Adult Health II Test 3 Flashcards
pain in right anterior knee that worsens with running or jumping; painful enlargement of the tibial tubercle
Osgood-Schlatter Disease
You should avoid aspirin, sulfa drugs, and fava root when you have
G6PD (glucose-phosphate dehydrogenase deficiency)
tests that include application of mediolateral valgus-varus strain w/the knee in full extension and in 15-20 degrees of flexion are utilized for?
collateral ligaments
____ involves treatment by corticosteroids for decreased platelet production or increased platelet destruction
thrombocytopenia
what is the most definitive when diagnosing gout?
joint fluid analysis
Contraindications for sumatriptan (Imitrex)
CAD, pregnancy, uncontrolled hypertension
which lab test is sensitive for SLE?
ANA
patient in office c/o of lower back pain that radiates to dorsal of foot and great toe, what is this suggestive of?
lumbar disk protrusion L4 to L5
patient w/new onset of depression, increased TSH, what drug to treat?
Synthroid
most non-invasive diagnostic test for aneurysmal subarachnoid hemorrhage?
CT of head w/o contrast
blank staring lasting 3-50 seconds, accompanied by impaired level of consciousness describes?
abcense (Petit mal) seizure
involuntary movements of tongue protrusion and chewing movements is
Dyskinesia
results of CBC show MCV=120 fL indicates which type of anemia?
pernicious anemia (b12 anemia)
ankylosing spondylitis is characterized by
low back pain for 3 months duration, and improvement w/exercise but not rest
pain in sole of right foot located btw 3rd and 4th toe, describes as pebble in shoe
Morton’s neuroma
prophylactic treatment of migraine headache is
propanolol (Inderal)
what maneuver is the most useful in testing for vestibular dizziness?
Dix-Hallpike maneuver
best way to distinguish between different psychiatric disorders?
patient history
what maneuver to test for ankle sprain?
talar-tilt test
when on eliquis, what is most important teaching point for your patient?
do not use NSAIDs or medications w/NSAIDs in them
polymyalgia rheumatica is associated with?
Giant Cell arteritis
which tests the shoulder w/internal rotation at 90 degrees of forward flexion?
Hawkins sign test
iron rich foods are…
liver, oysters, egg yolks, fish, and lean beef
patient presents w/ “shade or curtain that descends over right eye” could signify the patient is having a
Transient Ischemic attack. (carotid TIA)
non-pharmacological treatment of osteoporosis
weight-bearing exercises
medication that is used in the prevention of secondary gout because it enhances urate excretion includes
probenecid
which macrolytic anemia causes numbness in extremities and a sore tongue?
Vitamin B-12 deficiency (pernicious anemia)
Patient is asked to maintain wrists in palmar flexion for full minute which causes pain to patient, this indicates
carpal tunnel syndrome
symptoms of Parkinson’s disease
difficulty initiating involuntary movement, pill-rolling tremor, shuffling gait
patient presents w/headache that she describes as unilateral, pulsating, moderate-severe intensity, w/nausea, photophobia, photophobia
migraine headache
patient has a DEXA scan and it reveals a score of -1.5 which indicates what?
osteopenia
subarachnoid hemorrhage is often called?
thunderclap headache
fibromyalgia causes
persistent widespread pain and 11 of 18 tender points on digital palpation for > or equal to 3 months
pain upon extension of the leg after the hip is flexed at 90 degrees could be indicative of
nuchal rigidity in meningitis
lack of light exposure can be the cause of
seasonal affective disorder
polycythemia vera causes
hyper viscosity, hypervolemia, and sluggish blood flow
when taking Zoloft and patient feels better, they should
continue medication for an additional 6-9 months
when attempting to wean Zoloft, how long should the dose be tampered before quitting completely?
4 weeks
what is the most helpful diagnostic test for seizures?
EEG
first line treatment of tic douloureaux is
carbamazepine, BID
during a simple focal seizure patient will most likely be
conscious
prophylaxis for cluster headaches are
Calcium channel blockers
patient complaining of vision changes (diplopia), pain to temporal area, and pain with chewing could have?
giant cell arteritis
patient complains of pain when taking first step after sitting down for a prolonged period, this could be?
plantar fascitis
test for scoliosis?
Adams forward bend test
which corticosteroid preparation has the LEAST potentency?
solution
patient has started retin-a for obstructive acne 2 weeks ago, and has started to have peeling skin, what would you tell him?
instruct him to use every 3rd night and increase to nightly as tolerated
patient complaining of extreme pruritis, burrow lesions in finger webs what could this be and what to treat it?
scabies, permethrin 5%
smooth dome shaped, flesh-colored papule with central umbilication are?
molluscum
patient has honey colored crusts, what would you prescribe?
mupirocin ointment
patient complains of bug bite a few days ago with redness and a bulls-eye pattern, should ask him if?
he was bitten by a TIC
you should have a patient follow up with dermatologist if you suspect what?
actinic keratosis
if a patient presents with a skin lesion that has variable pigmentation, you would suspect?
melanoma
19 year old patient c/o pruritic macerated areas in his groin for the past few days, this is most likely?
tinea Curtis
what disease causes erythema infectiousum?
parvovirus B19
what is the treatment of choice for erythematous seborrheic dermatitis?
non fluorinated topical steroid lotion
lesion that is greasy and scaly in the nasolabial folds describes
seborrheic dermatitis
use of OCPs are contraindicated in patient’s who have
migraines w/auras
most often called the “suicidal headache”?
cluster headache
most common demyelinating disease of CNS?
MS
7th cranial nerve (facial nerve) paralysis is
Bell’s palsy
Bell’s palsy may be caused by?
lyme disease, herpes virus
treatment for bells palsy if caused by herpes virus?
acyclovir 400 mg 5x/day for 7 days
Trigeminal neuralgia or Tic Douloureux is very painful and involves which cranial nerve?
5th cranial nerve
first line treatment for bipolar disorder?
lithium
positive pain on MTP squeeze test indicates?
morton’s neuroma
maintaining wrists in palmar flexion for 1 min is called a
phelan test
tapping over median nerve at or proximal to wrist crease causes electric shocks or paresthesias in median nerve distribution?
tinel sign
s/s of osteoporosis?
asymptomatic, back pain, loss of heigh, kyphosis
A t-score of <2.5 indicates
osteoporosis
a T-score of >-1 indicates
normal DEXA scan
Dexa scans start at what age, and how often?
65, every 2 years
high RF titer and anti-citrullinated peptide antibody titer (ACPA) indicates?
rheumatoid arthritis
this type of anemia causes production of condoyctes-red blood cells on smear that are thin with overproduction of cell membrane causing “bell-shaped cells” called target cells
thalassemia
deficiency of enzyme that causes destruction of RBCs and can lead to hemolytic anemia w/jaundice?
G6PD
G6PD is diagnosed with the
combes test
what is characterized by a platelet count of <150,000?
Idiopathic thrombocytic purpurea
herpes zoster causes which type of lesions?
grouped vesicles
pediculosis is also called what and is treated w/?
lice, permethrin 1% cream
honey colored crusts
impetigo
which causes erythema, scaling of scalp, and hair loss?
tinea capitis
treatment of tinea capitis is
griseofulvin PO for 4-8 weeks or ketoconazole shampoo
this skin condition gets worse with hot, humid weather or use of skin oils
Tinea versicolor
1st disease
measles
2nd disease
scarlet fever
3rd disease
rubella
4th disease
duke’s
5ths disease
erythema infectiousum
6ths disease
roseola infantum
Koplik spots are associated with?
measles
small white spots with redness around found on the inside of cheeks during early measles infection?
Kopek spots
disease that is caused by staph and produces scaled-looking skin is called
Duke’s disease or fourth disease
red sunburnt looking skin that feels like sandpaper is caused by
scarlet fever (2nd disease)
slapped cheeks rash
erythema infectiosum
if severe symptoms of osgood schlatter disease, what is treatment?
rest, elevation, ice, NSAIDs
gold standard treatment for rheumatoid arthritis
methotrexate
