Exam 2-Skin,HEENT,Neck, Cardio, Resp Flashcards

1
Q

What is impetigo?

A
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2
Q

What is impetigo?

A
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3
Q

What is impetigo?

A
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4
Q

Impetigo

A
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5
Q

Impetigo

A
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6
Q

Impetigo

A
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7
Q

Different Headaches

A
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8
Q

Different Headaches

A
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9
Q

Cranial Nerves

A
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10
Q

Cranial nerves

A
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11
Q

Cranial nerves

A
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12
Q

Percussion in emphysema?

A

Hyper resonance

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13
Q

Percussion sound for COPD?

A
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14
Q

Lung sounds for emphysema?

A
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15
Q

Acne vulgaris

A

Androgen dependent sebaceous glands

Excessive amounts of sebum are produced

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16
Q

Acne vulgaris can lead to

A

Comedones
Pustules
Papules
Cystic nodules
Scarring

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17
Q

Acne is the most blank skin condition in the US affecting up to 50 million people annually

A

Most common!

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18
Q

Comedonal acne

A

Preteen early teen
Whitehead closed comedones
No infection

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19
Q

Infllammatory acne

A

Teens early 20s
Pustules
Papules
Minimal scarring
Mild inflammation

Usual infection =inflammatory

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20
Q

Nodulocystic acne

A

Teen
Nodules cysts
Mod- severe inflam
Infect- usually

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21
Q

C. acne’s

A

Instrumental in inflammation

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22
Q

Acne areas affected

A

Face
Upper and back of chest
Upper arms
Shoulders

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23
Q

PCOS begins in

A

Puberty need other lab tests

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24
Q

85% of people age 12-24 report minor acne

A
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25
Q

Acne women

A

Before menses

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26
Q

Boys and men

A

Later onset worse acne severity

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27
Q

Actinic Keratosis (solar keratosis)

A

Scaly lesions due to the sun red Papules or plaques

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28
Q

AK lesions are most common precancerous epithelial skin lesions

A

Can progress to squamous cell carcinoma

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29
Q

65- 100% of AK lesions can progress to

A

Nomelanoma skin cancer within 10 years

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30
Q

AK findings

A

Round or oval raised
Scaly Papules
Flesh colored pink brown or black
Papules or plaques
2 mm-5mm

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31
Q

Possible complications of AK

A

Squamous cell carcinoma in Siri
Squamous cell carcinoma

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32
Q

Atopic Dermatitis

Eczema

A

Chronic skin problem that causes red, patchy, papular, plaque like rash with inflammation

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33
Q

Atopic dermatitis common in patients with other atopic illness

A

Asthma
Allergic rhinitis

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34
Q

Atopic dermatitis

A

Affects 10.7% of children in the US
60% infancy and 12 years old

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35
Q

How to manage atopic dermatitis

A

Maintenance of skin hydration

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36
Q

Cafe Au lait spots

A

Uniform light brown to dark brown maculae’s with sharp margination

Birth or 1st 3 years of life

Birth mark

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37
Q

Cat scratch disease
Bartonella henselae infection

A

Subacute tender lymphadentitis that develops after contact with a cat

99% of cases localized or disseminated

5-13% of cases disease is severe… can lead to
Hepatitis
Neurologic
Stellate rhinitis

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38
Q

Cat scratch disease

A

Common among children 5-9 years old

Most common cause of lymphadenopathy in children and adolescents

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39
Q

Cat scratch disease resolves in

A

2-6 months without treatment

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40
Q

Contact Derm

A

Skin inflammation from contact with irritant

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41
Q

Cause of contact Derm

A

Chemical irritants
Plants poison Ivy
Antiobiotics adhesives

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42
Q

Diaper Dermatitis
Diaper rash

A

Acute inflammation of the skin in the region of the perineum
Butt
Lower abd
Inner thighs

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43
Q

Diaper Derm

A

Irritant
Candidal infection
Atopic Derm
Seborrheic Derm
Erythrasma
Inverse psoriasis
Intertrigo

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44
Q

Diaper Derm

A

Common in peds
Common in adults with urinary and fecal incontinence

45
Q

Prevention of diaper Derm

A

Skin barrier creams

46
Q

Varicella

Chicken pox

A

Contagious viral infection

Pruritic vesicles and Papules

On skin
Scalp
Mucous membranes

Transmitted through inhalation of respiratory membranes

47
Q

Varicella zoster

A

Herpes virus group
Incubation period 14-16 days- after exposure to VZV or herpes zoster rash

48
Q

Varicella zoster

A

Contagious from 1-2 days before rash onset until lesions have crusted

49
Q

Varicella

A

Age 5-9 years

Can occur at any age

Outbreak between January and May

50
Q

I’m pregnant women risk for infection is greatest during first

A

20 weeks of pregnancy

51
Q

Incubation for varicella is 2 weeks

A
52
Q

Patients are contagious for 2 days before the appearance of the rash

A

And until lesions have crusted

53
Q

Varicella vaccine is contraindicated in pregnancy.

A

Pregnancy should be avoided 3 months after vaccine

54
Q

Most infectious varicella

A

2 days prior to rash

Through crusting of all lesions

Patients should be at home until lesions have crusted

55
Q

Varicella

A

Prodrome- fever ha, mailasie
Rash phase-

56
Q

Pediculosis

(Lice)

A

An infestation of the body, head, pubic area by lice

57
Q

Lice

A

Lice feed on human blood

Lice eggs (nuts) survive up to 3 weeks after removal of human host

58
Q

Incubation of lice is

A

about a month

59
Q

Roseola Infantum
(Exanthem Subitum)

Sudden rash
Rose rash
Sixth disease

A

Self limited viral condition

3-5 days of high fever

Blanching maculopular rash lasting 1-2 days

60
Q

Roseola Infantum

A

Human herpesvirus 6 -HHV-6

Similar to cytomegalovirus

Can infect child through saliva

61
Q

Burns

A

Cause chemicals
Thermal
Radiation
Electricity

62
Q

Burns

A

Hot water burns most common cause of abuse

63
Q

Burns

A

Leading cause of death in children

64
Q

Adults vs kids

A

Adults - flame
Children- scald

65
Q

Rule of 9’s

A
66
Q

Normal layers of the skin

A
67
Q

Skin

A
68
Q

Anatomy of the nails and beds

A
69
Q

When do sweat glands occur in children?

A

2nd or 3rd grade

70
Q

Melanoma

A
71
Q

Basal cell carcinoma

A
72
Q

Basal cell carcinoma

A
73
Q

Squamous cell carcinoma

A
74
Q

A
B
C
D
Skin cancer

A
75
Q

Primary vs secondary lesion

A
76
Q
A
77
Q

Pustule
Acne vulgaris

A

Small palpable collection of neutrophils or keratin that appears white

78
Q

Nodule

A

Larger and deeper than Papule

79
Q

Vesicle
Herpes simplex virus

A

Fluid filled

80
Q

Papular rash
Eczema

A
81
Q

People who work outside like farmers should get assessed for skin cancer

A

Once a year

82
Q

Melanoma is the highest mortality rate

A

70% of skin cancer deaths

83
Q

Prevention of skin cancer

A
84
Q

Most likely place to get basal cell carcinoma

A

Face
Neck
Ears

85
Q

Common neck mass

A

Thyroid
Neck mass or goiter

86
Q

It’s not unusual for adults to have a chronic swollen lymph node 1-2 cm in size

A

Lymph nodes acutely swollen have tenderness bacterial or viral

87
Q

Persistent neck masses 40 or greater refer to get it checked out

A

Cervical lymph nodes located neck

88
Q

Pathway of visual fields

A
89
Q

How often should patients see doctor to have eyes checked if they have contacts or glasses

A

Once a year

90
Q

When should patients get checked for glaucoma?

A
91
Q

Cataracts

A
92
Q

Eyesight

A
93
Q

Lazy eye for children nystagmus

A

Age 4-5 years old

94
Q

Drug addict

A

Will have nystagmus too

95
Q

Ears and Nose Anatomy

A
96
Q

Whisper test

A
97
Q

Weber test

A
98
Q

Hearing tests

A
99
Q

Hearing test

A
100
Q

Viral rhinitis

A

Red and swollen

101
Q

Allergic rhinitis

A

Pale and blue boggy

102
Q

Hearing loss

A

Weber- middle of head laterization
Rinne- back of ear - air>bone conduct

103
Q

Resp anatomy

A
104
Q

Characteristic of lung disease

A
105
Q

HtN

A

Silent killer
Family history

106
Q

Acute bronchitis

A

Cough and sputum
Dry or productive
Acute or viral
Burning retrosternal discomfort

107
Q

Heart valves with sounds

A
108
Q

Thrills- cardiac in nature

A

Bruits- vascular in nature