GOODMAN Flashcards

1
Q

MC LOCATION OF REFERRED PAIN

A

BACK OR SHOULDER PAIN

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2
Q

CONSTITUTIONAL SX

A
DIAPHORESIS
NIGHT SWEATS NAUSEA
VOMITING 
DIARRHEA
PALLOR
DIZZINESS/SYNCOPE
FATIGUE
WT. LOSS
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3
Q

STOPPING THE PROCESSES THAT LEAD TO DEVELOPMENT OF DISEASES

A

PRIMARY PREVENTION

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4
Q

EARLY DETECTION OF DISEASES/ILLNESSES THROUGH REGULAR SCREENING , DOES NOT PREVENT CONDITION BUT MAY DECREASE DURATION OR SEVERITY. IMPROVES OUTCOME AND QOL.

A

SECONDARY PREVENTION

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5
Q

CAGE FOR EXCESSIVE ALCOHOL SCREENING

A

C- UT DOWN ON DRINKING?
A- NNOYED BY CRITICISMS OF YOUR DRINKING
G- UILTY ABOUT YOUR DRINKING?
E- YE OPENER (A DRINK/2 IN THE AM)

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6
Q

VASCULAR PAIN

A

THROBBING
POUNDING
PULSING
BEATING

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7
Q

BILATERAL OR GLOBAL H/A

A

TENSION H/A

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8
Q

OFTEN DESCRIBED AS THROBBING OR PULSATING H/A

A

MIGRAINE

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9
Q

H/A OFTEN BEHIND ONE EYE

A

MIGRAINE

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10
Q

H/A THAT MAY BECOME WORSE WITH SOUNDS OR BRIGHT LIGHTS

A

TENSION H/A

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11
Q

BILATERAL H/A MADE WORSE BY NECK MVTS OR SUSTAINED POSTURES

A

CERVIGOGENIC H/A

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12
Q

PAIN REFERRALS: MYOCARDIAL INFARCT

A

MIDTHORACIC SPINE

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13
Q

PAIN REFERRALS: AORTIC ANEURYSM

A

THORACIC SPINE, THORACOLUMBAR SPINE

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14
Q

PAIN REFERRALS: BASILAR PNEUMONIA

A

(R) UPPER BACK

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15
Q

PAIN REFERRALS: EMPYEMA

A

SCAPULA

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16
Q

PAIN REFERRALS: PLEURISY

A

SCAPULA

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17
Q

PAIN REFERRALS: PNEUMOTHORAX

A

IPSILATERAL SCAPULA

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18
Q

PAIN REFERRALS: ACUTE PYELONEPHRITIS

A

POST COSTOVERTEBRAL ANGLE

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19
Q

PAIN REFERRALS: ESOPHAGITIS

A

MIDBACK BETWEEN SCAPULAE

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20
Q

PAIN REFERRALS: PEPTIC ULCER: STOMACH/DUODENAL

A

T6-T10

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21
Q

PAIN REFERRALS: GALLBLADDER DSE

A

MIDBACK BETWEEN SCAPULA, (R) UPPER SCAPULA OR SUBSCAPULAR AREA

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22
Q

PAIN REFERRALS: BILIARY COLIC

A

(R) UPPER BACK, MIDBACK B/W SCAPULAE, (R) INTERSCAPULAR OR SUBSCAPULAR AREAS

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23
Q

PAIN REFERRALS: PANCREATIC CARCINOMA

A

MIDTHORACIC OR LUMBAR SPINE

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24
Q

PAIN REFERRALS: ACROMEGALY

A

MIDTHORACIC OR LUMBAR SPINE

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25
Q

PAIN REFERRALS: BREAST CA

A

MIDTHORACIC OR UPPER BACK

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26
Q

ASSOCIATED WITH SPASM IN A HOLLOW VISCUS

A

COLLICKY PAIN

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27
Q

SEVERE TEARING PAIN WITH SWEATING AND DIZZINESS

A

EXPANDING AORTIC ANEURYSM

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28
Q

SPASM ON THE (R) SIDE AT 9TH AND 10TH COSTAL CARTILAGES

A

GALLBLADDER PROBS

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29
Q

TENDERNESS ANS SPASM AT T9-T11 ON LEFT SIDE

A

SPLEEN

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30
Q

TENDERNESS AND SPASM AND CUTANEOUS PAIN OR SENSITIVITY AT 11TH AND 12TH RIB

A

KIDNEYS

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31
Q

IRRITATION OF AXONS OF A SPINAL NERVE OR DORSAL ROOT GANGLION

A

RADICULAR PAIN

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32
Q

ACTIVATION OF NOCICEPTIVE FREE NN ENDING IN SOMATIC OR VISCERAL TISSUE

A

REFERRED PAIN

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33
Q

VASCULAR/NEUROGENIC: THROBBING

A

VASCULAR

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34
Q

VASCULAR/NEUROGENIC: BURNING

A

NEUROGENIC

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35
Q

VASCULAR/NEUROGENIC: DIMINISHED OR ABSENT PULSE

A

VASCULAR

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36
Q

VASCULAR/NEUROGENIC: NO CHANGE IN PULSE

A

NEUROGENIC

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37
Q

VASCULAR/NEUROGENIC: SYMPTOMS WITH STANDING

A

NEUROGENIC

38
Q

VASCULAR/NEUROGENIC: (+) TROPHIC SKIN CHANGES

A

VASCULAR

39
Q

CHEST PAIN RADIATING TO THE ANT NECK AND JAW, COMMON. PRESENTATION OF POST MENOPAUSAL WOMEN

A

ANGINA

40
Q

BACK PAIN FROM THE HEART, ANT NECK AND MIDTHORACIC PAIN

A

MYOCARDIAL ISCHEMIA

41
Q

ABNORMAL DILATION IN A WEAK OR DISEASED ARTERIAL WALL CAUSING A SACLIKE PROTRUSION

A

AAA

42
Q

AAA IS MOST COMMON IN THIS AGE GROUP

A

6TH/7TH DECADE

43
Q

PAIN DESCRIPTION IN AAA

A

TEARING OR RIPPING PAIN

44
Q

OBSTRUCTION OF AORTIC BIFURCATION , PT. MAY REPORT BACK PAIN ALONE, OR BACK PAIN + THESE SX

A
  • BILATERAL BUTTOCK AND OR LEG PAIN OR DISCOMFORT
  • WEAKNESS AND FATIGUE OF LE
  • ATROPHY OF LEG MM
  • ABSENT LE PULSES
45
Q

WHAT ARTERY IS OBSTRUCTED?: PAIN IN LOW BACK, BUTTOCK AND OR LEG OF AFFECTED SIDE

A

ILIAC ARTERY

46
Q

WHAT ARTERY IS OBSTRUCTED?: THIGH AND OR CALF PAIN, WITH DISTAL PULSES DIMINISHED OR ABSENT

A

FEMORAL ARTERY

47
Q

WHAT ARTERY IS OBSTRUCTED?: IPSILATERAL CALF OR ANKLE PAIN OR DISCOMFORT, INTERMITTENT CLAUDICATION, COMMON FIRST SX

A

POPLITEAL ARTERY

48
Q

EPIGASTRIC PAIN RADIATING TO MIDTHORACIC

A

ACUTE PANCREATITIS

49
Q

PRESENCE OF ENDOMETRIAL TISSUE(LINING OF THE UTERUS) OUTSIDE THE UTERUS

A

ENDOMETRIOSIS

50
Q

LIVE PREGNANCY THAT TAKES PLACE OUTSIDE THE UTERUS; IRREGULAR BLEEDING AND SPOTTING

A

ECTOPIC PREGNANCY

51
Q

SUDDEN LOCALIZED BACK PAIN THAT DOESN NOT DIMINISH IN 10 DAYS TO 2 WKS IN POST MENOPAUSAL WOMEN OR OSTEOPOROTIC ADULTS

A

OSTEOPOROSIS WITH COMPRESSION FX

52
Q

BACK PAIN WITH MULTIPLE JT INVOLVEMENT

A

GIT, RA AND FIBROMYALGIA

53
Q

HEART MURMURS OR PROSTHETIC VALVE IN AN OLDER Pt. WITH LBP OF UNKNOWN ORIGIN

A

BACTERIAL ENDOCARDITIS

54
Q

OCCURS MOSTLY IN YOUNG MEN D/T SEXUAL DSE, PRESENTS WITH CONJUNCTIVITIS, URETHRITIS AND ARTHRITIS

A

REITER’S DSE (REI CUA!)

55
Q

INFLAMMATION OF THE DISTAL PART OF THE SMALL INTESTINE. ENTERIC CONDITION WELL KNOWN FOR ITS ARTHRITIC COMPONENT

A

CROHN’S DSE

56
Q

COMMON MALIGNANT LESIONS AFFECTING THE SACRUM

A

CHORDOMA, OSTEOSARCOMA, MYELOMA

57
Q

HIGHLY PROGRESSIVE LOCAL TUMOR OF THE BONE

A

GIANT CELL TUMOR

58
Q

3RD MC SITE OF INVOLVEMENT OF GIANT CELL TUMOR

A

SACRUM

59
Q

MC SYSTEMIC CAUSE OF PELVIC PAIN

A

INFECTIOUS DSE

60
Q

HERNIA THAT CAUSES LATERAL WALL PELVIC PAIN WHEN IT STRANGULATES, REFERRED PAIN LOCATED DOWN THE MEDIAL SIDE OF THE THIGH TO THE KNEE

A

FEMORAL HERNIA

61
Q

HERNIA WITH GROIN PAIN

A

INGUINAL HERNIA

62
Q

LITHOTOMY POSITION

A

SUPINE WITH HIPS AND KNEES FLEXED, FEET IN STIRRUPS

63
Q

A REMOVABLE DEVICE PLACED IN THE VAGINA TO SUPPORT THE PROLAPSED STRUCTURE

A

PESSARY

64
Q

GRADING FOR PROLAPSE: UTERUS HAS DROPPED UP TO 1/3 OF THE WAY INTO THE VAGINAL CANAL

A

FIRST DEGREE

65
Q

GRADING FOR PROLAPSE: UTERUS DESCENDED FULLY INTO THE VAGINAL CANAL, RIGHT DOWN TO THE VAGINAL OPENING

A

2ND DEGREE *VAGINAL INTROITUS

66
Q

GRADING FOR PROLAPSE: THE UTERUS IS DISPLACED DOWNWARD EVEN FURTHER AND BULGES OUTSIDE THE VAGINAL OPENING

A

3RD DEGREE

67
Q

PROTRUSION OR HERNIATION OF THE URINARY BLADDER AGAINST THE WALL OF THE VAGINA

A

CYSTOCELE

68
Q

PROTRUSION OR HERNIATION OF THE RECTUM AND POSTERIOR WALL OF THE VAGINA INTO THE VAGINA

A

RECTOCELE

69
Q

PATHOLOGIC CONDITION OF RETROGRADE MENSTRUATION

A

ENDOMETRIOSIS

70
Q

PAINFUL LUMP OR BEARING DOWN SENSATION IN THE PERINEAL AREA, URINARY FREQUENCY AND URGENCY, BLADDER INFECTION

A

CYSTOCELE

71
Q

ABSENCE OF PHYSICAL CAUSE OR PATHOLOGY CONTRIBUTING TO CHRONIC PELVIC PAIN. COFFEE

25-40 Y/O (C ONE CHILD)

A

GYNECALGIA

72
Q

INFLAMMATION OF THE FALLOPIAN TUBE

A

SALPANGITIS

73
Q

A BACTERIAL INFECTION THAT OCCURS WHENEVER THE UTERUS IS TRAUMATIZED AND IS OFTEN ASSOCIATED WITH STDS THAT OCCUR AFTER BIRTH OR ABORTION

A

PELVIC INFLAMMATORY DSE.

74
Q

CAN LEAD TO PAINFUL INTERCOURSE AND CONSTIPATION. PELVIC OR PERINEAL PAIN AND DIFFICULTY WITH DEFECATION.
FEELING OF INCOMPLETE RECTAL EMPTYING.

A

RECTOCEAL

75
Q

CHEMOTHERAPY USED IN TX FOR BREAST CA

A

TAMOXIFEN

76
Q

MOST COMMON GYNECOLOGIC CA?

A

ENDOMETRIAL CA

77
Q

2ND MC REPRODUCTIVE CA IN WOMEN AND LEADING CAUSE OF DEATH FROM GYNECOLOGIC MALIGNANCIES

A

OVARIAN CA OR PRIMARY PERITONEAL CA

78
Q

3RD MC GYNECOLOGIC MALIGNANCY

A

CERVICAL CA

79
Q

ABDOMINAL CA WITHOUT OVARIAN INVOLVEMENT

A

EXTRAOVARIAN PRIMARY PERITONEAL CA

80
Q

MC CAUSE OF DEATH FROM GYNECOLOGIC CA IN TH

A

CERVICAL CA

81
Q

PAIN REFERRALS: PEPTIC ULCER

A

LATERAL BORDER (R) SCAPULA

82
Q

PAIN REFERRALS: MYOCARDIAL ISCHEMIA

A

(R) SH, DOWN ARM, AND (L) PECTORAL/SHOULDER

83
Q

PAIN REFERRALS: LIVER ABSCESS

A

(R) SHOULDER, SUBSCAPULAR

84
Q

PAIN REFERRALS: PLEURISY, PNEUMOTHORAX, PANCOAST TUMOR AND PNEUMONIA

A

IPSILATERAL SHOULDER; UPPER TRAPZ

85
Q

PAIN REFERRALS: ECTOPIC PREGNANCY RUPTURE

A

(L) SHOULDER

86
Q

PAIN REFERRALS: ACUTE CHOLECYSTITIS

A

(R) SHOULDER, B/W SCAPULAE AND (R) SUBSCAPULAR AREA

87
Q

FORMERLY KNOWN AS RSD

A

CRPS I

88
Q

CRPS STAGE:
BURNING ACHING THROBBING PAIN
WARM, RED, DRY SKIN CHANGES TO COLD
ACCELERATED HAIR GROWTH

A

STAGE 1

89
Q
CRPS STAGE: 
SEVERITY OF PAIN INCREASES
SWELLING MAY SPREAD, TISSUE GOES FROM SOFT TO BOGGY TO FIRM
MM ATROPHY
EARLY ONSET OF OSTEOPOROSIS
A

CRPS STAGE 2

90
Q

CRPS STAGE: NAILS BECOME BRITTLE, SKIN BECOMES THIN AND SHINY
IRREVERSIBLE TISSUE DAMAGE
OSTEOPOROSIS

A

STAGE 3