DAY3 Flashcards

1
Q

moderate to severe acute abdominal pain, copious emesis, cramping pain; fever signs of dehydration, hypotension

A

Small Bowel Obstruction

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2
Q

partial SBO vs complete SBO

A

partial will have gas

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3
Q

adhesion (post surgery accounts for 60%), hernia (10 to 20%), neoplasm (10 to 20%)

A

etiology of SBO

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4
Q

leading cause of SBO in children

A

Hernia

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5
Q

signs and symptoms for nephrolithiasis (kidney stones)

A

flank tenderness; pain radiating to the groin; hematuria; n/v

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6
Q

diagnosis of kidney stones

A

CT scan (KUB xray has less radiation and visualizes 93%)

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7
Q

which type of kidney stones can only be seen by CT scan

A

Uric acid are radiolucent

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8
Q

kidney stones < …. in diameter can pass through urethra; stones < —– in diameter can be treated with extrcorporeal shock wave lithotripsy, percutaneous nephrolithotomy, or retrograde ureteroscopy

A

5mm and 3 cm

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9
Q

entrapement of the median nerve at the wrist.. paresthesias, pain and occasionally paralysis.. symptoms worsen at night or when wrists are held in flexion or extension..

A

Carpal Tunnel syndrome.. diagnosed with Tinel’s sign, Phalen’s sign

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10
Q

Tinel’s sign

A

tapping on the median nerve elicits tingling

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11
Q

Phalen’s sign

A

hand’s in prayer elicits pain

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12
Q

which fingers are impacted from carpal tunnel syndrome

A

1st 2nd 3rd and 1/4 4th fingers

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13
Q

fingers go numb, coldness, color changes from white to blue to red…inadequate blood flow, oxygen is depleted in the tissue, blood comes rushing back

A

Raynaud syndrome

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14
Q

testing the rotator cuff supraspinatus for tear

A

Drop Arm test

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15
Q

what is the test for HIV

A

ELISA followed by western blot for specificity

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16
Q

destroys CD4 and T lymphocytes, a retrovirus

A

HIV

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17
Q

how to classify AIDS

A

HIV infection plus CD4 count <200 plus AIDS defining conditions (pneumonia, cryptosporidons)

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18
Q

recurrent oral infections which present as a cluster of crusted vesicles on an erythematous base.. often triggered by sun and fever

A

HSV-1

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19
Q

labial cluster of blisters on an erythematous base

A

HSV-2

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20
Q

tx for HSV

A

oral or IV acyclovir

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21
Q
what class of drug:
Fluconazole, Ketoconazole, Clotrimaole, Miconazole, Itraconazole, VOriconazole
A

antifungal

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22
Q

pruritic lesions in crops over a period of 2 to 3 days, evolving from red macules and crusting over… all over the body except palms and soles

A

varicella (chicken pox)

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23
Q

lesions cropping up along the nerve’s dermatomal distribution… outbreaks are usually preceded by intense local pain and arise as grouped blisterd

A

herpes zoster (shingles)

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24
Q

following an outbreak of herpes zoster

A

postherpetic neuraglia (very painful)

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25
coagulation disorders - in boys, bleeding and arthropathy
Hemophelia A Hemophelia B Hemophelia C
26
Von Willebrand's disease
most common inherited bleeding disorder, autosomal dominant,... treated with DDAVP (desmopressin) heavy menstrual bleeding, excessive gum bleeding, bleeding after injuries
27
Hemophelia A
factor VIII deficiency - spontaneous hemorhage into tissue and joints
28
elongated fingers and arms
Marfan Syndrome
29
cyclical pelvic, rectal pain.. dysmenorhea, painful intercourse (dyspareunia)
endometriosis
30
diagnosis of endometriosis
laporascopy
31
ovaries with endometriosis
Chocolate cyst
32
noncyclical pain plus menorrhagia and enlarged uterus
adenomyosis (endometrial tissue in the muscle of the uterus)
33
retained material of conception following delivery, miscarriage, abortion of foreign body such as an IUD causing inflammation of endometrium
endometritis
34
most common benign neoplasm of the female genial tract
uterine leiomyoma (fibroid)
35
risk factors... hypertension, high cholesterol, vascular diseases, smoking, gender (males > females), age.. most are abdominal, commonly associated with atherosclerosis
aortic aneurysms
36
men 65 to 75 with a history of smoking should be screened...
with ultrasound for abdominal aortic aneurysms
37
what size of aneurysm needs surgical attention..
abdominal >5.5 cm; thoracis >6cm
38
aortic aneurysm are associated wtih..
atherosclerosis
39
tearing/ripping pain in the anterior chest in ascending disection.. interscapular back pain in descending disection..hypertension
aortic dissections
40
muscles of rotator cuff
supraspinatus - abducts infraspinatus - externally rotates teres minor - adducts, externally rotates subscapularis - adducts, internally rotates
41
tests for bicipital tenosynovitis
yergason's test/ speed test
42
most common rotator cuff muscle tear
supraspinatus - abduction of shoulder (test with drop arm test)
43
patients shoulder passively abducted to 90 degrees. patients is instructed to slowly lower arm.. patient is unable
Drop Arm Test
44
treatment: no food, IV hydration, analgesia, antiemetics, antibiotics with anaerobi can gram (-) coverage Dx: fever, mild leukocytosis, CT scan with PO and IV contrast, ultrasound RLQ pain.. mcburney point
appendicitis
45
acute causes of pelvic pain except... 1. Appendicitis 2. Ovarian torsion 3. Pelvic inflammatory disease 4. ectopic pregnancy 5. acute pancreatitis
pancreatitis is epigastric pain...
46
RUQ pain... 1. small bowel obstruct 2. biliary colic 3. apendicitis 4. diverticulitis
biliary colic.. | apendicitis and diverticulits are LQ
47
normal weight or overweight..disturbed body image, extensive measure to avoid weight gain, binge eating
Bulimia Nervosa
48
percentage of anorexia nervosa patients that are women
90 to 95%
49
percentage under body weight for anorexia
15%
50
CN1 (one)
olfactory
51
CNII (two of them)
vision - pupil afferent
52
CNIII
occulomotor - move eye - pupil efferent
53
CNIV
trochlear - move eye
54
CNV
trigeminal - 3 branches
55
CNVI
abducens - move eye
56
CNVII
facial - saliva, tears, bells palsy, ant 2/3 tongue
57
CNVIII
vestibulocochlear - balance, hearing
58
CNIX
glossopharyngeal - 1/3 tongue
59
CNX
vagus - voice swallowing, taste, thoracic and abdomen
60
CNXI
accessory nerve - shoulder head viscera
61
CNXII
hypoglossal - tongue movement, swallowing
62
motor (movement) to SCM and trapezius muscles
CNXI
63
sensory only
CN I, II, VIII
64
parasympathetic nerves
CN III, VII, IX, X
65
``` not related with eye movement: Cranial nerve II Cranial nerve III Cranial nerve IV Cranial nerve VI ```
cranial nerve II is vision but not movement
66
``` innervation to constrict pupil and accomodate eye... CN1 CNII CNIII CNV ```
CNIII.. occulomotor - efferent CN1 - hearing CNII - vision - afferent CNV - trigeminal
67
motor and sensory
CNV, CNV3
68
motor nerves intrinsic and extrinsic of the tongue...
CNXII --- hypoglossal
69
taste from the anterior 2/3 of the tongue 1. CNV 2. CNVII 3. CNIX 4. CNX
CNVII - facial 2/3 tongue
70
taste from posterior 1/3 of tongue 1. CNV 2. CNVII 3. CNIX 4. CNX
CNIX - glossopharyngeal
71
which CN have taste fibers
CN VII, IX, X
72
inflammation of CNVII
FACIAL - paralysis of one side of the face...
73
innervation to most of the abdomen (parasympathetic)
CNX - vagus
74
trigeminal neuralgia is a disorder in CN...
CNV is trigeminal nerve
75
Bells palsy is disorder of CN..
CNVII is Facial
76
Suicide Risk assessment... SADPERSONS
``` S: male sex A: age <19 or >45 D: depression P: previous attempt E: excess alcohol or substance use R: rational thinking loss S: social support lacking O: organized plan N: no spouse S: sickness ```
77
which is incorrect? 1. men complete suicide 3 times more than woman 2. men attempt suicide 3 times more frequently 3. those >75 account for 25% of completed suicides 4. 2/3 of completed suicides are white males
men attempt suicide 3 times more frequently is incorect.. women attempt more but men complete more
78
macule vs. patch
macule is .5 FLAT
79
papule vs plaque
papule is ,.5cm - plaque is >.5cm ELEVATED, PALPABLE
80
vesicle vs bullae
vesicle is .5cm ELEVATED, FLUID FILLED
81
abdominal discomfort with incomplete relief with defecation, intermittent diarrhea or constipation, aggravated by psychological factors
IRRITABLE BOWEL SYNDROME - this is a functional problem IBD Crohn's Ulcerative Colitis these are anatomical problems
82
upper endoscopy vs lower endoscopy
EsophagoGastroDuodenoscopy vs Colonoscopy
83
colonscopy visualizes...
large intestine
84
Coumadin (warfarin) is used for...
inhibits synthesis of Vit K.. clotting
85
female patient presents with myalgias, insomnia, fatigue. 11 of 18 points of triggering pain..
Fibromyalgia Myasthenia gravis is drooping eyelids just above pupils..
86
Fat soluble vitamns.. FADEK
vit A, D, E, K... antioxidant.. A, C, E
87
macrominerals example..
calcium, magnesium, potassium... zinc is micronutrients.. good source is oysters
88
adverse effect of IBProfen (motrin, advil)
GI Bleeding
89
adverse effect of acetaminophen (tylenol)
hepatotoxic.. liver problems
90
blood pressure 220/140 with headache and papilledema (edema in eyeball)
ER reference..
91
proximal muscle weakness, doing the edrophomium test shows immediate relief, ptosis (eyelid drooping)
Myasthenius Gravis
92
instrument to examine external ear canal
otoscope opthalmoscope - eyes sigmoidoscope - sigmoid colon broncoscope - lungs laryngoscope - larynx
93
darkly pigmented skin - John F Kennedy
Addisons disease
94
side effect of lipitor (statin drugs)
myalgia muscle pain... HmgCOA inhibitor which also inhibits COQ10
95
risk factor of osteoporosis 1. cheese 2. fish 3. sun exposure 4. smoking
smoking
96
uterine bleeding in post menopausal women...
uterine cancer
97
when blood pressure falls the kidney releases.....
Renin... part of the RAAS process... renin.. angiotension 1.. angiotension 2.. aldosterone..
98
menorrhagia can lead to.... 1. pernicious anemia 2. iron deficiency anemia 3. vit B9 folic acid anemia 4. vit b12 cobalamin anemia
iron deficiency anemia... macrocystic anemia.. VIT B9 and VIT B12 deficiency
99
african american woman, butterfly malar rash, arthritis, +ANA 1. RA 2. SLE 3. ALS 4. MS
``` 2. SLE systemic lupus.. DOPAMINE RASH Discoid rash Oral Ulcers Photosensitivity Arthritis Malar rash Immunologic criteria Neurologic symptoms Elevated ESR Renal disease ANA + Serositis Hematologic abnormalities ```
100
leading cause of blindness in the united states
diabetic retinopathy gradual vision loss in patients with diabetes progression can be slowed with tight glucose and BP control