General Dx Part 2

Question 1

Pt. has productive rusty brown sputum for around 10 days and fever

Answer 1

Lobar Pneumonia

Question 2

Red Jelly sputum seen with?

Answer 2

Friedlander’s Pneumonia

Question 3

Cytomegalovirus is MC seen in a ___ pt

Answer 3

AIDS

Question 4

Tuberculosis manifests as…

Answer 4

Night sweats, yellow-green sputum, Ghon lesions

Question 5

Most definitive Dx for TB

Answer 5

Sputum Culture

Question 6

Usually result of bronchial obstruction from mucous plug

Answer 6

Atelectasis

Question 7

Bronchiectasis presents with…

Answer 7

Chronic, Productive cough

Question 8

Asthama is a type __ rxn.

Answer 8

1

Question 9

___ and ___ rise with Asthma

Answer 9

Eosinophils and IgE

Question 10

2 labs for Asthma

Answer 10

Curshmann’s Spirals

Charcot Laden crystals

Question 11

Cause of Emphysema

Answer 11

Deficiency of Alpha 1 anti trypsin

Question 12

Sarcoidosis is MC in which race?

Answer 12

African descent

Question 13

Hodgkin’s is MC in what demographic?

Answer 13

Young caucasian

Question 14

Sweat test is for…

Answer 14

CF (loss of excessive sweat)

Question 15

> 40 y/o earliest sign of CHF

Answer 15

Ventricular Gallop

Question 16

COntinuous Machinery like murmur

Answer 16

Patent Ductus Arteriosus

Question 17

Tetralogy of Fallot

Answer 17

Right Ventricular Hypertrophy
Interventricular Septal Defect
Pulmonic Stenosis

Question 18

Seen in younger females who faint (drop attacks) while exercising

Answer 18

Subclavian Steal Syndrome

Question 19

MC cause of Left sided heart failure

Answer 19

Hypertension 35-55 y/o

Question 20

2nd MC cause of Left sided Heart failure

Answer 20

Aortic Stenosis

Question 21

MC cause of right sided heart failure

Answer 21

Left sided Heart Failure

Question 22

MC cause of Mitral stenosis

Answer 22

Rheumatic fever (ASO titer)

Question 23

Aortic Dissection is asscoiated with…

Answer 23

Hypertension and Marfans

Question 24

Marfan’s Syndrome Manifestation

Answer 24

Ventricular Weakening

Tall, long fingers/ limbs, lens subluxation

Question 25

Angina at rest (atypical)

Answer 25

Printzmetal

Question 26

What 2 labs are elevated for MI

Answer 26

CK-MB | SGOT

Question 27

What happens during the U wave

Answer 27

Repolarization of the papillary Muscles

Question 28

MC cause of liver destrutction

Answer 28

Alcoholism

Question 29

Pancreatitis pain description

Answer 29

Epigastric pain going through T10-T12 like a knife (viscerosomatic) Chronic: See with alcoholism

Question 30

Cause of Diabetes Insipidus

Answer 30

Insufficient ADH | *Polydipsia, polyuria, NO Polyphagia

Question 31

When is hiatal hernia worse?

Answer 31

After a large meal or lying down | *Same for reflux Esophagitis

Question 32

Cause of Peptic Ulcer

Answer 32

H Plyori | *Coffee grounds*

Question 33

MC type of peptic ulcer

Answer 33

Duodenal ulcer

Question 34

Pain 2 hours after eating

Answer 34

Duodenal Ulcer

Question 35

MC place for gastric Carcinoma

Answer 35

Greater curvature

Question 36

Virchow's Node Description. Seen with?

Answer 36

Left supraclavicular lymph node imvolvement | -Gastric Carcinoma

Question 37

Primary heart block ECG

Answer 37

Increased PR interval

Question 38

Secondary Heart block ECG

Answer 38

2 P waves

Question 39

Complete heart block ECG

Answer 39

No QRS Pattern

Question 40

MI (acute heart failure) ECG

Answer 40

ST segment enlarged or inverted

Question 41

Wernicke Korsakoff Description

Answer 41

B1 (Thiamine) Deficiency from Alcoholism --> Dementia

Question 42

Beri Beri Description

Answer 42

B1 (thiamin) Deficiency without alcoholism

Question 43

Hepatitis A transmission

Answer 43

fecal/oral

Question 44

Hep. B transmission

Answer 44

Dirty needles and sexual contact

Question 45

Hep C transmission

Answer 45

Blood Transfusion

Question 46

Difference between direct and indirect bilirubin

Answer 46

Direct (Conjugated) --> Water soluble Indirect (Unconjugated) --> Not water soluble, usedfor Hemolytic anemia (Coomb's test)

Question 47

Gallbladder pain referral

Answer 47

Right shoulder or tip of right scapula

Question 48

Cholecystitis MC in which demographic?

Answer 48

Overweight female >40 y/o

Question 49

Pancreatitis pain referral

Answer 49

Epigastric pain going through the T10-T12 area like a knife

Question 50

Grey Turner sign

Answer 50

Bleeding into flank

Question 51

Cullen's Sign

Answer 51

Periumbilical ecchymosis

Question 52

Labs for Pancreas

Answer 52

Increased Amylase and Lipase

Question 53

Labs for Diabetes

Answer 53

Glucose Tolerance Test Fasting plasma glucose HbA1C

Question 54

Cause of Diabetes Insipidus

Answer 54

Insufficient ADH