Bio Med - Day 3a Flashcards

1
Q

Most common cause of Small Bowel Obstruction in children

A

Hernia

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2
Q

Most common cause of Small Bowel Obstruction in adult

A

Adhesion due to scar tissue from surgery

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3
Q

All ideologies of Small Bowel Obstruction

A
  1. Adhesion
  2. Hernia
  3. Neoplasm
  4. Other: Volvulus; Intussuscuception; gallstone ileus; foreign body; Crohn’s disease; cystic fibrosis; stricture; hematoma
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4
Q

Signs and Symptoms to look for in diagnosis of a Small Bowel Obstruction

A
Severe acute abdominal pain
copious emesis (vomiting)
Cramping pain with distal SBO
Fever 
signs of dehydration
positive hypotension
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5
Q

In an exam, when looking for SBO (Small Bowel Obstruction), what are you looking for

A
Abdominal tenderness
Abdominal distension
Visible peristaltic waves
fever
Hypovolemia - plasma portion of the blood is too low 
look for surgical scars
high pitched tinkly bowel sounds
later absence of bowel sounds
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6
Q

Things acupuncturist can do to help with SBO

A

Gentle massage
acupuncture
cupping & moxa
Herbs

***if it’s really severe, surgical intervention is necessary

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7
Q

What condition is a patient experiencing if they have unilateral, colicky flank pain, that radiates to the groin, nausea and vomiting, and hematuria

A

Nephrolithiasis - Kidney Stones

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8
Q

Name 2 complications associated with Kidney Stones

A

Hydronephrosis - A condition characterized by excess fluid in a kidney due to a backup of urine.

Pyelonephritis - Inflammation of the kidney due to a bacterial infection

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9
Q

2 ways to diagnose Nephrolithiasis - Kidney Stones

A

Non contrast Abdominal CT Scan

KUB X-ray (can see 93% of Stones)

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10
Q

One of the best ways to treat and prevent Nephrolithiasis - Kidney Stones is to

A

encourage fluid intake

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11
Q

What are the 5 types of Kidney stones that a patient can have

A

Calcium Oxalate
Struvite
Uric Acid - this type cannot be seen on KUB, just CT Scan
Cystine
Indinavir - (very rare) caused by this drug

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12
Q

What size of stone can pass through the urethra

A

5mm

3cm can be treated by lithotripsy

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13
Q

Entrapment of the ________ nerve at the wrist caused by decrease in space in the carpal tunnel, leading to paresthesias, pain, and occasionally paralysis

A

median

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14
Q

What are some of the reasons Carpal Tunnel Syndrome can arise

A

Over use of Wrist Flexors
Diabetes Mellitus
Thyroid Dysfunction

***often seen in Pregnant Woman and Middle-aged woman

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15
Q

Signs and Symptoms of Carpal Tunnel Syndrome

A

Aching over Thenar area of hand
Paresthesia and numbness i Median Nerve Distribution
Symptoms worse at night
Frequently dropping objects, or inability to open jars

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16
Q

What are the 2 exams used to test for Carpal Tunnel Syndrome

A

Phalan’s Sign test

Tinel’s Sign test

17
Q

56 year old, right had dominant woman presents with a chief complaint of numbness and tingling in her right thumb, index, and long finger. It is worse at night, worse with holding a book or newspaper, and she describes nocturnal awakenings…what is she likely suffering from

A

Carpal Tunnel Syndrome

18
Q

Raynaud’s Phenomenon color change sequence

A

White - lack of blood flow
Blue - lack of oxygen
Red - blood rushing back

19
Q

What type of Virus is HIV

A

Retrovirus

20
Q

Initial diagnostic test for HIV

A

ELISA because of high sensitivity

21
Q

What test is done second for confirmation of HIV

A

Western Blot

22
Q

AIDS is indicated by 1. Having the HIV Infection & a CD4 count of < ___

A

200

23
Q

What virus can be defined as having painful, recurrent vesicular eruption of the mucocutaneous

A

Herpes Simplex

24
Q

HSV type that causes oral lesions

A

HSV 1

25
Q

HSV type that causes genital lesions

A

HSV 2

26
Q

Treatment for HSV

A

Acyclovir

27
Q

Symptoms leading up to an HSV out break

A

Tingling, and pain in the area of out break; lymphadenopathy; fever; discomfort; malaise

28
Q

How is VZV (Varicella-Zoster Virus) transmitted

A

Via. Respiratory droplet, or direct contact

29
Q

Signs and Symptoms of Varicella (Chicken Pox)

A

Malaise
HA
Fever
Myalgia before the rash shows up

30
Q

How does the Zoster virus show up in adults

A

Shingles

31
Q

Where does the virus Varicella live dormant

A

Dorsal Root Ganglia

32
Q

_________ is the nerve pain due to damage caused by the Varicella-Zoster virus. Typically the neuralgia is confined to the dermatomic area of the skin, and follows an outbreak of Herpes Zoster (commonly known as shingles) in the same dermatomic area

A

Postherpetic Neuralgia

33
Q

A disease of the root of a nerve, such as from a pinched nerve or a tumor

A

radiculopathy

34
Q

Approximately how many skeletal muscles are there in the body

A

Over 600

35
Q

At ________ years old, woman should begin ______ self breast exams

A

20

Monthly

36
Q

If a patient is suffering from Bell’s palsy, he or she may also have abnormal taste in the __________

A

Anterior 1/3 of the tongue

37
Q

Gonadotropins, i.e. follicle stimulating hormone (FSH) and luteinizing hormone (LH), are secreted by the

A

Anterior Pituitary