Bio Med - Day 3b

Question 1

What is the most common inherited bleeding disease

Answer 1

Von Willebrand’s Disease

Question 2

What does Hemophilia A arise from

Answer 2

Factor VIII deficiency

Question 3

It is important to remember that Hemophilia is X linked…what does this mean

Answer 3

That the males will more likely inherit the disease

Question 4

An inherited disorder that affects connective tissue

Answer 4

Marfan Syndrome

Question 5

Endometriosis can be visualized by

Answer 5

Laparoscopy

Question 6

The most common cause of infertility in woman >30

Answer 6

Endometriosis

Question 7

Dysmenorrhea, cyclical pelvic pain, pain during intercourse, rectal pain are all signs and symptoms of what condition

Answer 7

Endometriosis

Question 8

Non-cyclic pain, menorrhagia, enlarged uterus (boggy and big) are signs and symptoms of what condition

Answer 8

Adenomyosis

Question 9

Associated with retained products of conception following delivery, miscarriage, abortion of a foreign body such as an IUD

Answer 9

Endometritis - inflammation of the endometrium

Question 10

Most common benign tumor of the female genital track

Answer 10

Fibroids - Uterine Leiomyoma

Question 11

Signs and Symptoms of Uterine cysts

Answer 11

Heavier than normal menstrual bleeding; pressure in the pelvic area (bloating/constipation/rectal pressure and pain); Pain; firm, non-tender, irregular enlarged lumps/bumps in the uterus

Question 12

Risk factors of Aortic Aneurysm

Answer 12

Hypertension
High Cholesterol 
Other vascular disease
smoking
family history
gender (males>females)
Age

Question 13

Signs and Symptoms of Aortic Aneurysm

Answer 13

usually asymptomatic, and can accidentally sho up on a scan for something else

Pulsatile Abdominal masses OR abdominal bruits

A ruptured aneurysm leads to hypertension, and severe tearing abdominal pain that radiates to the back

Question 14

Surgical candidate for Aortic Aneurysm

Answer 14

If it is more than 5.5cm for abdomen and 6cm for thoracic

Question 15

Aortic Aneurysm is most commonly associated with what other condition

Answer 15

Artherosclerosis

Question 16

Aortic Dissections are most commonly associated with

Answer 16

Hypertension

Question 17

Asymmetrical Pulses and Blood pressure measurements are indicative of what condition

Answer 17

Aortic Dissection

Question 18

4 muscle of the Rotator Cuff

Answer 18

SItS
Supraspinatus
Infraspinatus 
teres minor 
Subscapularis

Question 19

Action of the Supraspinatus

Answer 19

abducts

Question 20

Action of the Infraspinatus

Answer 20

, externally rotates

Question 21

Action of the Subscapularis

Answer 21

adducts, internally rotates

Question 22

What is the Drop Arm Test testing for

Answer 22

Suprispinatus, Rotator Cuff tear

Question 23

What is the Drop Arm Test testing for

Answer 23

Suprispinatus Rotator Cuff tear - must common rotator cuff injury

Question 24

What is the Yergason’s Speed Test used to check for

Answer 24

Bicipital Tenosynovitis

Question 25

Name 3 tests that check for rotator cuff injury

Answer 25

Drop Arm Test
Hawkins Kennedy
Apprehension Test

Question 26

Examiner grasps the patient’s wrist, and passively abducts it to 90 degrees. Examiner releases the patient’s arm with instructions to slowly lower the arm. The patient is unable to lower their arm in a slow/smooth fashion. What test is being done, and what is it testing for

Answer 26

Drop Arm Test

Suprispinatus Tear

Question 27

Cause of Appendicitis

Answer 27

Hypertrophied Lymphoid Tissue
Fecalith
Most patients are between 10-30 years of age
male/female 2:1

Question 28

How will a patient present that has appendicitis

Answer 28

Dull, periumbilical pain lasting 1 - 12 hours that leads to sharp lower left quadrant pain
Nausea
vomiting 
fever 
anorexia

Question 29

What are some of the signs that look to indicate that a patient is experiencing Appendicitis

Answer 29

McBurney’s Sign
Psoas
Obturator
Rovsing’s Sign

Question 30

How to diagnose Appendicitis

Answer 30

Clinical Impression - how do they look, and feel
Fever
Leukocytosis
CT Scan with PO and IV contrast and Ultrasound

Question 31

Treatment for a patient that has Appendicitis

Answer 31

Nothing by mouth - NPO
IV hydration 
analgesia 
antiemetics
antibiotics with gram - coverage 
Surgical intervention - Laparoscopy

Question 32

Acute causes of Pelvic Pain “A ROPE”

Answer 32

Appendicitis 
Ruptured Ovarian Cyst 
Ovarian Torsion/Abscess
Pelvic Inflammatory Disease 
Ectopic Pregnancy

Question 33

What type of pain does Biliary Colic cause

Answer 33

RUQ pain

Question 34

What type of pain does Diverticulitis cause

Answer 34

LLQ pain

Question 35

What are the two type of IBD - Inflammatory Bowel Disease

Answer 35

Crohn’s Disease

Ulcerative Colitis

Question 36

Approximately what percentage of people diagnosed with Anorexia are Woman

Answer 36

90 - 95%

Question 37

The current DSM criteria for binge/purge anorexia requires that a person be at least what percentage below body weight

Answer 37

15%

Question 38

Which artery is the main supplier of blood to the body

Answer 38

Aorta

Question 39

Which blood vessels provides blood to the cardiac muscle

Answer 39

Coronary arteries

Question 40

How often should a woman 40 and over get a breast exam and mammography

Answer 40

Yearly

Question 41

Wrist drop is due to palsy of what nerve

Answer 41

Radial Nerve

Question 42

4 muscles that are part of the quadriceps of

Answer 42

Rectus Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis

Question 43

Tumor Marker for - Cancer types: Multiple myeloma, chronic lymphocytic leukemia, and some lymphomas

Answer 43

Beta-2-microglobulin (B2M)

Question 44

Tumor Marker for - Cancer types: Liver cancer and germ cell tumors

Answer 44

Alpha-fetoprotein (AFP)

Question 45

Tumor Marker for - Cancer types: Choriocarcinoma and germ cell tumors

Answer 45

Beta-human chorionic gonadotropin (Beta-hCG)

Question 46

Tumor Marker for - Cancer types: Colorectal cancer and some other cancers

Answer 46

Carcinoembryonic antigen (CEA)