General Dx Part 3 Flashcards

1
Q

When is a hiatal hernia worse?

A

After a large meal or when lying down

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2
Q

When is refulx esophagitis worse?

A

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

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3
Q

Cause of mononucleosis

A

Epstein-Barre virus

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4
Q

Name for atypical lymphocytes seen with mono

A

Downey Cells

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5
Q

Tests for Mono (2)

A

Heterophile Agglutination

Paul Bunnell

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6
Q

Location of Crohn’s

A

RIght side of intestines

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7
Q

Presentation of Crohn’s

A

RLQ pain
Chronic Diarrhea
Cobblestone appearance on sigmoidoscopy

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8
Q

Crohn’s leads to malabsorption of __

A

B12

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9
Q

Location of Ulcerative Colitis

A

Left side of intestines

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10
Q

Presentation of Ulcerative Colitis

A

bloody diarrhea

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11
Q

Abdominal pain and gas relieved by bowel movement

A

Irritable bowel Syndrome AKA Spastic Colon

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12
Q

Special test for appendicitis

A

CT

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13
Q

WBC shifting to the left

A

Appendicitis

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14
Q

Appendicitis presentation

A

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

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15
Q

Diverticulits Presentation

A

Chronic Constipation

LLQ Pain

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16
Q

Cushing’s DZ presentation

A
Moon Face (Pie Face)
Buffalo Hump
Pendulous Abdomen w/ purple striae
Hirsutism
Weakness
HTN
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17
Q

Cause of Pherchromocytoma

A

Tumor of Adrenal medulla

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18
Q

Difference between Hyperthyroidism and Pheochromocytoma

A

pheochromocytoma produces extreme HTN

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19
Q

Nephroliths are MC made of…

A

Calcium oxalates

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20
Q

Best test for Nephrolithiasis and Kidney fxn

A

Creatinine Clearance

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21
Q

Cause of Nephritic Syndrome

A

Group A Hemolytic Strep

22
Q

Nephritic Syndrome shows what kind of casts?

A

RBC

23
Q

3 characteristics of Nephrotic Syndrome

A
(HEP)
Hypertension
Edema
Massive Proteinuria
*This is pre-eclamsia in pregnant women*
24
Q

Type of casts seen with Nephrotic syndrome

A

Waxy or fatty

25
Q

Pyelonephritis Cause

A

E Coli from UTI

26
Q

Type of Casts with pyelonephritis

A

WBC

27
Q

Cause of Gonococcal and Non-Gonococcal urethritis (UTI)

A

Gonococcal –> Gonorrhea

Non-Gonococcal–> Chlamydia

28
Q

MCC of urethritis in females

A

E Coli

29
Q

With urethritis, what will be in the urine?

A

Nitrites

30
Q

Presentation of pain with cystitis

A

Suprapubic and low back

31
Q

Indirect inguinal hernia is MC seen in …

A

Children and young adults

32
Q

Direct inguinal hernia is MC seen in…

A

Adults over 40 y/o

33
Q

AKA for tumor of smooth muscle origin

A

Leiomyoma

34
Q

Presentation of Ectopic Pregnancy

A

Spotting, decreased BP, decrease in HCG

35
Q

Presentation of normal pregnancy

A

Increased HCG, nausea, weight gain, breast tenderness

36
Q

A non viable embryo which develops in the placenta

A

Hydatiform Mole

High HCG

37
Q

Multiple round, freely movable masses

A

Fibrocystic Breast DZ

38
Q

Fibrocystic breast DZ is worse with… (3)

A

Caffeine
Ovulation
Menses

39
Q

Non tender, singular lump

A

Fibroadenoma

40
Q

MC age group for breast Ca

A

> 50 y/o

41
Q

Feeling of a Varicocele

A

Bag of worms

42
Q

Transluminates with light because it is fluid-filled

A

Spermatocele

43
Q

Epididymitis is usually a consequence of an ___

A

STD

44
Q

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

A

20-34

45
Q

Prostate is enlarged, non-tender, firm, smooth

A

BPH

46
Q

Prostate is boggy, soft, enlarged and tender

A

Prostatitis

47
Q

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

A

Prostatic Carcinoma

48
Q

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

A

lumbar spine

Batson’s Plexus

49
Q

Assoc. with excessive smoking

A

Thromboangitis Obliterans AKA Buerger’s

50
Q

Color changes for Raynaud’s

A

White Blue Red

51
Q

Test for Raynaud’s

A

Allen’s Test

52
Q

Test for DVT and procedure

A

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