Final exam Flashcards

1
Q

Productive cough for 2 months; phlegm is clear and cough is worse at night; no fever, SOB, generalized wheezing

A

Bronchitis

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2
Q

Acute cough

A

<3 weeks

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3
Q

Chronic cough with medication

A

ACEI induced

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4
Q

Acute chest pain aggravated by movement and deep inspiration; recently had URI of viral origin; tenderness in ribs; lung sounds clear with guarding on deep inspiration

A

Costochondritis

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5
Q

Hacking white productive cough for 3 months; smoking 1 PPD for 20 years; expiratory wheezes

A

Chronic bronchitis

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6
Q

LLQ abdominal pain, 5 days of hard stool, no N/V, no fever or night sweats

A

Constipation

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7
Q

Inexpensive diagnostic test confirming enlarged heart and pulmonary artery dilation

A

X ray

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8
Q

X ray findings consistent with CHF

A

Cardiomegaly, poor definition of lung fields, darkened opacity in vasculature near sternal border

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9
Q

5 minutes of absent bowel sounds

A

Initiate emergency management

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10
Q

Inflammation of skin

A

Cellulitis

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11
Q

Scaly and patchy lesions

A

Psoriasis

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12
Q

Nevi burning or bleeding

A

Cancer

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13
Q

Pain reproducible with palpation is NOT

A

Acute MI

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14
Q

Children with congenital heart disease will NOT have

A

chronic chest pain

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15
Q

Children with congenital heart disease will complain of

A

SOB, fatigue, discoloration around mouth

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16
Q

Acute pain in scrotum, enlarged edematous and painful scrotum, testes higher in sac

A

Testicular torsion

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17
Q

Mass not moving with cough

A

Possible tumor

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18
Q

Pain in lower abdominal region; abdominal bloating, painful intercourse, irregular abdominal bleeding, left side unilateral sharp pelvic pain

A

Ovarian cyst rupture

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19
Q

Acute knee pain after football game and positive McMurray’s sign

A

Meniscal injury

20
Q

Malaise, fever, tiredness, cervical and epitrochlear lymphadenopathy, gray-white exudates on tonsils, mild splenomegaly

A

Mono

21
Q

Supraclavicular lymph palpable

A

Suspicious for abdominal or thoracic malignancy

22
Q

Strongest pulse in lower extremities

A

Dorsalis Pedalis

23
Q

Chronic lower extremity atherosclerotic disease

A

Red/purple discoloration, decreased pulses, poor circulation

24
Q

50 year old with irregular HR 188

A

A Fib

25
Q

Pain with movement of ear

A

Otitis Externa

26
Q

Accommodation

A

Pupillary changes to light

27
Q

Erythemic tympanic membrane

A

Acute otitis media

28
Q

Stasis dermatitis on right leg and ankle is rusty and edematous

A

Peripheral vascular disease

29
Q

Tinnel test

A

Strike nerve in wrist

Carpal tunnel syndrom

30
Q

Phalen test

A

Carpel tunnel syndrome

Put dorsal surfaces of hands together

31
Q

Neer test

A

Tests for shoulder impingement

Pain during lat raises crossovers

32
Q

Hawkins Test

A

Flex 90 degrees at elbow

Tests for shoulder impingement

33
Q

Empty can test

A

Assesses for rotator cuff injury

34
Q

Lochman’s sign

A

Drop arm test for rotator cuff injury

35
Q

Thomas test

A

Assess for hips

Laying down knee to chest

36
Q

McMurray test

A

Tests for torn meniscus

37
Q

Lachman test

A

Tests for ACL injury

38
Q

Romberg test

A

Tests for balance–close eyes, stand and balance

39
Q

Bradzinski reflex

A

Head lifts off ground when laying flat

Assesses for meningitis

40
Q

Kernig sign

A

Resist straightening knee/leg when flat on ground

Assesses for meningitis

41
Q

Murphy’s sign

A

RUQ pain

Sign of cholecystitis

42
Q

Cullen sign

A

Umbilical bruising–sign of peritonitis

43
Q

Grey turner sign

A

Blue flanks

Sign of peritonitis

44
Q

McBurney’s point

A

Sign of appendicitis if reflex pain

45
Q

Strep throat

A

Fever, exudates on tonsils, swollen tender anterior cervical adenopathy, no cough

46
Q

Rovsing sign

A

Palpate LLQ and feel pain in RLQ–Positive for appendicitis