224-2 Review Flashcards

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1
Q

Most possible outcome for women with abdominal pain

A

Ectopic pregnancy with hemorrhage/rupture

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2
Q

Male Pt with penis stuck in car door, most likely type of injury that will occur:

A

vascular damage

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3
Q

Cyanosis in the fingers, related to the autoimmune system is a sign of:

A

Raynaud’s Phenomenon

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4
Q

Portal hypertension can cause what

A

Esophageal Varices

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5
Q

Most common mechanism of life threatening GI bleed is :

A

Diverticulitis

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6
Q

Cystitis can cause what in elderly Pt’s:

A

Altered LOC

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7
Q

Excessive vaginal bleeding is considered, more than 1 pad per hour for how long:

A

2-3 hours in a row

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8
Q

COPD can cause uterine prolapse, due to:

A

extra pressure pushing downward

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9
Q

Obesity can cause uterine prolapse, due to:

A

extra weight pushing downward

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10
Q

During pregnancy elevated levels of HCG can cause:

A

nausea

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11
Q

How can you check for Deep Vein Thrombosis in the field:

A

Have the Pt point toes and if the pain/heat radiates to the calf area

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12
Q

Cauda Equina Syndrome is:

A

rare and requires surgery to fix

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13
Q

Sprain is:

A

partial tearing of a ligament, caused by sudden movement of the joint beyond its normal range of motion

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14
Q

Strain is:

A

injury to the muscle or its tendon from overexertion or overextension

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15
Q

Dermatomyositis is characterized by:

A

skin rash that precedes or accompanies progressive muscle weakness

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16
Q

D and C is:

A

a surgically procedure for early stage abortion

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17
Q

PID is:

A

the most common type of infection, hallmark sign is the shuffle step walk, also may see discharge and fever

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18
Q

Menarche is:

A

a females 1st menstruation

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19
Q

3 phases of menstruation:

A

Follicular phase
Ovulatory phase
Luteal phase

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20
Q

PID is caused by:

A

sexually transmitted bacteria, most commonly Neisseria gonorrhoeae (gonorrhea) and Chlamydia trachomatis (chlamydia)

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21
Q

Endometr-ITIS

A

inflammation of the uterine lining usually from infection , - bleeding

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22
Q

Endometr-IOSIS

A

an abnormal gynecological condition characterized by growth outside the uterus

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23
Q

During embarrassing emergencies you should use what type of communication:

A

Therapeutic

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24
Q

Ectopic pregnancy usually happens within the:

A

1st trimester

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25
Q

Rheumatoid Arthritis is:

A

inflammation of the joints that causes swelling, stiffness and loss of function

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26
Q

Renali Calculi is also called:

A

Kidney stone

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27
Q

UTI S&S:

A

Altered LOC
pain during urination
foul smelling urine

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28
Q

Renal failure S&S:

A

requires dialysis
uremic frost
little urine output

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29
Q

Oliguria is

A

urine O-utput is decreased

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30
Q

Anuria is

A

urine stops completely

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31
Q

Trace a bite of food:

A
  1. Mouth
  2. Pharynx
  3. Epiglottis
  4. Esophagus
  5. Cardiac Sphincter (also called the lower esophageal sphincter)
  6. Stomach
  7. Pyloric Sphincter
    8 Duodenum
  8. Jejunum
  9. Ileum
  10. IIeocecal Sphincter
  11. Cecum
  12. Ascending colon
  13. Transverse colon
  14. Descending colon
  15. Sigmoid colon
  16. Rectum
  17. Anal Canal
  18. Anus
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32
Q

Leads II, III, AVf are showing ST elevation you should suspect:

A

Inferior MI, Right side of the heart, effects preload

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33
Q

Murphy’s Sign:

A

Cessation of inspiration during palpation of RUQ, may be a sign of acute cholecystitis

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34
Q

McBurney’s Sign:

A

Anterior-superior iliac spine and umbilicus, may be a sign of acute appendicitis

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35
Q

Grey Turners Sign:

A

Bluish discoloration of the flanks, may indicate pancreatic hemorrhage or AAA

1st coastal to the buttocks

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36
Q

Kerr’s Sign:

A

Left shoulder pain, may indicate rupture spleen or rupture of ectopic pregnancy

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37
Q

Cullen’s sign:

A

Periumbilical bluish discoloration

38
Q

Somatic Pain:

A

Constant pinpoint pain, involuntary guarding, rebound tenderness

common in appendicitis and inflamed/perforated viscus

39
Q

Visceral Pain:

A

cramping or gas like, pain diffuses (hard to localize), early appendicitis
caused by stimulation of autonomic nerve fibers that surround the organ

40
Q

Analgesics w/ abdominal pain:

A

are thought to mask serious signs and symptoms

41
Q

Which type of pain can commonly cause nausea:

A

Visceral

42
Q

Referred Pain:

A

considerably removed from the tissues that cause the pain

43
Q

Biliary pain can refer to where:

A

right subscapular

44
Q

Renal colic pain can refer to where:

A

genitalia and flank area

45
Q

uterine and rectal pain can refer where:

A

lower back

46
Q

leaking aortic aneurysm pain can refer where:

A

lower back and buttocks

47
Q

A late sign of bleeding in the abdomen is:

A

distention

48
Q

Esophageal varices are common in:

A

Alcoholism

49
Q

Tarry stool is a sign of:

A

Upper GI bleed

50
Q

Mallory-Weiss syndrome is:

A

an esophageal laceration that occurs from repeated vomiting or retching, Alcoholism

51
Q

Bright red blood:

A

Lower GI bleed

52
Q

Pyelonephritis is:

A

inflammation of the kidney parenchyma (Upper urinary tract), most commonly caused by lower UTI

commonly mistaken for lower back pain

53
Q

Inflammation of the urinary bladder and ureters

A

Cystitis

54
Q

Cholecystitis

A

Inflammation of the gallbladder, most often associated with gall stones

55
Q

Gastroenter-ITIS

A

Inflammation of the stomach and intestines

56
Q

Gastr-ITIS

A

Inflammation of the stomach

57
Q

Salmonella

A

caused by eating food with salmonella bacteria, usually last 4-7 days, shits and vomiting

58
Q

E coli

A

caused by eating food that has come into contact with fecal matter, causes

59
Q

H. pylori is a common cause of:

A

gastritis

60
Q

Birth Control effects hormones and must be taken:

A

on a regular schedule

61
Q

Pain associated with menstruation is called:

A

dysmenorrhea

62
Q

PID’s are caused by

A

STD’s

63
Q

Intense, localized pain:

A

Somatic

64
Q

Diffuse, crampy pain:

A

Visceral

65
Q

Accessory organ of the gastrointestinal system:

A

Gallbladder

66
Q

Route of gastroenteritis caused by bacteria:

A

Oral/Fecal

67
Q

Bleeding associated with gastritis:

A

Dark to black color

68
Q

Melana:

A

Maroon or tarry colored stools

69
Q

Colitis

A

Inflammation of the large intestine

70
Q

Crohn’s disease is:

A

a chronic inflammatory bowel disease

71
Q

Cause of Crohn’s disease is:

A

Unknown

72
Q

Bleeding from the esophagitis is typically:

A

Grossly bloody emesis

73
Q

Pancreatitis usually presents after:

A

alcohol or a large amount of food

74
Q

Pain associated with pancreatitis often presents:

A

mid-umbilicus to the back

75
Q

Cholecystitis is inflammation of:

A

Gallbladder

76
Q

Cholecystitis most common group:

A

Women 30-50

77
Q

Cholecystitis is frequently associated with:

A

fried or fatty foods

78
Q

Vomiting fecal matter is a sign of:

A

bowel obstruction

79
Q

Most dangerous result of an obstructed bowel:

A

Peritonitis

80
Q

Most serious type of hernia:

A

Strangulated

81
Q

Diverticulitis is caused by a sac pouch that develops in the:

A

colon

82
Q

Diverticulitis symptoms include:

A

Bleeding and LLQ pain

83
Q

HEP-A

A

Oral/fecal

84
Q

HEP-C

A

Blood or serum secretions

85
Q

Hemorrhoids are the result of:

A

Swollen veins in the rectal area

86
Q

Bleeding from a ruptured esophageal varies can expect:

A

Bright red and copious

87
Q

Fluid resuscitation of dialysis Pt:

A

200-300mL

88
Q

Pt with renal failure in cardiac arrest, medical control may order you to:

A

give calcium and sodium bicarb in different IV lines

89
Q

Urinary calculus is more common in:

A

Men

90
Q

Pt getting up to unite more frequently is called:

A

Nocturia

91
Q

Urinary system:

A

Urethra, Ureters, uninary bladder and kidneys