COMP Flashcards
A 57 year old patient presents with severe stabbing pain in the zygomatic area that lasts a few seconds but recurs throughout the day. This is associated with which disorder
Tic Doulorux
Trigeminal Neuralgia
A patient presents with a diagnosis of ALS. Which exam finding is consistent with this diagnosis
4+ achilles reflex
A patient presents with symmetrical numbness and motor difficulty starting in the feet and progressing to the knees that started 3 days ago. This is associated with which disorder
Guillain barre
A patient presents with ptosis and constant tingling in the 5th digit of the right hand. Before adjusting this patient you take a standard cervical radiographic series. On the AP lower cerv study you visualize a 2 cm homogenous opaque density within the right apex of the lung superimposing the clavicle. What would be the best management plan for this patient
Chest radiographic series with apical lordotic study
A 14 year old male displays difficulty rising from the floor because of weakness. He finally rolls onto his hands and knees and then uses his hands to walk up his own body. This is associated with which disorder
Muscular dystrophy
Which disc level is associated with the agonistic muscle responsible for elbow extension
C6 disc
C7 dermatome
A pt presents with a unilateral limp and pain with a catch in the knee which may lock the joint. The patient denies any trauma. This is associated with which condition
Osteochondritis dessicans
A 28 year old female complains of headaches, cloudy thinking and muscle weakness in the leg for 3 days. She has had a history of similar symptoms 8 months ago which resolved within a few days without treatment. This is associated with which condition
Multiple sclerosis
While stroking the uvula with a tongue depressor, the uvula deviates to the right. This patient is likely to also present with
Hoarseness
A patient presents with sharp, shooting pain which begins in the neck and travels to the bicep muscle. Which pain syndrome applies
Radicular
A 4 year old presents with a thoracic kyphosis deformity, large head to body ration and an abnormally slow growth rate. This child has normal cognitive development. This is indicative of
Achondroplasia
Black tarry stools in a 55 year old male would likely result from which condition
Duodenal ulcer
A 58 year old male presents with weight loss, jaundice and diffuse upper abdominal pain which radiates to the back. He describes dark urine and clay colored stools. He admits to smoking a pack of cigarettes daily. With what condition is this associated
Pancreatic carcinoma
A patient presents with glomerulonephritis. Which of the following would be a positive urinary finding
Increased RBC
Which one of the following is an open ended question during a patient interview
How would you describe the pain?
Hypothyroidism is NOT associated with which of the following
Tachycardia
A 22 year old college student presents with loss of appetite, headache and a temperature of 99.9 for the past 2 days. They have itchy fluid filled blisters that began yesterday on their entire chest but are now also seen on both sides of the face and the scalp. These findings are associated with
Chicken pox
What type of hepatitis is transmitted from child to child in a daycare setting
Hep A
Iron deficiency anemia is indicated by
Decreased MCV
You suspect your 15 year old patient may have an eating disorder in the form of anorexia nervosa or bulimia nervosa. Which UA findings would suggest this
Ketones
A patient complains of intermittent severe red itchy eyes. This occurs mostly while visiting her boyfriend. This is most commonly associated with what form of conjunctivitites
Allergic
Your 52 yo patient complains of sharp burning pain and pressure in the groin. It is felt only when lifting, straining or exercising. He points to palpable swelling in the inguinal area that can only be felt in a standing position. These findings are associated with
Inguinal hernia
When evaluating the ears of a child you observe that the cone of light is seen at 3 o clock and the manubrium appears to be horizontally oriented. You suspect the tympanic membrane is
Retracted
A pt presents with diffuse muscle weakness for the past few months. She describes her diet as strict vegan. What vitamin should she take
Cholecalciferol
A patient presents with a left leaning antalgia with radiating pain down the right leg associated with
Posterior lateral disc on the right
A 35 yo construction worker complains of gradual increase in shoulder pain. Sharp, burning, and intermittent pain. It is aggravated by hanging drywall and relieved by ice and rest. This is indicative of
Supraspinatus tendonitis
Which muscle would be compromised in an avulsion fracture of the less trochanter
Psoas
With the patient in a seated position, the examiner holds the patient’s head in a neutral position while asking the patient to attempt to turn it against resistance. Pain is reported on the right as the patient attempts to rotate his/her head to the left. This is indicative of
Right SCM strain
A patient complains of shoulder pain inferior and lateral to the acromium process. With the arm at their side you hold pressure on the tender spot and abduct the arm. The pain drastically decreases. This is indicative of
Subacromial bursitis
A stanidng patient raises their right knee to waist level. It is observed that the right hip remains lower than the left hip. This is indicative of
Weakness of the left hip abductors
An absolute contraindication to high velocity manipulation includes
Myelopathy
The optimal kVp range for images of the spine is
70-90 keV
X-ray reveals a left convex scoliosis between T10 and L4 with the lumbar body rotation to the right. Name this scoliosis
Left rotatory
A patient is unable to raise their arm away from their side 10-15 degrees. This is likely a p of what muscle
Supraspinatus
The pt presents with a right rotation, right lateral flexion restriction at T7. While correcting this subluxation with a single hand move, the ___ side of the spinous is contacted with __ torque.
Right
CW
When performing motion palpation of the SI joint in a standing position, the doctor contacts both PSISs and asks patient to laterally flex to both sides. The right PSIS moves superior as the patient laterally flexes to teh left. The left PSIS remains level when lat flex to right. This indicates
Right SI joint fixation
Pt presents with a symptomatic grade 2 spondylolisthesis on L5. What is preferred adjustment for this patient
Side posture push contact S2
Pain from an L5 facet lesion will present in the low back and
Posterior SI joints
A 25 yo female patient presents with multiple breast nodules that are foudn bilaterally. The nodules are round, soft, well delineated, mobile and tender. This problem is more painful just prior to menses. What is the condition
Fibrocystic disease
A postmenopausal woman with abdominal ascites, pelvic mass, no uterine bleeding, and result for CA 125 should be considered to have ___ until proven otherwise
Ovarian cancer
Male 42 right sided low back pain and posterior thigh pain
Hip right side of lower back on a ceramic flower pot and then landed on his butt while carrying 50 lb bag of sand
Guarded walk
Antalgic lean forward and sits in tripod position
High BP
Restricted flex and left lat bend with pain in low back
Tenderness and severe muscle spasm T10-L5 right side - severe localized pain right iliolumbar ligament
Positive valsalva, SLR, schepelmanns with right convexity, right murphys
punch
Choose 3 diagnoses from list
Bruised kidney
Lumbar disc herniation
Lumbar TP fracture
Male 42 right sided low back pain and posterior thigh pain
Hip right side of lower back on a ceramic flower pot and then landed on his butt while carrying 50 lb bag of sand
Guarded walk
Antalgic lean forward and sits in tripod position
High BP
Restricted flex and left lat bend with pain in low back
Tenderness and severe muscle spasm T10-L5 right side - severe localized pain right iliolumbar ligament
Positive valsalva, SLR, schepelmanns with right convexity, right murphys
punch
Choose 3 addition screening procedures or diagnostic exams to perform
Kemps
AP and Lateral Lumbar x-ray
UA
A 35 yo male presents with acute left unilateral hearing loss, tinnitus, dizziness and unsteadiness, associated with a constant headache. Exam findings inclue: normal vital signs, sound lateralizes to the right ear in weber’s test. Decreased bone and air conduction in the left ear during Rinne’s test, mittlemyer’s test with the patient turning to the left while marching in place and a negative Rombergs
Choose 3 differentials
Schwannoma
Acoustic neuroma
Menier’s disease
A 35 yo male presents with acute left unilateral hearing loss, tinnitus, dizziness and unsteadiness, associated with a constant headache. Exam findings inclue: normal vital signs, sound lateralizes to the right ear in weber’s test. Decreased bone and air conduction in the left ear during Rinne’s test, mittlemyer’s test with the patient turning to the left while marching in place and a negative Rombergs
Choose three diagnostic procedures
Barany’s whirling chair exam
Brain MRI
Audiometry testing
56 yo male excruciating pain. Had the pain for years, now swelling
X-ray of foot with gout
Choose 3 signs
Bone erosions
Overhanging margin sign
Soft tissue tophi
56 yo male excruciating pain. Had the pain for years, now swelling
X-ray of foot with gout
Choose 3 correct dx
Metabolic arthritis
Deposition sodium monourate crystals
Gout
56 yo male excruciating pain. Had the pain for years, now swelling
X-ray of foot with gout
Choose 3 lab tests
Allopurinol
Uric acid blood test
Dietary modifications
67 yo male presents to office with knee pain and right arm pain. He also has dyspnea, wheezing and hemoptysis. He has smoked a pack a day for 45 years.
X-ray of knee
Choose 3 dx
Narrowed medial tibio-femoral joint
Lytic, destructive lesion
Cortical destruction
67 yo male presents to office with knee pain and right arm pain. He also has dyspnea, wheezing and hemoptysis. He has smoked a pack a day for 45 years.
X-ray of knee
Choose 3 dx
Lytic mets
DJD
Primary lung carcinoma
67 yo male presents to office with knee pain and right arm pain. He also has dyspnea, wheezing and hemoptysis. He has smoked a pack a day for 45 years.
X-ray of knee
3 diagnostic tests
Chest x-ray
X-ray right arm
MRI of knee
