Associated Clinical Sciences IG Flashcards

Question

Comedone

Answer 1

closed = white head; open = black head

Answer 2

non tender, epidermal cyst/sack

Answer 3

- organism: Beta Hemolytic STREP - red fiery, advancing lesion - elevated ASO titer

Answer 4

- strep association | - bilateral red tender nodules (usually lower extremities)

Answer 5

surface skin injury

Answer 6

DX: Woods lamp + Tinea = Fungus - corpus = body - pedis = athletes foot - cruris = jock itch - capitus = scalp

Answer 7

multiple hypo-pigmented, painless lesions that wont tan

Answer 8

staph infected hair follicle ** man shaving his face **

Answer 9

- HSV infection - small vesicles "cold sores" on the MOUTH or genitals - reactivated during delivery - Tzank Test

Answer 10

aka Shingles - location - DRG (dorsal root ganglion) - blister like lesions that follow the dermatome and NEVER cross midline

Answer 11

aka Fish Skin - increased keratinization

Answer 12

- crusty lesions on corner of mouth - children - staph or STREP

Answer 13

red areas caused by: Moisture, Friction, Warmth

Answer 14

Rough and Thick skin due to CHRONIC DERMATITIS (constantly scratching)

Answer 15

SCALES and whitish lines or puncta

Answer 16

coin shaped rash

Answer 17

red inflammation around nail bed

Answer 18

- life threatening | - multiple bulla blisters all over skin

Answer 19

- herald patch

Answer 20

red amarynth flakey lesions

Answer 21

- caused by mites - grouped vesicles - line furrows ** guy scratching himself **

Answer 22

Dandruff / Cradle Cap (newborns)

Answer 23

Hives / Wheals all over body

Answer 24

autoimmune depigmentation AFTER development!!

Answer 25

depigmentation at BIRTH

Answer 26

Candida Albicans | Oral = thrush (1st sign of HIV patient)

Answer 27

MC skin cx

Answer 28

irregular and flaky (malignant)

Answer 29

most invasive; multicolored (changes colors)

Answer 30

flakey, scaley lesion; precursor to squamos cell carcinoma

Answer 31

acts out conflict WITHOUT REMORSE

Answer 32

act of doing SOMETHING to relieve the stress; ritualistic | ex: handwashing

Answer 33

aka Hysterical Attention seeking

Answer 34

regards no one else as important except self

Answer 35

unfounded beliefs that others want to harm him

Answer 36

argumentative

Answer 37

- Introverted & Withdrawn - Emotionally distant + avoids social interaction - Delusions + hallucinations = schizophrenia

Answer 38

unconscious strategies utilized to cope with reality

Answer 39

MC in alcoholics

Answer 40

act of assigning a feeling or belief to another person, group, or to the outside world ex: blaming someone else for past failure

Answer 41

make excuses; justifying their behavior

Answer 42

exaggerated form of an opposite behavior ex: gay guy goes to anti-gay rally

Answer 43

response to stress is to act immature

Answer 44

exclude from consciousness ex: childabuse

Answer 45

redirecting ones feelings (good or bad) from past from one person to another ex: you remind me of my son, so I will treat you better

Answer 46

channeling negative energy into something acceptable ex: imagining dustin's face on the punching bag and kicking it

Answer 47

- Anxiety - Panic Disorder (repeated anxiety attacks) - Obsessive Compulsive (obsessive = thoughts; compulsive = ritualistic action) - Phobic

Answer 48

- Chronic, cyclic multiple somatic complaints not due to a physical illness - Patient seeks treatment and changes life - More concerned with discomfort than disease

Answer 49

- belief / fear of a non-existent disease

Answer 50

aka Conversion Reaction !!!! - psychological conflict causes physical dysfunction - rapidly appears after trauma - involuntary ex: paralysis, deafness post abuse

Answer 51

Patient UNable to admit she is exaggerating; eating disorder

Answer 52

mood fluctuations

Answer 53

delirium tremens + folate deficiency

Answer 54

amenorrhea

Answer 55

aka Manic Depressive - manic 1st, then depression phase

Answer 56

binge then purge

Answer 57

muscle inhibition

Answer 58

mild chronic depression | "cloud over their head"

Answer 59

perception issue

Answer 60

depression associated with menopause

Answer 61

delusions + hallucinations

Answer 62

cross dressing

Answer 63

treatment for alcoholics by associating drinking with unpleasant consequences

Answer 64

aka Beck Depression Inventory measures severity of depression

Answer 65

Pavlov's Dogs -- salivation association

Answer 66

Skinner -- positive / negative consequences reinforce action

Answer 67

a person's action increases the action ex: picking up a crying baby

Answer 68

showing them something repeatedly to treat phobias ex: afraid of clowns

Answer 69

aka Folstein Test - test for cognitive impairment - dementia screening

Answer 70

inkblot images

Answer 71

Dream analysis as a route to the unconscious mind ``` ID = basic instincts EGO = reality / control SUPEREGO = guilt / consciousness ```

Answer 72

collective unconscious of man

Answer 73

Hierarch of human needs | 5 levels with the highest being self actualization

Answer 74

Classical Conditioning

Answer 75

Operant Conditioning

Answer 76

liver damage - hepatotoxic

Answer 77

Absorbent; | Binds poison and prevents absorption by the GI tract

Answer 78

Aspergillus

Answer 79

decreases xanthine oxidase activity; treats chronic gout

Answer 80

kidney / lung issues

Answer 81

treat ADHD

Answer 82

odor of garlic

Answer 83

sleeping pills --> respiratory depression

Answer 84

muscle relaxant

Answer 85

treats hypertension and arrhythmias

Answer 86

treats asthma

Answer 87

cherry red lips

Answer 88

sweet smell formerly used in fire extinguishers

Answer 89

short term insomnia treatment

Answer 90

analgesic; toxic

Answer 91

treat schizophrenia

Answer 92

increases ACh effectiveness

Answer 93

treat acute symptomatic gout!

Answer 94

affects CNS and heart

Answer 95

anticoagulant medication

Answer 96

increase cardiac contractility

Answer 97

remove lead from blood chelation therapy

Answer 98

makes you vomit

Answer 99

treats anaphylactic shock

Answer 100

treats arthritis RA / OA

Answer 101

stomach pump

Answer 102

treats psychotic disorders + Tourette's

Answer 103

mushrooms + nutmeg

Answer 104

blue gums; basophilic stippling of the RBCs

Answer 105

treat bipolar disorder

Answer 106

strong alkaloid; chemical in soaps and cleaners

Answer 107

S/S: peripheral neuropathies, brain damage, kidney and lung problems

Answer 108

Wood alcohol; CNS depressant

Answer 109

Treats angina in people with coronary artery disease

Answer 110

Calcium channel blocker to treat hypertension

Answer 111

treats pain but NOT inflammation

Answer 112

non steroid anti inflammatory

Answer 113

treats depression

Answer 114

antipsychotic and anti-hypertensive drug

Answer 115

Aspirin -- blood thinners...can result in deafness, bleeding, and Reye's Syndrome!!

Answer 116

barbiturate that is a depressant

Answer 117

selective serotonin reuptake inhibitor -- treats depression

Answer 118

Causes vomiting | "Syrup of Ipe-YAK"

Answer 119

predisposes elderly to falls

Answer 120

Anti-depressant....reuptake inhibitor

Answer 121

anti-coagulant -- can cause internal bleeding | DO NOT GIVE TO SOMEONE WHO IS DEF IN VIT K

Answer 122

chronic respiratory disease

Answer 123

leads to mesothelioma

Answer 124

cotton dust (textile workers)

Answer 125

glass / sand / stone | pottery...granite counter tops

Answer 126

measured in pregnant moms INCREASE = neural tube defects DECREASED = downs syndrome

Answer 127

no menses when it is expected | Correlates with lactation

Answer 128

done for fetal health

Answer 129

deficient in Vit D + Iron

Answer 130

first breast milk

Answer 131

1st stage of labor

Answer 132

painful menses..Causes: Primary - increased prostaglandin Secondary - pathology (endometriosis)

Answer 133

abnormal, painful or prolonged labor

Answer 134

thinning of cervix

Answer 135

decent of the fetal skull to the level of the ischial spines

Answer 136

excessive nausea and vomiting during pregnancy

Answer 137

MC procedure for endometriosis

Answer 138

baby drops into pelvis 2 weeks before delivery and causes abdominal pain

Answer 139

dark streak down midline of tummy during pregnancy

Answer 140

vaginal discharge after delivery | Red --> Yellow --> White

Answer 141

pain in abdomen during OVULATION

Answer 142

more than one delivery of viable infant

Answer 143

Never given girth to a viable infant

Answer 144

first pregnancy with a viable infant

Answer 145

most commonly from Csection - MC complication of childbirth

Answer 146

period of time after the delivery of the placenta to the complete involution of the organs; infection during this time is referred to as PUERPERAL SEPSIS

Answer 147

1st perception by the mother of fetal life

Answer 148

ID's the fetal position (cm) in relation to the spines of the ischium

Answer 149

Menses 3 weeks late and presence of fetal heartbeat (best)!!!

Answer 150

Bluish discoloration of the vagina

Answer 151

softening of the tip of the cervix

Answer 152

softening of the isthmus of the uterus

Answer 153

enlargement of the uterus near the uterine tube over the site of implantation

Answer 154

MC reason for post partum hemorrhage

Answer 155

Early uterine contractions (oxytocin) w/o cervical changes

Answer 156

MC malignancy of the female genital tract

Answer 157

brown hyper pigmentation of the face/mask of pregnancy

Answer 158

placenta malignancy due to abnormal epithelium

Answer 159

herniation of the urinary bladder into the vagina

Answer 160

toxemia of pregnancy caused by hypertension leading to convulsions and death

Answer 161

the fertilized egg most commonly implants in one of the fallopian tubes. Symptoms: - vaginal bleeding - lower abdominal pain - cramping on one side of the pelvis

Answer 162

abnormal endometrial tissue outside teh uterus...can lead to infertility

Answer 163

MC type of post partum infection

Answer 164

small, palpable, tender, bilateral nodules | worse with ovulation and caffeine intake!!

Answer 165

benign tissue in placenta...may become malignant...high HCG

Answer 166

hormonal imbalance causes numerous cysts

Answer 167

``` toxemia of pregnancy; HEP: Hypertension Edema Proteinuria ....basically nephrotic syndrome during pregnancy ```

Answer 168

herniation of the rectum into the vagina

Answer 169

maturation of follicle

Answer 170

Human Chorionic Gonadotropin promotes corpus leuteum health pregnancy test

Answer 171

uterine contractions + milk let down (ejection)

Answer 172

milk production

Answer 173

1: Dilation = contraction --> full dilation; longest stage - -- Bloody Show = release of mucous plug during the FIRST stage of labor 2: Expulsion: full dilation to baby delivery 3: Placental Delivery: baby delivery to placenta delivery (most dangerous to mom) 4: Stabilization: uterus expels any remains

Answer 174

low lying placenta with partial internal os obstruction

Answer 175

Normally placed placenta, detatches from site

Answer 176

Placenta does not separate after delivery (most detrimental to mom)

Answer 177

umbilical cord attached at margin of placenta...insignificant

Answer 178

``` I Normal II Atypical / Benign III Dysplasia / Pre-canc IV In Situ / Non-invasive Carcinoma V Malignancy / Invasive ```

Answer 179

6-8 months

Answer 180

10-14 months

Answer 181

12-18 months

Answer 182

10-15 words at 18 months

Answer 183

post 7-10 days

Answer 184

Dehydration

Answer 185

intracranial pressure (crying a lot)

Answer 186

``` Appearance: color Pulse: heart rate Grimace: muscle tone Activity: reflex Respiration: ``` NEVER BIRTHWEIGHT 1min, 5 min

Answer 187

fuzzy hair on baby skin

Answer 188

bluish, ill defined areas of skin in the butt/scrotum area

Answer 189

born 26th-37th week

Answer 190

white cheesy subsnatce on baby's skin at birth

Answer 191

mild autism

Answer 192

honey, corn syrup, molassess food poisoning in newborn

Answer 193

baby's head is unusual shape...insignfiicant

Answer 194

bedwetting (adjust sacrum, 2,3,4)

Answer 195

baby acne (seborrheic dermatitis)

Answer 196

hemolytic anemia in fetus by transplacental transmission of maternal antibodies to fetal RBCs Ex: mom rh-, dad rh+

Answer 197

delayed growth, microcephaly retardation

Answer 198

protein malnutrition (ascites)...big belly

Answer 199

MC cancer in kids and in downs syndrome

Answer 200

general malnutrition (super skinny)

Answer 201

prickly heat

Answer 202

genetic disorder which creates the enzyme phenlalanine nonfunctional

Answer 203

fetal suffocation

Answer 204

prevents hemorrhage

Answer 205

aka German Measles - 3 days - rash + mild fever - most dangerous to fetus in 1st trimester = birth defects

Answer 206

- 2 weeks - rash + fever - KOPLIC SPOTS + runny nose (coryza) = prodromal stage - bronchopneumonia

Answer 207

vesicles | herpes virus

Answer 208

parotid gland infection --> orchitis

Answer 209

barking cough...worst at night

Answer 210

aka Whooping Cough - Bordetella Pertussis - Most dangerous to infants under 1 year and fatalities are due to bronchopneumonia - Signs: cough + inspiratory whoop + vomiting

Answer 211

gray pseudomembrane on throat | Schick Test

Answer 212

Group A Strep Pyogenes Strawberry Tongue ASO titer

Answer 213

- most basic primitive reflex | - stroking corner of mouth -- food

Answer 214

stimulates oxytocin release

Answer 215

aka Fencer's | Doctor rotates head of a supine baby and the ipsilateral arm and leg extended while the contralateral arm and leg flex

Answer 216

aka Startle Reflex | Flaring of extremities with stimulation of sound

Answer 217

- starts at 3 months | - baby raises head

Answer 218

finger down spine = body extends

Answer 219

while running finger down the ipsilateral paraspinal muscles, the baby will contract to that side

Answer 220

MC geriatric NEUROMUSCULAR complaint

Answer 221

grayish opaque ring around cornea

Answer 222

hardening of lens MC visual complain 40+ cannot see close

Answer 223

inability to hear high frequencies

Answer 224

MC geriatric ENDOCRINE complaint / malfunction

Answer 225

MC anemia in geriatrics

Answer 226

bed sore that requires PROTEIN for healing | MC over the sacrum

Answer 227

Macular Degeneration | ** careful of the wording..

Answer 228

MC type of dementia

Answer 229

Discriminatory treatment of the elderly

Answer 230

glaucoma test (for increases intraocular pressure)

Answer 231

measure blood volume and metabolism

Answer 232

Alcohol abuse | B1 (thiamine) deficiency

Answer 233

urethra opening on top

Answer 234

urethra opening on bottom

Answer 235

foreskin entrapped behind glans penis -- improper circumcision -- ER

Answer 236

painfully erect penis

Answer 237

abnormal passage between 2 organs

Answer 238

small tear in mucosa that lines the anus

Answer 239

collection of pus that accumulated in tissue

Answer 240

transfer of a patient to another doctor without the patients consent

Answer 241

threat of violence = VERBAL

Answer 242

adjusting without consent = PHYSICAL

Answer 243

dispute that is resolved by an unbiased third party and has no appeal process

Answer 244

malpractice cases held

Answer 245

Libel, slandar, etc

Answer 246

Workers comp, FICA, and SS for employees

Answer 247

procedure is explained, understands and agrees

Answer 248

good faith tendering of care at an emergency isnt liable for civil damages

Answer 249

patient is unable to communicate their consent, but life saving interventions are required

Answer 250

false statement in WRITING that harms another

Answer 251

professional negligence

Answer 252

failure to conform to standard of care

Answer 253

where burden of proof lies in a court of law

Answer 254

Employee is responsible for actions of employees

Answer 255

false VERBAL statement that harms another

Answer 256

"best practice"...formal diagnostic and treatment process

Answer 257

when doctor fails to meet standard of care, and treatment / surgery occur

Answer 258

length of time you have to sue for an injury

Answer 259

patient is mentally incapable of understanding procedure or ramifications so consent is given or withheld on their behalf by a legal designate

Answer 260

injured person receives compensation from person whom caused them injury

Answer 261

responsibility is imposed upon one person for failure of another in the case of a special relationship (parent:child or employer:employee)

Answer 262

Pulse: 60-100 BP: 90-140(s)/60-90(d) Resp: 12-20 b/min

Answer 263

Pulse: 80-100 BP: 80-110(s) Resp: 15-30 b/min

Answer 264

Pulse: 100-140 BP: 70-95(s) Resp: 25-50 b/min

Answer 265

Pulse: 120-160 BP: >60(s) Resp: 40-60 b/min

Answer 266

1. Encourage coughing 2. No cough - give FIVE back blows between shoulder blades 3. Give FIVE abdominal thrusts

Answer 267

1. place infant face down along forearm 2. give 5 back blows 3. turn infant face up 4. give 5 chest thrusts (below nipple line)

Answer 268

1. Rise and tilt the head to prepare for ventilation | 2. 30 chest compressions -- 100 per minute(2in depth)

Answer 269

1. Fix head | 2. 30 chest compressions (1.5in depth)

Answer 270

only performed: - unconscious - can see foregin matter

Answer 271

``` C = Circulation...check pulse at carotid artery A = Airway....make sure its clear B = Breathing....tilt head, pinch nose, allow lung relaxation between breathes ```

Answer 272

Adult 12 (1/5sec) Child 20 Infant 20 Newborn 30-60 (1/1-2s)

Answer 273

Hand: above sternum 2 hands Depth: 2in Cycles: 30:2 (1 or 2 rescuers) Rate: 100/min

Answer 274

``` Hand: center of chest Depth: 2in Cycles: 30:2 --> 1 rescuer 15:2 --> 2 rescuers Rate: 100/min ```

Answer 275

``` Hand: two or three fingers on the center of the chest JUST BELOW THE NIPPLE LINE!!!! Depth: 1.5in Cycles: 30:2 --> 1 rescuer 15:2 --> 2 rescuers Rate: 100/min ```

Answer 276

- another responder takes over - you are too exhuasted - scene becomes unsafe

Answer 277

Fractured rib | Punctured lung

Answer 278

Emetic used unless patient is: - unconscious - seizures - pregnant - ingested corrosive substance

Answer 279

Emergency oxygen asap

Answer 280

Poisonous plant: rinse with water 20 mins Dry chemicals: brush off with glove, then flush with tap water Eye: irrigate with water

Answer 281

patient supine with feet higher than head!!

Answer 282

decreased blood volume

Answer 283

trauma to spinal cord / brain

Answer 284

ie: pulmonary embolisum

Answer 285

failure of lungs to transport 02

Answer 286

infection spread releasing toxins

Answer 287

lay victim down with feet elevated and head lower than trunk

Answer 288

Leave object in and cover with gauze; | COVER BOTH EYES: indirect light reflex

Answer 289

basilar skull or cribiform plate fx

Answer 290

Graded by the depth: 1st: Redness - epidermis 2nd: Blisters - epidermis and dermis 3rd: charring of skin

Answer 291

Grade 1: 15-30 mins, no loss of consciousness but have memory lossy, confusion, headache, dizziness Grade 2: 30 mins-entire day; severe grade 1 Grade 3: loses consciousness; intense confusion and memory loss

Answer 292

fast bleeding rate

Answer 293

assess consciousness 1. eye opening 2. verbal response 3. motor response

Answer 294

electrolyte deficiency

Answer 295

cool patient and remove excess clothing | low blood pressure + rapid / weak pulse = shock

Answer 296

``` Cessation of sweating and high body temp Rapid weak pulse Shallow breathing Low BP Throbbing headache ``` ** IMMERSE PT IN COLD WATER TO HIS NECK**

Answer 297

remove wet clothing and dry off. DO NOT: - immerse in hot water - rub extremities

Answer 298

Do not attempt to re-warm area!!! | Soak in warm water

Answer 299

black and blue spots around eyes

Answer 300

cerebral aneurysm -- form of stroke

Answer 301

Head Trauma Deadliest of all head injuries SLOW onset and SLOW bleeding