General Dx Part 1 Flashcards

1
Q

Health History includes

A

Personal and social hx

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2
Q

CAGE Questionnaire

A

C- Cutting down (felt the need?)
A-Annoyed by others criticisms
G- Guilty Feelings?
E- Eye Openers (Need a morning drink)

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3
Q

Loss of lateral 1/3 of eyebrows

A

Myxedema

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4
Q

Adie’s Pupil

A

Sluggish pupillary reaction to light that is caused by a lesion of CN III

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5
Q

Argyll Robertson

A

Bilateral Small and irregular pupils

Seen with Syphilis (Prostitues Pupil)

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6
Q

Chalazion

A

Infection of meibomian gland

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7
Q

Conjunctiva colors: Pink, Pale, Bright Red

A

Normal, Anemia, Infection

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8
Q

Ectropion/Entropion

A

Lid is turned inward/outward

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9
Q

Glaucoma causes…

A

cupping of optic disc

blurring of vision, esp in periphery

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10
Q

Sign of Glaucoma

A

Crescent sign

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11
Q

Hordoleum

A

An infection of the sebaceous glands.

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12
Q

Signs of Hypertensive Retinopathy

A

Copper wire deformity, silver wire deformity, A-V nicking, flame hemorrhages

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13
Q

Internal Ophthalmoplegia is seen with…

A

MS

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14
Q

Iritis/ Uveitis is seen with…

A

AS

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15
Q

Papilledema AKA Choked Disc

A

Swelling of optic disc

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16
Q

Periorbital edema is seen with

A

Myxedema

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17
Q

Pinquecula

A

Yellowish triangular nodule

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18
Q

Pterygium

A

Triangular thickening of the bulbar conjunctiva

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19
Q

Retinal Detachment

A

Painless* onset, like curtains closing over vision

lightning flashes and floaters

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20
Q

Sclera Colors: White, Yellow, Blue

A

Normal, Jaundice, Osteogenesis Imperfecta

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21
Q

Xanthelasma

A

Fatty Plaques on the nasal surface of eyelids

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22
Q

Eustachian Tube block

A

Retraction of tympanic membrane

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23
Q

Purulent Otitis Media causes

A

Bulging of tympanic membrane

24
Q

Serous Otitis Media results from… Looks like?

A

Incomplete resolution of Acute Otitis Media

Fluid is amber bubbles

25
Q

Mucosa is pale or blue and boggy

A

Allergic Rhinitis

26
Q

Thinning of nasal mucosa with sclerosis, crust formation, and foul odor

A

Atrophic Rhinitis

27
Q

Red and swollen mucosa with a clear runny nose

A

Viral rhinitis

28
Q

Cause of Angular Stomatitis aka Cheilosis

A

Vit B12 deficiency

29
Q

Cause of Atrophic Glossitis

A

B vitamins deficiency or Iron

30
Q

MC cause of Hyperthyroidism

A

Grave’s DZ

31
Q

MC cause of Hypothyroidism aka Myxedema

A

Hashimoto’s

32
Q

Cluster HA is provoked by…

A

alcohol

33
Q

HA with proximal muscle pain/stiffness

A

Temporal Arteritis

34
Q

Biot’s Breathing

A

Groups of quick, shallow inspiration –> NO pattern

35
Q

Cheyne Stokes Respiration

A

Breathing with alternating periods of apnea and hyperpnea —> HAS pattern

36
Q

Kussmaul’s breathing

A

Breathing is first rapid and shallow but as metabolic acidosis worsens
**AIR hunger breathing”

37
Q

Tactile Fremitus is increased with…

A

Fluid –> Pneumonia

38
Q

Tactile Fremitus is decreased with…

A

Air (Emphysema, Pneumothorax)

39
Q

Diagphragmatic excursion <3-5 cm

A

Pneumonia or Pneumothorax

40
Q

Tracheal breathing

A

Inspiration = Expiration

*Over trachea

41
Q

Bronchial Breathing

A

Expiration > Inspiration

*Over manubrium

42
Q

Bronchovesicular Breathing

A

Inspiration = expiration
Between 1st and 2nd ribs anteriorly
between scapulae posteriorly

43
Q

Vesicular Breathing

A

Inspiration > Expiration

*remaining lung field

44
Q

Rales

A

Small clicking, bubbling, or rattling sound sin lung

*Bronchitis

45
Q

Rhonchi

A

Sounds that resemble snoring

*bronchiectasis

46
Q

Wheezes

A

High pitched heard upon exhalation

*Asthma, Emphysema (older)

47
Q

Stridor

A

Wheeze-like sound heard on inspiration

48
Q

Percussion/ Fremitus/ Breath Sound with Asthma

A

Resonant
Decreased
Absent

49
Q

Percussion/ Fremitus/ Breath Sound with Atelectasis

A

Dull/Flat
Decreased
Absent

50
Q

Percussion/ Fremitus/ Breath Sound with Bronchiectasis

A

Resonant
Normal
Rhonchi

51
Q

Percussion/ Fremitus/ Breath Sound with Bronchitis

A

Resonant
Normal
Rales

52
Q

Percussion/ Fremitus/ Breath Sound with Emphysema

A

Hyperresonant
Decreased
Wheezing

53
Q

Percussion/ Fremitus/ Breath Sound with Pleurisy

A

Dull
Decreased
Crackles (friction Rub)

54
Q

Percussion/ Fremitus/ Breath Sound with Pneumothorax

A

Hyperresonant
Decreased
Decreased

55
Q

Percussion/ Fremitus/ Breath Sound with Pneumonia

A

Dull
Increased
Egophany, Bronchophony, Whispered pectoriloquy, crackles

56
Q

You hear aaaaaaa as the patient says eeeeeee with…

A

Consolidation

57
Q

1,2,3 are heard clear and distinctly with..

A

Consolidation