GEN DI Flashcards

1
Q

unilat sluggish pupil, parasympa lesion CN3

A

adie’s pupil

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2
Q

syphillis (prostitutes pupil)

A

argyll robertson

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3
Q

sluggish pupil, hypoadrenalism

A

arroyo sign

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4
Q

inflam of eyelid

A

blepharitis

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5
Q

infection of mebomian gland

A

chalazion

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6
Q

pale conjunctiva

A

anemia

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7
Q

bilateral lid lag

A

exopthalmosis(graves)

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8
Q

increase intraocular pressure

A

glaucoma

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9
Q

crescent sign

A

glaucoma

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10
Q

infxn of sebaceous glands

A

Hordoleum (sty)

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11
Q

pancost tumor is seen in

A

horners

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12
Q

copper/silverwire deform,AV nicking

A

hypertensive retinopathy

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13
Q

flame hemmorage, cotton wool soft exudates

A

hypertensive retinopathy

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14
Q

pupil dilation, ptosis, lat deviation, MS

A

internal opthalmoplegia

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15
Q

seen in AS

A

iritis/uveitis

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16
Q

loss of lat 1/3 eyebrow

A

myxedema

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17
Q

constricted pupils, react & accom

A

miosis

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18
Q

dilated, fixed pupils, anticholinergic drugs

A

mydriasis

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19
Q

increase in intracranial pressure

A

papilledema/choked disc

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20
Q

drooping eyelid

A

ptosis

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21
Q

seen in horners, CN3 paralysis, mya grav, MS

A

ptosis

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22
Q

blue sclera

A

osteogenisis imperfecta

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23
Q

hypercholesterolemia

A

xanthelasma

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24
Q

nearsighted

A

myopia

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25
Q

farsighted

A

hyperopia

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26
Q

benign tumor CN8

A

acoustic neuroma

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27
Q

swimmers ear

A

acute otitis externa

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28
Q

Dx by dix-hallpike

A

benign paroxysmal positional vertigo

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29
Q

retraction of tympanic mem

A

eustachian tube block

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30
Q

prostrating vertigo, tinnitus, sensory hearing loss

A

menieres (endo hydrops)

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31
Q

bulging tymp membrane

A

purelent/bacterial otitis media

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32
Q

weber lateralization to involved? uninvolved?

A

inv=cond un=senso

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33
Q

rinne ACBC?

A

ACBC=senso

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34
Q

pale blue boggy mucous

A

allergic rhinitis

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35
Q

thin,sclerosis,crusty,foul smelling mucosa

A

atrophic rhinitis

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36
Q

red/swollen mucosa

A

viral rhinitis

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37
Q

Cheilosis/stomatitis

A

B2 ribo defic

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38
Q

atrophic glossitis

A

B12 or iron defic

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39
Q

on toungue cant be scraped off

A

leukoplakia

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40
Q

excess GH pre-maturation

A

gigantism

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41
Q

excess GH middle age

A

acromegaly

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42
Q

caused by graves

A

hyperthyroidism

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43
Q

MC caused by hashimoto’s

A

hypothyroidism/myxdema

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44
Q

coarse dry hair/skin

A

hypothyroidism

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45
Q

intolerance to cold

A

hypothyroidism

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46
Q

macroglossia and loss of lat 1/3 eyebrows

A

hypothyroidism

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47
Q

inc t3/t4, dec TSH

A

hyperthyroidism

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48
Q

dec t3/t4, inc TSH

A

hypothyroidism

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49
Q

heat intolerance

A

hyperthyroidism

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50
Q

weight loss, inc appetite

A

hyperthyroidism

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51
Q

weight gain, dec appetite

A

hypothyroidism

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52
Q

periorbital edema

A

hypothyroidism

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53
Q

congenital hypothyroidism

A

cretinism

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54
Q

unila, orbital, temporal. rhinorrhea, red eye

A

cluster headache

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55
Q

occipital, vertex. throbbing, wake up with it

A

hypertension

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56
Q

unilateral with aura

A

classic migraine

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57
Q

basilar area, abrupt onset, excrutiating pain

A

subarachnoid hemorrhage

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58
Q

seen w/ copd and cystic fibrosis

A

barrel chest

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59
Q

funnel chest=

A

pectus excavatum

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60
Q

pidgeion chest

A

pectus carinatum

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61
Q

breathing with resp. acidosis

A

cheyne stokes

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62
Q

breathing with metabolic acidosis, air hunger

A

kussmaul’s

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63
Q

clubbed nails

A

hypoxia, copd

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64
Q

koilonychia

A

spoon nails, iron defic anemia

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65
Q

splinter hemorrhage nails

A

subacute bacterial endocarditis

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66
Q

hyperressonant percussion

A

emphysema, pneumothorax

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67
Q

dull percussion

A

pneumonia, pleurisy

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68
Q

normal diaphrag excursion measurement

A

3-5cm (1.5-2inch)

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69
Q

insp=exp

A

tracheal breathing or bronchovesicular bt 1st&2nd ribs ant or scaps post

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70
Q

ex>insp

A

bronchial breathing over manubrium

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71
Q

Rales occur during

A

bronchitis

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72
Q

Rhonchi occur during

A

bronchiectasis

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73
Q

rusty brown sputum

A

lobar pneumonia

74
Q

silhouette sign, & air bronchogram

A

lobar pneumonia

75
Q

red jelly sputum, cause by klebsiella

A

friedlanders

76
Q

yellow/green sputum

A

TB

77
Q

ghon lesions

A

TB

78
Q

positive tine/mantoux test

A

TB

79
Q

friction rub present

A

pleurisy

80
Q

positive schepelmann’s test

A

pleurisy

81
Q

lung rupture, air trapped in pleural space

A

pneumothorax

82
Q

collapse of lung

A

atelectasis

83
Q

bronchial dilation, chronic productive cough

A

bronchiectasis

84
Q

longterm cough, mucus,cigs

A

COPD/chronic bronchitis

85
Q

curshmann’s spirals, charcot laden crystals

A

asthma

86
Q

deficiency in alpha 1 anti trypsin

A

empysema

87
Q

destruction of elastic pulm connective tissue, dilation of alveolar air sacs

A

empysema

88
Q

shingles

A

herpes zoster

89
Q

bilateral hilar lympadenopathy

A

sarcoidosis

90
Q

fever, nightsweats, intense pruritis, enlarged spleen

A

hodgkins

91
Q

bounding pulse, hyperthyroidism

A

magnus

92
Q

weak/thready- aortic stenosis CHF

A

parvus

93
Q

left vent. failure

A

pulsus alterans

94
Q

aortic regurge aortic stenosis

A

pulsus bisferians

95
Q

dec amp. on insp., inc amp. on exp.: COPD, bronchial asthma, exmphysema, pericardial effusion

A

paradoxus

96
Q

jerky pulse, rapid increase then collapse, aortic insuff

A

water hammer

97
Q

closure of AV valves

A

S1

98
Q

closure SV valves

A

S2

99
Q

ventricular gallop

A

S3

100
Q

atrial gallop

A

S4

101
Q

murmor with low pitch, heard with bell

A

stenosis

102
Q

murmor with high pitch heard with diaphragm

A

regurg

103
Q

diastolic murmors=

A

ARMS PRTS

104
Q

systolic murmors=

A

ASMI PSTI

105
Q

failure to shunt bt. aorta & left pulm artery

A

patent ductus arteriosus

106
Q

continuous machinery like murmor

A

patent ductus arteriosus

107
Q

loud ejection murmor during systole and sever cyanosis

A

tetralogy of fallot

108
Q

constriction of descending aorta. higher BP in upper extremity by 20mm hg vs lower

A

coarctation of aorta

109
Q

proximal stenosis of subclavian artery. females who faint

A

subclavian steal syndrome

110
Q

MC cause left sided HF=

2nd MC cause=

A

MC=hypertension

2nd mc=aortic stenosis

111
Q

right side heart failure by itself lung condition

A

cor pulmonale

112
Q

inc CKMB, LDH, SGOT

A

MI

113
Q

normal atrial depol

A

P wave

114
Q

depol of ventricles, repol of atria hidden here

A

QRS

115
Q

repol of vents

A

T

116
Q

repol of papillary muscles

A

U

117
Q

late intestinal obstruction

A

absent bowel sounds

118
Q

hematemesis

A

vomit blood

119
Q

hemoptysis

A

coughing blood

120
Q

hematochesia

A

blood in stool

121
Q

thiamine defic w/ alcoholism

A

wernicke korsakoff

122
Q

thiamine defic w/o alcohol

A

beri beri

123
Q

food fecal oral hep

A

A

124
Q

dirty needle sex hep

A

B

125
Q

blood transfusion hep

A

C

126
Q

water solu, in with gallstones, hepatic disease, pancreatic cancer,

A

direct bilirubin

127
Q

not water solu, incr w/ hemolytic disease, drugs , spleen disorders

A

indirect bilirubin

128
Q

inc in reticulocyte count (coombs test)

A

hemolytic anemia indirect bili

129
Q

severe RUQ pain

A

cholecystitis

130
Q

murphy SIGN

A

cholecystits

131
Q

grey turner sign

A

bleeding in flank- pancreatitis

132
Q

periumbilical ecchymosis, intraperitoneal hemorrhage, or ruptured ectopic pregnancy

A

cullens sign- pancreatitis

133
Q

where is pancreatic cancer usually

A

head of pancreas

134
Q

clay colored stool, dark urine, jaundice

A

pancreatic cancer

135
Q

post. pituitary gland, insufficient ADH

A

diabetes insipidus

136
Q

palpable tenderness in LUQ

A

hiatal hernia

137
Q

caused by sliding hiatal hernia

A

reflux esophagus

138
Q

coffee ground emesis

A

peptic ulcers

139
Q

black/tarry stiik

A

duodenal ulcer

140
Q

occuly blood in stool

A

guaiac test: duodenal ulcer

141
Q

MC place for gastric carcinoma

A

lesser curvature

142
Q

Epstein barr, downey cells, paul bunnell

A

mono

143
Q

affects distal ileum/colon

A

RI/crohns

144
Q

RLQ pain

A

crohs/appendicitis

145
Q

causes malabsorbtion of B12

A

crohns

146
Q

pain at mcburney’s

A

appendicitis

147
Q

rebound tenderness, psoas sign, obturator sign, rovsings sign

A

appendicitis

148
Q

outpouchings in colon, inadequate fiber

A

diverticulitis

149
Q

LLQ pain

A

diverticulitis

150
Q

moon face, buffalo hump, purple striae, hypertension, hirsutism

A

cushings

151
Q

inc production of adrenal cortex hormone, hyperadrenalism, hypercortisolism

A

cushings

152
Q

decreased aldosterone, hypoadrenalism, hypocortisolism

A

addison’s

153
Q

tumor of adrenal medulla

A

pheocromocytoma

154
Q

murphys test, flank pain

A

nephrolithiasis

155
Q

group A hemolytic strep, RBC casts

A

acute glomerulonephritis/nephritic syndrome

156
Q

nephrotic syndrome in pregnant women

A

pre-eclampsia

157
Q

hypertension,edema,proteinuria

A

nephrotic syndrome(pre-eclampsia in pregnant women)

158
Q

waxy/fatty casts in urine

A

nephrotic sydrome

159
Q

WBC casts, e-coli from UTI

A

pyelonephritis

160
Q

many bilateral renal cysts

A

polycystic kidney disease

161
Q

nitrites in urine, gonnococcal or non gonococcal

A

urethritis

162
Q

bladder inflamm. suprapubic and lbp

A

cystitis

163
Q

malignant tumor of kidney less than 5YO

A

nephroblastoma/wilm’s tumor

164
Q

MC, through ing canal exits ext. inguinal ring into scrotum

A

indirect inguinal hernia

165
Q

heavy lifting/fat ppl, adults over 40, exits directly through ext inguinal ring

A

direct inguinal hernia

166
Q

MC benign breast tumor

A

fibroadenoma

167
Q

20-40yo males, excess smoking, intermittent vasc. claudication, non healing ulcers, gangrene

A

buerger’s/ thromboangitis obliterans

168
Q

Allen’s test

A

raynaud’s

169
Q

incompetant valves, dilated tortuous channels

A

varicose veins

170
Q

superficial dilated blood vessels

A

telangiectasia

171
Q

normal RBC level

A

4-6mill/cm

172
Q

normal hemoglobin

A

15gm%

173
Q

normal Hct

A

42+/- 5%

174
Q

normal MCV

A

90

175
Q

normal MCH

A

30

176
Q

normal MCHC

A

33

177
Q

normal platelets/thrombocytes

A

200,000-350,000

178
Q

normal WBC/leukocyte count

A

5-10k/mm

179
Q
WBC differential
neutrophils
lymphocytes
monocytosis
eosinophytes
basophils
A
neutrophils-60
lymphocytes-30
monocytosis-8
eosinophytes-2
basophils-0
180
Q

Rh+ father Rh- mother

A

erythroblastosis fetalis

181
Q

schilling test

A

pernicious anemia(b12)