General deck 2

Question 1

Which hemorrhoids are often symptom free unless defecating?

Answer 1

extrenal (thrombosed)

Question 2

Which hemorrhoids are often painful and have bloody defecation?

Answer 2

internal (prolapsed)

Question 3

rectal prolapse:

Answer 3

strain produces donut shaped anus

Question 4

Rectal fissure:

Answer 4

linear tear, bloody defecation

Question 5

Rectal polyps:

Answer 5

firm, palpable growth

Question 6

dull percussion over lung fields equals:

Answer 6

fluid, bacterial pneumonia, CHF, pulmonary edema

Question 7

hyper resonant percussion over lung fields equals:

Answer 7

air, COPD, emphysema, pneumothorax

Question 8

Massive pleural effusion ______ fremitus

Answer 8

decreases, stops lung vibration because fluid is outside the lung

Question 9

Wheezing:

Answer 9

musical rales, crackles, high pitched sound usually indicating asthma

Question 10

Stridor:

Answer 10

inspiratory crowing, highest pitch noise indicating a medical emergency

Question 11

Prolonged expiration:

Answer 11

COPD

Question 12

Respiratory lag:

Answer 12

pneumothorax

Question 13

Friction rub:

Answer 13

pleurisy (rapid, shallow breathing)

Question 14

Friction rub heard in the abdomen indicates:

Answer 14

enlarged viscera

Question 15

All adventitious noises represent:

Answer 15

fluid in the lungs

Question 16

Cheyne stokes:

Answer 16

rhythmical apnea (brain lesion)

Question 17

Biot’s:

Answer 17

aka ataxic respiration, irregular apnea indicating medulla involvement

Question 18

Kussmaul:

Answer 18

air hunger, associated with a diabetic coma, deep breathing

Question 19

Hyperventilation:

Answer 19

rapid breathing, circumoral tingling

Question 20

What is the treatment for hyperventilation?

Answer 20

carbon dioxide (breath into bag)

Question 21

pink puffer and “balloon lungs” are associated with:

Answer 21

emphysema

Question 22

blue bloater:

Answer 22

chronic bronchitis

Question 23

Yellow-green sputum:

Answer 23

bronchiectasis, chronic bronchitis

Question 24

rusty sputum:

Answer 24

pneumococcal

Question 25

red current jelly sputum:

Answer 25

klebsiella

Question 26

foul sputum:

Answer 26

lung abcess

Question 27

pink sputum:

Answer 27

strep

Question 28

pink and frothy sputum:

Answer 28

CHF, pulmonary edema

Question 29

red sputum:

Answer 29

TB, infarct, cancer

Question 30

green sputum, night sweats, general chest pain:

Answer 30

bacterial pneumonia

Question 31

20 years of smoking, prolonged expiration:

Answer 31

emphysema

Question 32

20yo M, rapid onset of pinpoint chest pain after shoveling:

Answer 32

pleurisy

Question 33

60 yo male has chest pain after shoveling:

Answer 33

myocardial infarct

Question 34

dyspnea at night, swelling and crackles:

Answer 34

CHF

Question 35

Proteinuria, pyrexia, WBC casts, and fat oval bodies:

Answer 35

nephrosis

Question 36

Proteinuria, pyrexia, RBC casts:

Answer 36

glomerulonephritis

Question 37

Proteinuria, edema, and hypertension:

Answer 37

eclampsia

Question 38

Elevated IgM, tenderness in RUQ and leukopenia:

Answer 38

acute hepatitis

Question 39

Jaundice, boggy liver, and leukopenia:

Answer 39

chronic hepatitis

Question 40

Elevated GGT, alcoholism, and jaundice:

Answer 40

cirrhosis

Question 41

18,000 WBCs doesn’t indicate:

Answer 41

nephritis

Question 42

Numbness of hands and feet, excessive drinking:

Answer 42

diabetes melitis and PLS

Question 43

20yo w/ anxiety, diarrhea and excessive abdominal bloating:

Answer 43

ulcerative colitis

Question 44

Does diabetes melitis cause PLS?

Answer 44

yes

Question 45

Does alcoholism cause PLS?

Answer 45

yes

Question 46

Does gastritis cause PLS?

Answer 46

yes

Question 47

Does cholecystitis cause PLS?

Answer 47

no

Question 48

Hypospadias:

Answer 48

congential defect on ventral surface (boots)

Question 49

Epispadias:

Answer 49

congential defect on dorsal surface (goggles)

Question 50

Phimosis:

Answer 50

foreskin cannot be fully retracted over the glans penis

Question 51

Paraphimosis:

Answer 51

foreskin becomes trapped behind/under the glans penis

Question 52

Hydrocele:

Answer 52

non-tender, transilluminates, can palpate above mass

Question 53

Scrotal hernia:

Answer 53

does not transilluminate, borborygmi possible, cannot palpate above mass

Question 54

tumor (seminoma):

Answer 54

HCG, often painless nodules, does not transilluminate

Question 55

bag of worms:

Answer 55

dependent edema

Question 56

epidermoid cyst:

Answer 56

common, cutaneous firm, yellow cyst (often multiple in men and women)

Question 57

Epididymitis:

Answer 57

reddened testes, tender, transilluminates, posterior-superior scrotal swelling

Question 58

Testicular torsion:

Answer 58

blunt trauma, painful, swollen, adolescence, surgical emergency

Question 59

Cryptorchism:

Answer 59

non-descending testicle, causes underdeveloped scrotum, increased risk of cancer

Question 60

Priapism:

Answer 60

sustained erection for more than 4 hours

Question 61

Balanitis:

Answer 61

inflamed glans penis

Question 62

What can cause priapism?

Answer 62

erectile dysfunctions drugs, CNS trauma, intracranial pressure

Question 63

Peyronie’s:

Answer 63

Crooked erection

Question 64

Acute prostatitis:

Answer 64

fever, warm, tender

Question 65

Chronic prostatitis:

Answer 65

painful ejaculation

Question 66

Benign hypertrophy:

Answer 66

lateral lobes, boggy, smooth, non-tender

Question 67

Prostate cancer:

Answer 67

posterior lobe, firm, nodular, non-tender

Question 68

Lab tests for prostate cancer:

Answer 68

PSA

Question 69

Diagnostics for prostate cancer:

Answer 69

digital rectal exam, biopsy (more specific than PSA)

Question 70

what hernia can women get?

Answer 70

femoral

Question 71

What hernia can older men get?

Answer 71

direct

Question 72

What hernia can younger men get?

Answer 72

indirect