Assocaited Clinical Science (ACS) Part II (Irene Gold) Flashcards
What is the name of the condition seen in a male that has a congenital defect on the ventral surface of the penis?
Hypospadias (Boots)
What is the name of the condition that is seen in a male that has a congenital defect on the dorsal side of the penis?
Epispadias (Goggles)
What is the condition of Phimosis?
Foreskin cannot be fully retracted over the glans penis
What condition is described as “Foreskin becomes trapped behind/under the glans penis”?
Paraphimosis (“Turtle Neck”)
What is the description of a Hydrocele?
Fluid accumulation around testes
Non Tender
Transillumnate
Can palpate above the mass
What two male conditions of the male genital area are Not Transillumnate?
Scrotal Hernia
Tumor (Seminoma)
In what condition can you not palpate above the mass in a male genital disorder?
Scrotal Hernia
What male genital disorder will there be high levels of Human Chorionic Gonadotropin (HCG) and a Painless nodule?
Tumor (Seminoma)
What is the name of the male genital disorder described as a “Bag of Worms”?
Varicocele
What is often a cause of Varicocele?
Portal Hypertension
What is the name of the male genital condition that is described as “Common, Cutaneous firm, yellow crust”?
Epidermoid Cyst
What male genital disorder has “Reddened testes that are tender and has posterior superior scrotal swelling”?
Epididymitis
What two male genital disorders are Tranillunimate?
Hydrocele
Epididymitis
What is the name of the male genital disorder that occurs from a blunt trauma and is a surgical emergency?
Testicular Torsion
What male genital disorder is seen in adolescents and is classified as painful and swollen?
Testicular Torsion
What are the two characteristics of Cryptorchism?
Undescended testicle
Increased risk of Testicular cancer
What is the term used to describe and erection lasting longer than four hours?
Priapism
What are three things that can cause Priapism?
Erectile Dysfunction Drugs
Central Nervous System (CNS) trauma
Increased intracranial pressure
What is the term for an “Inflamed Penis gland”?
Balanitis
What is the male genital disorder of Peyronie’s?
Crooked erection (“up, up and away”)
What is a term that is associated with Pelvic Inflammatory Disease (PID)?
Salpingitisis
What part of the reproduction system is most effected by Pelvic Inflammatory Disease (PID)?
Fallopian Tubes
What is the main cause of Pelvic Inflammatory Disease (PID)?
Gonorrhea
What are four other causes of Pelvic Inflammatory Disease besides Gonorrhea?
Chlamydia
Candidiasis Yeast
Trichomoniasis
Infections=Prior STD
What kind of stain is Gonorrhea?
Gram-Negative Diplococcus
How is the Gonorrhea organism grown in a lab?
Chocolate Agar Plate
What is the most common symptom of Gonorrhea?
Dysuria (Painful Urination)
What is the most common sign of Gonorrhea?
Green Mucopurulent discharge
What is the most common joint effected in Gonorrhea?
Knee
In Gonorrhea the MC site of Sequelae in each of the following populations:
Men
Women
Newborns
Men: Testicles➡️Sterility
Women: Salpingitisis
Newborns: Blindness
Chlamydia is the causative agent for what two disorders/conditions?
Reiter’s
Ophthalmia Neonatorum
What condition does Chlamydia cause in females?
Pelvic Inflammatory Disease
What condition is seen in males with Chlamydia?
Nothing, Asymptomatic
What is the most common cause of infertility in the United States?
Chlamydia
Which Sexually Transmitted Disease (STD), is more common Chlamydia or Gonorrhea?
Gonorrhea
What is the organism associated with Syphilis?
Spirochete (Treponema Pallidum)
STD transmitted through the placenta?
Syphilis
What is a treatment for Syphilis?
Penicillin
What Sexually Transmitted Disease (STD) is associated with Hutchinson’s Triad?
Syphilis
What is Hutchinson’s Triad?
Interstitial Keratitis
Notched Permanent Incisors (peg)
CN VIII Deafness
STD-Syphilis
What Diagnostic Test are done for a patient with Syphilis?
Darkfield Microscopy
What Labs are ordered in the condition of Syphilis?
Venereal Disease Research Laboratory (VDRL)
FTA/ABS
TPI
What are characteristics of the First Stage of Syphilis?
Hard painless Singular Chancre
How long does the First Stage of Syphilis last?
Up to 8 weeks
What are the three characteristics of Stage Two of Syphilis?
Maculopapular Rash
Condylomata Lata (Flat Warts)
Alopecia
How long does the Second Stage of Syphilis last?
8 weeks to 2 years
What Stage of Syphilis is the most “Transmission”?
Stage Two
What are the three symptoms associated with Stage Three Syphilis?
Tabes Dorsalis (Posterior) Gummas Vascular Damage (Aortic Aneurysm or Aortic Valve Insufficiency)
In what Stage of Syphilis is there no transmission of the disease?
Stage Three
What is the time frame for Stage Three of Syphilis?
Over 25 years; without treatment
What kind of organism causes Trichimoniasis?
Parasite
What kind of Discharge is seen in Trichimoniasis?
Greenish Yellow
Frothy
Foul Smelling
What is another name for Candidiasis?
Moniliasis
What organism causes Candidiasis?
Yeast/Fungus
STD with White Cottage Cheese Discharge seen in the mouth of the vagina?
Candidiasis
What is Candidiasis of the mouth called?
Thrush
What two conditions are associated with Candidiasis?
Diabetes Antibiotic Usage (Probiotics)
What two populations will often bee seen with Thrush?
Immunocomprimised Infants
AIDS Patients
What organism causes Lymphogranuloma Venereum?
Chlamydia
What are two signs/symptoms of Lymphogranuloma Venereum?
Affects the lymph nodes of the groin
Produces Rectal Strictures
What kind of organism is responsible for the condition of Granuloma Inguinale?
Bacterium
What is the incubation time for the bacterium organism of the condition of Granuloma Inguinale?
8-80 days
How does the condition of Granuloma Inguinale present?
Red Beefy Lesions
Nodular, lead to Ulcerations
Where is the condition of Granuloma Inguinale seen at?
Anogenital to Perineal Area
What kind of organism is responsible for the condition of Genital Herpes?
Virus (HSV-2)
What is the appearance of Genital Herpes?
Vesicular clusters
What two things makes Genital Herpes reoccur?
Decreased immunity
Stress
What is another name for Genital Warts?
Condylomata Accuminata
What is the organism that causes Genital Warts?
Human Papilloma Virus (HPV)
What Sexually Transmitted Disease (STD) is linked to Cervical Caner?
Genital Warts
What Sexually Transmitted Disease (STD) has a Papilloma?
Genital Warts
What are four characteristics of a Papilloma?
Painful
Soft
Flesh Colored
Cauliflower Erosions
What organism is linked to the Sexually Transmitted Disease (STD) of Chancroid?
Hemophilus Ducreyi
What Sexually Transmitted Disease (STD) has “Papules that become soft and painful”?
Chancroid
What test is performed on a patient with Chancroid?
Frei Test
What kind of organism is the HIV Virus?
Retrovirus
What is the condition of AIDS often associated with?
Opportunistic Infections
What is one contraindication of a person with AIDS?
Breast Feeding
What are two high risk populations of contacting AIDS?
Homosexual Males
IV Drug users
What two Labs are ordered for AIDS patients?
1-ELISA; Screening test (RNA)
2-Western Blot; Most accurate (Proteins)
What are three associated conditions in AIDS patients?
Pneumocystis Carinii (Fungal Lung) (Most Common) Giardia Lamblia (Diarrhea) Kaposi's Sarcoma
What is the organism in the condition of Molluscum Contagiosum?
Virus
What two populations will you see the condition of Molluscum Contagiosum?
Children
Adults-transmitted via sex
What is the only Sexually Transmitted Disease (STD) that can be transmitted by a fomite?
Molluscum Contagiosum
Fomite-Bath Towel etc.
What are two common locations to see the condition of Molluscum Contagiosum?
Mucosa of the Mouth
Eyelids
What are the characteristics of the condition of Molluscum Contagiosum?
Dome shaped
Flesh Colored or Gray umbilicated papule that becomes pearly white with a cancerous core
What is the size, description and an example of a Macule?
Size: Less the 0.5 cm
Description: Flat
Example: Freckle
What is the size and description of a Papule?
Size: Less that 0.5 cm
Description: Raised
What two conditions are associated with a Papule?
Measles
Syphilis (Solid)
What is the size and description of a Vesicle?
Size: Less than 0.5 cm
Description: Serous Fluid filled
What two conditions are associated with a Vesicle?
Herpes
Chicken Pox
What is the size and description of a Pustule?
Size: Less than 0.5 cm
Description: Pus Filled
What condition is associated a Pustule?
Staph (Bacterial)
What causes the Staph infection in conjuncture with the Pustule?
Furuncle (Infected Hair Follicle)
What population has several Furuncles, usually seen at the base of the hair line?
African Americans
What is the size and description of a Nodule?
Size: Greater than 0.5 cm
Description: Hard, Raised
Grown up Papule
What is the size and description of a Bulla?
Size: Greater than 0.5 cm
Description: Fluid filled
Grown up Vesicle
What condition is associated with a Bulla?
Phemphigus
What is the name of a “Precancerous lesion seen on the mucus membrane that is associated with the use of tobacco products”?
Leukoplakia
What two conditions are “white” in the mouth which one can be scrapped off?
Thrush (Can be scrapped off)
Leukoplakia
What is the location of Acne Rosacea? (3 areas)
Face
Noes
Cheeks
What three things exacerbate Acne Rosacea?
Sunlight
Caffeine
Alcohol
What population is the condition of Acne Vulgaris seen in?
Adolescents
What gland is infected in the condition of Acne Vulgaris?
Sebaceous Glands
How are the Sebaceous Glands of Acne Vulgaris characterized?
Comedones (Blackheads= open, Whiteheads=closed)
Pus filled cyst
What is the name of the most common benign sun induced lesion?
Actinic Lentigo
What are two types of spots seen in the condition of Actinic Lentigo?
Sun Spots
Liver Spots
What are the two most common places to see Actinic Lentigo?
Face
Back of Hands
Areas that get high amounts of sun exposure
What condition is described as “Pitted Erythematous lesion/ulcer of the mouth”?
Aphthous Stomatitis
What are two other terms associated with Aphthous Stomatitis?
Cancer Sore
Yellowish Ulcer
What is a “Carload of Furuncles”? Has the same findings as a Furuncle (Infected Hair Follicle)
Carbuncle
What condition is an “Accumulation of sebum within in a pore”?
Comedone (Acne Vulgaris)
How is the condition of a Epidermal Cyst (Wen) described?
Non-tender cyst that is filled with sebum
What is the organism that is linked tot eh condition of Erysipelas?
Beta Hemolytic STREP
What condition has a “Red Fiery, advancing lesion on the skin”?
Erysipelas
What are two signs/symptoms a patient with Erysipelas will have?
Fever
Elevated ASO Titer
What condition is; A skin reaction usually associated with strep and characterized by bilateral, red, tender nodules?
Erythema Nodosum
What is the term for “Any surface injury to the skin”?
Excoriation
How do you diagnosis Fungal/Mycotic Infections?
Wood’s Lamp
What part of the body is effected if the patient has Tinea Corpus?
Body
What part of the body is effected if the patient has Tinea Pedis?
Athlete’s Foot
What part of the body is effected if the patient has Tinea Ungunum?
Nails
What part of the body is effected if the patient has Tinea Capitus?
Scalp
What part of the body is effected if the patient has Tinea Cruris?
Jock Itch
What part of the body is effected if the patient has Tinea Barbae?
Beard
What kind of infection causes Tinea Versicolor?
Fungal Infection
What is Tinea Versicolor?
Multiple Hypo pigmented
Asymptomatic Lesions
Varying in color from white to brown
Where is one place you can acquire the condition of Tinea Versicolor?
Tanning Beds
What is the name of the condition that is described as “Staph infected hair follicle that presents as a Painful nodule”?
Furuncle
What condition is characterized by small vesicles located on the mouth or the genital region?
Herpes Simplex
HSV 1- Cold Sores (Mouth Region)
HSV 2- Genital Herpes (Genital Area)
When can the Herpes Simplex be reactivated?
During delivery
What test is done in a patient that has the Herpes Simplex?
Tzank Test
What is another term for Herpes Zoster?
Shingles
Where is Herpes Zoster most often found? (2 Locations)
Thoracic Dermatome
Cranial Nerve V; area
In what population is Herpes Zoster exacerbated in?
Immuno-compromised patients
What are two characteristics of Herpes Zoster?
Will not cross midline (Thoracic Outbreak)
Will have pain before outbreak on the skin
Where is Herpes Zoster found?
Dorsal Root Ganglion (DRG)
What is another name for Icthyosis?
Fish Skin
What condition is an “Increase keratinization producing a Non-inflammatory skin lesion”?
Icthyosis
What is the most common organism to cause Impetigo?
Strep
What is the sign of Impetigo?
Crusty (Yellow Honey) lesions
What two locations are common places to see Impetigo?
Corners of the mouth
Hands
What skin condition is very contagious and often seen in children?
Impetigo
What condition is seen in the folds of the skin, that has reddened areas caused by trapped moisture, friction and warmth retained?
Intertrigo
What is the name of the condition that is “Dense, sharply elevated, progressive enlarging/excessive scar with collagenous hyperplasia”
Keloid
What three populations have a high level of Keloids?
African-Americans
Latinos
Asians
What condition has a “Rough thick skin due to constant scratching”(Chronic Dermatitis)?
Lichenificaiton
What is the name of the condition that is an inflammatory pruritic (itching) disease?
Lichen Planus
What are the three characteristics of Lichen Planus?
Papules with:
Shiny
Fine inconspicuous SCALES
Whitish lines or puncta
What condition has a “Discrete coin shaped, ring/annular lesion that coalesces to form patches with ooze and then crust overs”
Nummular Eczema
What condition is “Tender Bacterial (Maybe Fungal) hand/foot infection where the nail bed meets the skin at the side”?
Paronychia
What causes the condition of Pediculosis?
Lice
What are the three locations of the condition of Pediculosis?
Pubic Area- Pubis
Body- Corporis
Head-Capitus
What is the most common population to have the condition of Pemphigus Vulgaris?
Males of Jewish Decent
What is condition that is potentially life threatening condition of bulla (blisters) on the skin”?
Pemphigus Vulgaris
Causes dehydration
What condition has an oval/round lesion called a “Herald Patch”?
Pityriasis Rosea
What is the cause of the condition of Pityriasis Rosea?
Virus
What condition has silver scales on the extensor surface of the knees and elbows?
Psoriasis
What is a transmittable infection caused by mites?
Scabies
What are two characteristics signs of Scabies?
Grouped vesicles
Superficial linea furrows in the groin (Burrow under the skin)
What condition is like dandruff and similar to “Cradle Cap” in newborns?
Seborheic Dermatitis
What causes the condition of Urticaria?
Hive called a Wheal due to an Allergy (Penicillin or Food)
What is the name of the auto immune condition that has an absence of melanocytes (Depigmentation) after development?
Vitiligo
Where is the condition of Vitiligo most commonly seen?
Hands
Feet
Face
What condition has a complete depigmentation (Lack of Melanin) of the entire body observed from birth?
Albinism
Where are two symptoms of Albinism?
Pink Iris
Poor Visual Acuity
What is the organism that causes Yeast Infections?
Candia Albicans
What is the most common skin cancer?
Basal Cell
What Is the Least Invasive Skin Cancer?
Basal Cell
What are four characteristics of Basal Cell
Waxy
Indurated
Rat Bite Appearance (Small area)
Doesn’t Heal
What is the name of the cancer that is a malignant tumor of epithelial cells?
Squamous Cell
What areas usually get Squamous Cell Cancer?
Sun exposed area
What are three terms to describe Squamous Cell?
Irregular
Flaky
Rough area
What is the least common type of skin cancer?
Melanoma
What is the most invasive type of skin cancer?
Melanoma
What skin cancer will be multicolored and be mole like that follows the “ABC’s” of cancer?
Melanoma
What is the term for “Premalignant condition of the skin caused by exposure to the sun”?
Actinic Keratosis
Who is a person who “acts out conflict with out remorse or guilt and struggles to follow rules”?
Psycho/Sociopath
What category is a Psycho/Sociopath fall under?
Antisocial
What personality disorder is described as “thoughts or behaviors that are automatic responses to anxiety or stress”?
Compulsive
What personality disorder is “Attention seeking, aggressive, seductive person who is unable to be deeply involved emotionally”?
Hysterical
What is another term for Hysterical in the Personality Disorders?
Histrionic
What is the definition of Narcissism?
Attention seeking
No one else is important (Self Centered)
Strong Admiration for self
Exhibitionist
What Personality Disorder has the following:
Preoccupied with delusions
Sensitive
Defensive
Suspicion leading to aggression
Unfounded belief that others want to cause them harm
Paranoid
What Personality disorder is describes as “Taking aggressive actions in and indirect manner, argumentative”?
Passive Aggressive
What Personality Disorder has the following: Ungluing of "reason" or emotion Introverted Withdrawn Emotional cold Distant Avoids social interaction Delusions Hallucinations
Schizoid
What Defense Mechanism is described as “Refusal to perceive unpleasant realities”?
Denial
What population most often uses the defense mechanism of denial?
Alcoholics
What Defense Mechanism is “Act of assigning a feeling or belief to another person, group or outside world”?
Projection
What is an example of Projection (Defense Mechanism)?
Cheating Spouse
What Defense Mechanism is described as “Attributing one’s own unacceptable desires and impulses to someone else”?
Rationalization
What Defense Mechanism is described as “Depressed, unacceptable behavior expressed in an exaggerated form or an opposite behavior”?
Reaction Formation
In what population is the Defense Mechanism of Reaction Formation often seen?
Former cigarette smoker
What Defense Mechanism is “a response to stress in which an individual reverts to a less developmentally mature stage”?
Regression
What Defense Mechanism is “unconscious exclusion of painful impulses, desires, or fears from the conscious mind”?
Repression
What is the definition of Transference (Defense Mechanism)?
Redirecting ones feelings (aggression or affection) from one person to another
What Defense Mechanism is “Channeling unacceptable impulses or energy into socially acceptable activates”?
Sublimation
What population uses the defense mechanism of Sublimation?
Alcoholics Anonymous
What are the seven symptoms of an Anxiety Disorder?
Heart Palpitations Increased Heart Rate Shortness of Breathe Sweating Tingling Dizziness Feeling of Impending Doom
What kind of disorder last 15-30 minutes and nothing brings it on?
Panic Disorder
What is a reoccurring intrusive thought or image that seems senseless or unpleasant?
Obsession
What is a Compulsion?
Activity, designed to reduce anxiety that a person feels compelled to repeat with no conscious desire to do so
What is the term for someone who “inflexible, uncontrollably entangled with details and highly repetitive actions”?
Perfectionist
What is Obsession and what is a Compulsion?
Obsession: Thought
Compulsion: Action
When does Obsessive-Compulsive Disorder usually start?
Early adolescence (maybe in childhood)
What is the term for an irrational or unrealistic fear?
Phobia
What is the word for fear of public spaces?
Agoraphobia
What is the definition for Acrophobia?
Fear of Heights
If someone has Astrophobia what do they fear?
Thunder and Lightning
What is the term if someone has a fear of Stars and Celestial space?
Astraphobia
What is the following definition “Psychological conflict that takes on a physical form and no organic evidence exists to explain the symptoms”?
Somatoform Disorder
What condition has multiple chronic complaints but no physically illness is present?
Somatization Disorder
What are three other things to know about a patient with Somatization Disorder?
More concerned with discomfort than disease
Seeks treatment & changes life as a result of symptoms
Symptoms are vague and exaggerated
What is the name of the condition that is an exaggerated pre-occupation with bodily function and fear that one is suffering from a serious disease?
Hypochondriasis
All over Google
What is another word for the Somatoform Disorder of Conversion Hysteria?
Conversion Reaction
What is Conversion Hysteria?
Loss or change of a physical function caused by a psychological conflict
When is Conversation Hysteria often seen?
After trauma
What are the five most common disabilities seen with Conversion Hysteria?
Paralysis Blindness Mutism Deafness Seizures
What are two conditions that fall into the category of Body Dysmorphic Disorder?
Anorexia
Bulimia
What is the definition of Body Dysmorphic Disorder?
Pervasive belief that a body part is misshapen or malformed
What two things may a patient with Body Dysmorphic Disorder avoid?
Mirrors
Social Contact
What condition has the following definition “Severe fluctuation of mood or personality”?
Affective Disorder
What condition is associated with delirium tremens and folate deficiency?
Alcoholism
What are five things a patient with Anorexia Nervosa may have/do?
Severe restriction of calories Fear of being fat/ body image distortion Amenorrhea Excessive exercise Unreasonable fear of gaining weight
What is another term for Bipolar Affective Disorder?
Manic Depressive
What will the behavior a patient with Bipolar Affective Disorder alternate between?
Manic (Highs)
Melancholia (Lows)
When does the condition of Manic Depressive first occur?
Between childhood and the age of 50
What is the average length of both a manic and depressive phase is the condition of Bipolar Affective Disorder?
Manic: Three months
Depressive: Six-Nine Months
What condition will have a preoccupation with food, binge eat and then purge and a body image distortion?
Bulimia Nervosa
What is the name of the condition that is associated with muscle inhibition?
Catatonia
What is a Transvestite?
Cross Dresser
What kind of therapy is associating an action with unpleasant consequences?
Aversion Therapy
What is the name of the test to measure the severity of Depression?
Beck Test/ Beck Depression Questionnaire
21 multiple choice test, of self-report inventory
What is Classical Conditioning?
Two events that occur close together in time and become fused in a person’s mind (i.e. Pavlov’s Dog)
What condition has a definition of “Satisfying reinforcement strengthens a behavior”?
Operant Conditioning