F for pts >6 mo old
High output of diarrhea
Persistent vomiting
Lactating
Signs of severe dehyrdation
Severe abdominal pain
Diabetes
CVD
Nausea
Renal Disease
Immunocompromised pts
HTN
Frail pts 65 and older
Pregnancy
Diarrhea for 4 weeks or more
Diarrhea for 2 weeks or more
Bad response to ORS administered
What are the signs of severe dehydration in infants?
Sunken fontanelle and eyes
Lack of tears when crying
Excessive thirst
Decreased heartrate
No wet diapers in 6-8 hours
Little dark-yellow urine
Rapid breathing
Slow breathing
Increased heartrate
Restlessness/irritability
Lethargy/weakness
Poor skin turgor
Signs of treatable dehydration in children and adults
Normal, fatigued or restless, irritable
Apathetic, lethargic, unconscious
Slightly sunken eyes with decreased tears
Deeply sunken eyes with no tears
Drinks poorly
Thirsty
Normal to fast breathing
Tachycardia and bradycardia
Weak pulse
Slight increase in heartrate
3-9% decrease in body weight
>9% loss in body weight
Orthostatic hypotenstion
Skin turgor in <2 seconds
Skin turgor in >2 seconds
Minimal urine output
Signs of severe dehydration in children and adults
Normal, fatigued or restless, irritable
Apathetic, lethargic, unconscious
Slightly sunken eyes with decreased tears
Deeply sunken eyes with no tears
Drinks poorly
Thirsty
Normal to fast breathing
Tachycardia and bradycardia
Weak pulse
Slight increase in heartrate
3-9% decrease in body weight
>9% loss in body weight
Orthostatic hypotenstion
Skin turgor in <2 seconds
Skin turgor in >2 seconds
Minimal urine output
Who is eligible for self treatment?
Pt with diarrhea that has diabetes
Pt with diarrhea who has HTN
Pt with diarrhea for 1 week
Pt with diarrhea for over 2 weeks
Pt with diarrhea and occasional vomiting
Pt with diarrhea who is 70
Pt with diarrhea who is 66 and frail
Pt with diarrhea who is 2 months old
Pt with diarrhea with renal disease
6 month old with diarrhea with no tears when crying
8 month old with diarrhea who is crying
24 year old with diarrhea who has lost 8% body weight
Who needs to be referred?
Pt with diarrhea that has diabetes
Pt with diarrhea who has HTN
Pt with diarrhea for 1 week
Pt with diarrhea for over 2 weeks
Pt with diarrhea and persistent vomiting
Pt with diarrhea who is 70
4 year old with diarrhea who is thirsty
Pt with diarrhea who is 2 months old
Pt with diarrhea with renal disease
6 month old with diarrhea with no tears when crying
8 month old with diarrhea who is crying
24 year old with diarrhea who has lost 8% body weight
What are all the exclusions for anorectal disorders?
Patients <12 years old
Ulcerative colitis or Crohns disease
Family hx of colon cancer
Diabetes
Previously diagnosed serious anorectal disorder
Acute onset of severe pain
Large amounts of bleeding
HTN
Involuntary seepage
Prolapse
Pregnancy
Immunocompromised
Thrombosis
Black tarry stools
Moderate to severe itching/burning
Inflammation, swelling, and major discomfort
Minor sx that do not respond to 7 days of self treatment
Lactating
What are all the exclusions to self care for intestinal gas?
If sx persist more than several days
If sx persist occur more than occasionally
Severe debilitating sx
Sudden change in location of abdominal pain
Diabetes
Significant increase in frequency or severity
Onset in individuals >40 years old
Pregnancy
Sudden change in bowel function
Severe or persistent diarrhea or constipation
HTN
GI bleed
Severe fatigue
Unintentional weight loss
Frequent nocturnal sx
Lactating
Who is eligible for self treatment?
Pt with intestinal gas that is 2 years old
Pt with intestinal gas who is 45 years old
Pt with intestinal gas with bad stomach pain
Pt with intestinal gas who is pregnant
Pt with intestinal gas who has diabetes
Pt with intestinal gas who is very constipated
Pt with intestinal gas who has sx every night
Pt with intestinal gas for 3 days
Who needs to be referred?
Pt with intestinal gas that is 2 years old
Pt with intestinal gas who is 45 years old
Pt with intestinal gas with bad stomach pain
Pt with intestinal gas who is pregnant
Pt with intestinal gas who has diabetes
Pt with intestinal gas who is very constipated
Pt with intestinal gas who has sx every night
Pt with intestinal gas for 3 days
Pt with intestinal gas who has thrown up
Pt with intestinal gas frequently
Who is eligible for self treatment?
Pt with an anorectal disorder who is 16
Pt with an anorectal disorder who is 4 years old
Pt with an anorectal disorder who is pregnant
Pt with an anorectal disorder who has seepage
Pt with an anorectal disorder who has moderate itching
Pt with an anorectal disorder who has mild pain
Pt with an anorectal disorder who has Crohns disease
Pt with an anorectal disorder who has diabetes
Who needs to be referred?
Pt with an anorectal disorder who is 16
Pt with an anorectal disorder who is 4 years old
Pt with an anorectal disorder who is pregnant
Pt with an anorectal disorder who has seepage
Pt with an anorectal disorder who has moderate itching
Pt with an anorectal disorder who has mild pain
Pt with an anorectal disorder who is 50 years old
Pt with an anorectal disorder who has Crohns disease
Pt with an anorectal disorder who has diabetes
Pt with an anorectal disorder and a family history of colon cancer
What are all the exclusions for self treatment for nausea and vomiting in adults (not NVP)?
Urine ketones and or high BG with signs of dehydration in pts with DM
Suspected food poisoning that has not cleared up in 24 hours
Patient <4 years old
Severe abdominal pain in middle or lower right quadrant
N/V with fever and or diarrhea
Severe upper right quadrant pain
Blood in vomitus
HTN
Yellow skin or eye discoloration and dark urine
Stiff neck with or without headache and sensitivity to light
Head injury, blurry vision, or numbness and tingling
Glaucoma
BPH
Chronic bronchitis
Emphysema or asthma
Pregnancy
N/V with headache
Lactating
N/V caused by cancer chemotherapy or other conditions
Drug induced, psychogenic induced, or chronic disease induced N/V
Who is eligible for self treatment?
Pt with N/V that has a headache
Pt with N/V who is 2 years old
Pt with N/V who is 50 years old
Pt with N/V who has a fever
Pt with N/V who has diarrhea
Pt with N/V with stiff neck
Pt with N/V who has diabetes
Pt with N/V with HTN
Pt with N/V who has asthma
Pt with NVP
Pt with N/V that is 4 months old
Pt with N/V who is 8 months old
Who needs to be referred?
Pt with N/V that has a headache
Pt with N/V who is 2 years old
Pt with N/V who is 50 years old
Pt with N/V who has a fever
Child with N/V continuous over 8 hours
Pt with N/V with stiff neck
Pt with N/V who has diabetes and is a child
Pt with N/V with HTN
Pt with N/V who has asthma
Pt with NVP
Pt with N/V that is 4 months old
Pt with N/V who is 8 months old
What are all the exclusions for self treatment for atrophic vaginitis?
Pregnancy
Sx of severe dryness or bleeding
Sx that are not localized
Sx not relieved by personal lubricants
Diabetes
HTN
What are all the exclusions for self treatment of dysmenorrhea?
Severe dysmenorrhea
Sx inconsistent with primary dysmenorrhea
HTN
History of PID, infertility, irregular cycles, endometriosis, ovarian cysts
Use of IUC
Patient >40 years old
Allergy or intolerance to NSAIDs
Use of warfarin, heparin or lithium
Diabetes
Active GI disease
Bleeding disorder
Patient <12 years old
What are all the exclusions for self treatment for PMS?
Severe PMS
PMDD
Uncertain pattern of sx
Diabetes
Patient age <12 years old
Onset of sx coincident with use of OC or HT
Who is eligible for self treatment?
Pt with dysmenorrhea who has diabetes
Pt with dysmenorrhea who has PUD
Pt with dysmenorrhea who is on heparin
Pt with dysmenorrhea who is on OC
Pt with dysmenorrhea who is on pantoprazole
Pt with dysmenorrhea who has HTN
Who needs to be referred?
Pt with dysmenorrhea who has diabetes
Pt with dysmenorrhea who has UC
Pt with dysmenorrhea who is on warfarin
Pt with dysmenorrhea who is on OC
Pt with dysmenorrhea who has secondary dysmenorrhea
Pt with dysmenorrhea who has HTN
What are all the exclusions to self treatment for VVC?
Pregnancy
Patients age <12 years old
Fever
Pain in pelvic area
Pt with HTN
Lower abdomen pain
Pain in back or shoulder
Pt on corticosteroids
Pt with 2 infections a year
Pt on antineoplastics
Diabetes
HIV infection
Pt with 3 or more infections a year
Pt with previous infection in past 2 months
First vulvovaginal disorder
Patient age >40 years old
Who needs to be referred? (Vulvovaginal disorders)
Pt with malodorous discharge
Pt with thick white discharge
Pt who is 11 years old
Pt who is 40 years old
Pt with HTN
Pt with diabetes
Pt who is pregnant
Pt who has had VVC 3 months ago
What are all the exclusions for self treatment of fungal skin infections?
Causative factor unclear
Unsuccessful initial treatment
Pregnancy
Worsening of condition after treatment
Nails or scalp involved
Face, mucous membranes or genitalia involved
Signs of possible secondary bacterial infection
HTN
Excessive exudation
Condition debilitating
Fever
Malaise
Itchy skin
Diabetes
Systemic infection
Immune deficiency
Who is eligible for self treatment?
Pt with fungal infection on feet
Pt with fungal infection on nails
Pt with fungal infection with diabetes
Pt with fungal infection who is pregnant
Pt with fungal infection who is 12
Pt with fungal infection with yellow ooze
Pt with fungal infection with a fever
Pt with a fungal infection who is 2
What are the exclusions for self treatment for otic conditions?
Signs of infection
Pain with ear discharge
Bleeding or signs of trauma
Pregnancy
Abrupt hearing loss
Pt age <12 for water clogged ear
Ear surgery within past 6 weeks
Tympanostomy tubes present
Using q tips to clean occasionally
Incapable of following directions
Hypersensitivity to recommended agents
Pt age <12 for impacted cerumen
Who is eligible for self treatment?
Pt with gradual hearing loss
Pt who is 8 and has impacted cerumen
Pt who had ear surgery 2 months ago
Pt who went swimming and ears are clogged
Pt who has ear discharge
Pt with clogged ears who is pregnant
What are all the exclusions to self treatment for ophthalmic disorders?
Eye pain
Abrupt change in vision
HTN
Sensitivity to light
Hx of contact lens wear
Blunt trauma to eye
Chemical exposure
Diabetes
Pregnancy
Heat exposure
Sx persist >72 hours
S/s of infection
Who needs to be referred?
Pt with dry eyes after wood working
Pt with dry eyes after being outside
Pt with dry eyes and red thickened eyelids
Pt with crusty eyes in the morning
Pt with itchy eyes that are watery
Pt with itchy eyes after wearing contacts
What are the exclusions for self treatment of atopic dermatitis?
Age <1 year old
Age <2 years old
Moderate to severe condition
Intense itching
Pregnancy
Involvement of large BSA
Skin appears to be infected
HTN
Involvement of face
Involvement of intertriginous areas
Who is eligible for self treatment?
Pt with itchy dry skin who is 4 years old
Pt with itchy dry skin on elbows
Pt with itchy dry skin on hands
Pt with itchy dry skin on face
Pt with itchy dry skin all over arms
Pt with itchy dry skin that is crusty
What are the exclusions to self treatment for dandruff and seborrheic dermatitis?
Worsening of sx
Area >5% BSA
Involvement of face
No improvement after 2 weeks of OTC med use
Presence of joint pain
More than a few lesions
Lesions larger than a quarter
Pregnancy
Age <2 years old
HTN
Asthma
What are the exclusions to self treatment for psoriasis?
Worsening of sx
Area >5% BSA
HTN
Involvement of face
No improvement after 2 weeks of OTC med use
Presence of joint pain
More than a few lesions
Lesions larger than a quarter
Pregnancy
Age <2 years old
Asthma
Who is eligible for self treatment?
Pt with white flakes on head
Pt with yellow greasy scales in hair
Pt with silvery scales on elbows
Pt with red plaques with small bleeding points
Pt with silvery scales on face
Pt with dandruff who is 1 year old
Pt with silvery scales over whole legs
Pt with yellow greasy scales in beard
What are the exclusions for self treatment of ICD and ACD?
Present >1 week
Non urushiol ACD >10% BSA
Age <1 year old
Presence of numerous bullae
Extreme itching, irritation, or severe vesicle formation
Age <2 years old
ICD >10% BSA
Pregnancy
Swelling of the body
Discomfort in genitalia
Involvement of the mucous membranes of the mouth, nose, eyes, or anus
Signs of infection
ICD >20% BSA
Urushiol ACD >20% BSA
Failure of self management after 7 days
Impairment of daily activities
Involvement of face, scalp, or neck
Diabetes
What are the exclusions to self treatment for diaper dermatitis and prickly heat?
Lesions present >1 week
Lack of improvement in 1 week
Lesions present >3 days
Secondary infection
Presence of diaper derm outside diaper region
Possible UTI or disfigurement
Broken skin
Occasional crying
Onion skin like appearance/bulla
Oozing at lesions
First time with sx
Chronic lesions
Systemic symptoms
Behavioral changes
Comorbid conditions
Age <1 year old
Exclusions for self treatment of lice
Hypersensitivity to OTC pediculicides
Ragweed or chrysanthemum allergy
Secondary skin infection
Present for >1 week
Age <2 months for pyrethrins
Lice in eyelids or eyebrows
Age <2 years for permethrins
Regional resistance to pediculicides
Age <2 years old for pyrethrins
Age <2 months for permethrins
Exclusions for self treatment for insect bites
Hypersensitivity
Systemic symptoms
Age <1 year old
Age <2 years old
Hx of tick bite
Suspected spider bite requiring attention
Age <12 year old
S/s of infection
Pregnancy
Itching
Exclusions for self treatment of insect stings
Hives, excessive swelling
N/V
Pregnancy
Weakness
Difficulty breathing
Significant allergic response
Previous sting by honeybee, wasp, or hornet
HTN
Previous severe reaction
Personal or family hx of severe allergic reactions
Age <2 years old
Age <1 year old
Exclusions for self treatment for acne
Moderate to severe acne
Exacerbating factors
More than 25 papules
Mechanical irritation
Possible rosacea
Mild acne
25 papules or less
4 pustules or less
More than 4 pustules
Pregnancy
Age <12 years old
Diabetes
Exclusions for self treatment for tobacco cessation
Series heart disease
Uncontrolled HBP
Diabetes
Pregnancy
Age <18 years old
Active PUD
Breastfeeding
Headache
Exclusions for self treatment for headaches
Cluster headaches
Secondary headaches
Tension headaches
Sinus headaches
Undiagnosed migraines
Diagnosed migraines
Severe head pain
Concerning change in headache pattern
Diabetes
Headache that persists for 10 days with or without treatment
Age <8 years old
High fever/signs of infection
Neck stiffness
Neurologic change
Age <12 years old
High risk comorbid condition
Last trimester of pregnancy
New headache in pregnancy
Consumption of 3 or more alcoholic drinks per day
Hx of liver disease
Exclusions for self treatment of fever
Pts >3 mo with rectal temp of 104F or higher
Pts <3 mo with rectal temp of 100.4F or higher
Severe sx of infection
Risk of hyperthermia
Diabetes
Impaired oxygen utilization
Impaired immune function
CNS damage
Child with hx of febrile seizures
Age <4 years old
Pt >2 years with fevers that persist >3 days with or without treatment
Pt <2 years old with fever that persists >24 hours
Child who develops spots or rash
Child who refuses to drink any fluids
HTN
Child who is very sleepy, irritable, or hard to wake up
Child with repeated diarrhea
Fevers that repeatedly rise above 104F rectal in a child of any age
Child with stiff neck
Pregnancy
Exclusions for self treatment of musculoskeletal injuries
Severe pain (>6)
Pain that lasts >10 days
Pain that continues >7 days after treatment with a topical analgesic
Increased intensity or change in character of pain
Diabetes
Pelvic or abdominal pain
N/V
Fever
S/s of systemic infection
Visually deformed joint, abnormal movement
Weakness in any limb, numbness
Suspected fracture
HTN
Pregnancy
Age <2 years of age
Back pain and loss of bowel or bladder controls
Exclusions to self treatment for colds
Fever with rectal temp of 101.4F and higher
Chest pain
Age <8 years old
SOB
Worsening of sx or additional sx in self treatment
Underlying chronic cardiopulmonary diseases
Pregnancy
AIDS or chronic immunosuppressive therapy
Frail patients of advanced age
Infants 3 months or younger
Hypersensitivity to recommended OTC meds
Diabetes
Exclusions for self treatment for allergic rhinitis
Age <12 years old undiagnosed
Age <12 years old diagnosed
Pregnant or lactacting women undiagnosed
Pregnant or lactating women diagnosed
HTN
Sx of nonallergic rhinitis
Sx of otitis media, sinusitis, bronchitis, or other infection
Sx of undiagnosed or uncontrolled asthma, COPD, or other respiratory disorder
Severe or unacceptable side effects of treatment
Diabetes
Exclusions for self treatment of cough
Age <8 years old
Difficulty breathing
SOB
Cyanosis, dyspnea, hemoptysis
Weight loss
Night sweats
Cough that worsens after 3-5 days
Pregnancy
Cough that does not subside after 2-3 weeks
Age <4 years old
Rectal temp of 101.4F or higher
Rectal temp of 101F or higher for >3 days
Barking or whooping cough
Cough that begins suddently without fever or URI sx
Immunocompromised pts
HTN
Hx of TB exposure
Risk factors for HIV
Chronic illness
Diabetes
Exclusions for self treatment for insomnia
Insomnia that lasts 1 month or more
Age <12 years old
Age >65 years old
Pregnant
Breastfeeding
Frequent nocturnal awakenings
Diabetes
Frequent early morning awakenings
Insomnia that lasts 3 months or more
SLeep disorder secondary to another disorder
Significant sleep disturbance
HTN
{"name":"PhPr812 Final Exam Exclusions Quiz", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"What are all the exclusions for heartburn and dyspepsia?, Who is eligible for self treatment?, Which patients should be referred?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
More Quizzes
The group in ten years
10511
What type of House are you?
10563
Rapid Fire
231223
Welche Farbe hat
100
Can You Solve Prime Factorization Problems? Take the
201047682
Quiz: Questions to Ask Soccer Players & Test Your Skills
201021904
How to Choose Contour Shade: Take the Perfect Shade
201025491
Am I Bad at My Job - Discover Your Work Habits Now!
201021332
East Asian Civilizations
15819279
Famous Figures of the 1920s - Can You Ace It?
201046759
Think You Can Ace Our Ionic Compound?
201022678
How Well Do You Know Wisconsin? Try the State Trivia!
201036025