General Diagnosis Flashcards

1
Q

what’s the most accurate way to take temperature

A

anal

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2
Q

what’s the most acceptable way to take temperature

A

otic

oral

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3
Q

what temperature changes occur with bacterial and viral conditions

A

bacterial - sustained high

viral - spikes, fevers, chills

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4
Q

what causes absent red light reflex

A

cataracts

retinal detachment

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5
Q

what will increased intracranial pressure cause to the eye

A

papilledema

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6
Q

what condition will caused blurred vision and halos

A

glaucoma

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7
Q

what causes waxy exudates and micro aneurysms in the eye

A

diabetic retinopathy

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8
Q

what causes flame hemorrhages and cotton wool spots in the eye

A

hypertension

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9
Q

what condition causes scintillating scotomas

A

MS

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10
Q

what ear conditions causes a crusty discharge

A

otitis externa

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11
Q

what ear condition causes a bulging tympanum

A

otitis media

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12
Q

what ear condition causes a retracted tympanum

A

serous otitis media

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13
Q

what is a common complication of ear infections

A

meningitis

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14
Q

what if the tympanum appears black? or pearly gray?

A

black - perforation

pearly gray - normal

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15
Q

what causes the eardrum to turn chalky and white

A

otosclerosis

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16
Q

what are sensorineural losses of hearing

A

presbycusis
neuroma
menieres

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17
Q

what are conduction losses of hearing

A

infection
cerumen
otosclerosis

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18
Q

what if the nose appears red

what if the nose appears pale, gray, or blue

A

acute rhinitis

chronic rhinitis

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19
Q

what would cause a clear discharge running from the nose? may contain blood

A

CSF

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20
Q

what would cause a unilateral watery discharge from the nose

A

cribriform plate fracture

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21
Q

how do you compare malignant from benign lymph node

A

malignant - non mobile and non tender

benign - mobile and tender

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22
Q

where does lymph drain

A

right 1/4 of body - right upper

left 3/4 of body - entire lower and left upper

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23
Q

what is epistaxis

A

nose bleed

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24
Q

where does the pancreas live

A

retroperitoneal

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25
Q

what occurs in the head of the pancreas

what occurs in the tail of the pancreas

A

head - pancreatitis and cancer

body - diabetes

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26
Q

what vertebral level is pancreas located

A

T10

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27
Q

what causes ecchymosis on the flanks which leaves the patient in the fetal position

what is this MC caused by

A

pancreatitis

alcoholism

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28
Q

what causes polydipsia, pyuria, polyphasic

A

diabetes

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29
Q

what are the differences between the two types of diabetes

A

type 1 - juvenile, insulin dependent

type 2 - late onset, obese, receptor site dysfunction

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30
Q

what is the most dangerous and life threatening form of diabetes

A

gestational

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31
Q

what are tests for diabetes

A

FBS, GGT, A1C

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32
Q

what is the process of glycation

A

when sugar combines with protein causing inflammation

33
Q

what is the mnemonic for gallbladder conditions

A
fair 
female
fat 
forty
fertile
34
Q

what do you need to diagnose a peptic or duodenal ulcer

A

barium study

35
Q

virchows node on the left

A

stomach cancer

36
Q

what is mcburneys sign indicative of

A

appendicitis

37
Q

what tests are used to check for appendicitis

A

psoas test
blumbergs - RLQ rebound tenderness
rovings - LLQ rebound tenderness
Markle - heel jar

38
Q

what is the test used to check b12

A

schillings test

39
Q

what is out pouching the colon

what do these people need

A

diverticulosis

fiber

40
Q

what condition involves skip lesions, string sign, and rectal bleeding

A

crohns

41
Q

what condition involves stress, bloody diarrhea, megacolon, and stool transplants

A

ulcerative colitis

42
Q

how does b12 pathology occur

A

gastritis –>
pernicious anemia –>
posterolateral sclerosis

43
Q

what is posterolateral sclerosis

symptoms

A

combined systems disease

stocking and glove paresthesia

44
Q

bowel sounds are increased when? and decreased when?

A

increased due to early obstruction

decreased due to late obstruction

45
Q

what are fluid wave and puddle sign used to test for

A

ascites

46
Q

what are signs of acute hepatitis

A
tender liver 
swollen 
boggy 
IgM 
decrease WBC
47
Q

what are signs of chronic hepatitis

A
non tender liver 
swollen 
boggy 
IgG 
increase WBC
48
Q

what are signs of cirrhosis

A

non tender liver
hard smooth
increase GGT

49
Q

what are signs of liver cancer

A

non tender
swollen
hard nodular

50
Q

what vertebral level is the kidney located

A

T12-L3

51
Q

which kidney is slightly lower than the other

A

right is slightly lower than the left

52
Q

what condition causes painless bleeding in the urine

A

kidney cancer

53
Q

if all casts are present in the urine, what condition is presents

A

nephrosis

54
Q

if red or white casts are present in the urine, what condition is presents

A

nephritic

red - glomerulonephritis
white - pyelonephritis

55
Q

which hemorrhoids are consider painful and have bloody defecation

A

internal hemorrhoids (prolapsed)

56
Q

which hemorrhoids are considered pain free unless defecating

A

external hemorrhoids (thrombosed)

57
Q

what is it called when a donut shaped anus is produced on defecation

A

rectal prolapse

58
Q

what is a linear tear that produces bloody defecation

A

rectal fissure

59
Q

what are characteristics of viral pneumonia or pleural effusion

A

percussion: resonance

normal fremitus

60
Q

what are characteristics of atelectasis or tumor in the lung

A

percussion: flat

decreased fremitus

61
Q

what are the characteristics of magenblase or flatulence

A

percussion: tympanny

normal fremitus

62
Q

what are the characteristics of bacterial pneumonia, CHF, and pulmonary edema

A

percussion: dull

increased fremitus

63
Q

what are the characteristics of COPD, emphysema, and pneumothorax

A

percussion: hyper resonance

decreased fremitus

64
Q

wheezing is usually associated with what

A

asthma

65
Q

prolonged expiration is associated with what

A

COPD

66
Q

respiratory lag is usually associated with what

A

pneumothorax

67
Q

friction rub is associated with what

A

pleurisy or enlarged viscera

68
Q

rhonchi is associated with what

A

bronchial or tracheal obstruction

69
Q

adventitious sounds indicate what

A

fluid in the lungs

70
Q

pink puffer indicates what

A

balloon lungs or emphysema

71
Q

blue bloater indicates what

A

chronic bronchitis

72
Q

what is the treatment for hyperventilation

A

CO2

73
Q

yellow green sputum

A

bronchiectasis

chronic bronchitis

74
Q

rusty sputum

A

pneumococcal

75
Q

red currant jelly sputum

A

klebsiella

76
Q

foul sputum

A

lung abscess

77
Q

pink sputum

A

streptococcal

78
Q

pink and frothy sputum

A

CHF

pulmonary edema

79
Q

red sputum

A

TB
infarct
cancer