General Dx Part 3

Question 1

When is a hiatal hernia worse?

Answer 1

After a large meal or when lying down

Question 2

When is refulx esophagitis worse?

Answer 2

Lying down, after a big meal, valsalva, or bearing down

Question 3

Cause of mononucleosis

Answer 3

Epstein-Barre virus

Question 4

Name for atypical lymphocytes seen with mono

Answer 4

Downey Cells

Question 5

Tests for Mono (2)

Answer 5

Heterophile Agglutination

Paul Bunnell

Question 6

Location of Crohn’s

Answer 6

RIght side of intestines

Question 7

Presentation of Crohn’s

Answer 7

RLQ pain
Chronic Diarrhea
Cobblestone appearance on sigmoidoscopy

Question 8

Crohn’s leads to malabsorption of __

Answer 8

B12

Question 9

Location of Ulcerative Colitis

Answer 9

Left side of intestines

Question 10

Presentation of Ulcerative Colitis

Answer 10

bloody diarrhea

Question 11

Abdominal pain and gas relieved by bowel movement

Answer 11

Irritable bowel Syndrome AKA Spastic Colon

Question 12

Special test for appendicitis

Answer 12

CT

Question 13

WBC shifting to the left

Answer 13

Appendicitis

Question 14

Appendicitis presentation

Answer 14

Dull periumbilical or epigastric pain that radiates to RLQ (McBurney’s Point)

Question 15

Diverticulits Presentation

Answer 15

Chronic Constipation

LLQ Pain

Question 16

Cushing’s DZ presentation

Answer 16

Moon Face (Pie Face)
Buffalo Hump
Pendulous Abdomen w/ purple striae
Hirsutism
Weakness
HTN

Question 17

Cause of Pherchromocytoma

Answer 17

Tumor of Adrenal medulla

Question 18

Difference between Hyperthyroidism and Pheochromocytoma

Answer 18

pheochromocytoma produces extreme HTN

Question 19

Nephroliths are MC made of…

Answer 19

Calcium oxalates

Question 20

Best test for Nephrolithiasis and Kidney fxn

Answer 20

Creatinine Clearance

Question 21

Cause of Nephritic Syndrome

Answer 21

Group A Hemolytic Strep

Question 22

Nephritic Syndrome shows what kind of casts?

Answer 22

RBC

Question 23

3 characteristics of Nephrotic Syndrome

Answer 23

(HEP)
Hypertension
Edema
Massive Proteinuria
*This is pre-eclamsia in pregnant women*

Question 24

Type of casts seen with Nephrotic syndrome

Answer 24

Waxy or fatty

Question 25

Pyelonephritis Cause

Answer 25

E Coli from UTI

Question 26

Type of Casts with pyelonephritis

Answer 26

WBC

Question 27

Cause of Gonococcal and Non-Gonococcal urethritis (UTI)

Answer 27

Gonococcal --> Gonorrhea | Non-Gonococcal--> Chlamydia

Question 28

MCC of urethritis in females

Answer 28

E Coli

Question 29

With urethritis, what will be in the urine?

Answer 29

Nitrites

Question 30

Presentation of pain with cystitis

Answer 30

Suprapubic and low back

Question 31

Indirect inguinal hernia is MC seen in ...

Answer 31

Children and young adults

Question 32

Direct inguinal hernia is MC seen in...

Answer 32

Adults over 40 y/o

Question 33

AKA for tumor of smooth muscle origin

Answer 33

Leiomyoma

Question 34

Presentation of Ectopic Pregnancy

Answer 34

Spotting, decreased BP, *decrease in HCG*

Question 35

Presentation of normal pregnancy

Answer 35

*Increased HCG*, nausea, weight gain, breast tenderness

Question 36

A non viable embryo which develops in the placenta

Answer 36

Hydatiform Mole | *High HCG*

Question 37

Multiple round, freely movable masses

Answer 37

Fibrocystic Breast DZ

Question 38

Fibrocystic breast DZ is worse with... (3)

Answer 38

Caffeine Ovulation Menses

Question 39

Non tender, singular lump

Answer 39

Fibroadenoma

Question 40

MC age group for breast Ca

Answer 40

>50 y/o

Question 41

Feeling of a Varicocele

Answer 41

Bag of worms

Question 42

Transluminates with light because it is fluid-filled

Answer 42

Spermatocele

Question 43

Epididymitis is usually a consequence of an ___

Answer 43

STD

Question 44

Testicular cancer is the MC cancer for males aged __-__

Answer 44

20-34

Question 45

Prostate is enlarged, non-tender, firm, smooth

Answer 45

BPH

Question 46

Prostate is boggy, soft, enlarged and tender

Answer 46

Prostatitis

Question 47

Prostate has hard posterior lobe, nodular, painless, and enlarged

Answer 47

Prostatic Carcinoma

Question 48

MC place for Prostatic Carcinoma to metastasize is to ___ via ___

Answer 48

lumbar spine | Batson's Plexus

Question 49

Assoc. with excessive smoking

Answer 49

Thromboangitis Obliterans AKA Buerger's

Question 50

Color changes for Raynaud's

Answer 50

White Blue Red

Question 51

Test for Raynaud's

Answer 51

Allen's Test

Question 52

Test for DVT and procedure

Answer 52

Homan's: Pt. Supine, raise leg 45 degrees, dorsiflex the foot and squeeze the calf