Level 2 Flashcards

1
Q

Noncontagious bacterial skin infection causing signs of inflammation, redness, warmth, tenderness, edema. If left untreated will lead to systemic signs including fever chills aches and fetal septicemia

A

Cellulitis

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2
Q

Management of cellulitis includes

A

Antibiotics and primarily palliative care to assist with improving comfort and function during recovery

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3
Q

6 months of unexplained prolonged and severe fatigue not relieved with rest.

A

Chronic fatigue syndrome- diagnosed by ruling out procedures which frequently cause fatigue- hypothyroidism, MS, cancer, mononucleosis

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4
Q

Gold standard for getting the most accurate info on both the location and severity of CAD

A

Cardiac catheterization with coronary angiography introduces contrast dye via small catheter into the coronary arteries for X-ray imaging

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5
Q

Type II DM symptoms

A

Polydipsia, polyuria, blurred vision, delayed healing and frequent infection

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6
Q

Diagnosis of type II DM resting and random glucose

A

Fasting-125 or greater

Random- 200 or higher

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7
Q

Type II DM management

A

Agree management , exercise, oral insulin, diet, skin checks

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8
Q

Diastasis recti MOI

A

Sustained anteriorly directed force on the linea alba

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9
Q

Diastasis recti diagnosis

A

Pt positioned in hook lying, asked to lift head and shoulders from the supportive surface. While in this position, a palpable separation of GREATER than 2 fingers widths is considers positive

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10
Q

When can gentle progression of corrective abdominal exercises may begin ?

A

Within 24 hrs of delivery - pt should use their hands or a towel wrapped around the abdominals to facilitate approximation of the muscles during exercise

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11
Q

Abdominal crunches should be avoided for diastasis recti until

A

Healing has reduced the separation to less that two finger widths

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12
Q

Rotational exercises should be avoided until

A

there is no separation

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13
Q

While healing diastasis recti what two motions should pts avoid

A

Supine to long sit and double leg lifts to avoid further injury to the rectus abdominis. Also should limit lifting activities.

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14
Q

Prior to reduction of an anteriorly dislocated GH joint the affected limb will be positioned in

A

Slight abd, ER, and pt will be unable to touch the opposite shoulder. Once reduced, most severe pain symptoms will typically resolve

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15
Q

Most common form of hyperactive thyroid disorder and is the result of an autoimmune attack on the thyroid gland causing over production of the hormone thyroxin

A

Graves’ disease

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16
Q

6 general complaints for Graves’ disease

A

Fatigue, weight loss, weakness, increased appetite, increased sweating, heat intolerance

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17
Q

Visual complaints of Graves’ disease

A

Excessive tear production, Diplopia, light sensitivity, eye irritation

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18
Q

CP complaints of Graves’ disease

A

Dyspnea with exertion, palpitations, tachycardia, and arrhythmias

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19
Q

Cognitive changes c Graves’ disease may include increased

A

Anxiety , mental fatigue, diff c concentration

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20
Q

Cardiovascular stress and exercise in a hour environment may lead to secondary complications for pt with?

A

Graves’ disease

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21
Q

Osgood schlatter disease refers to _____ occurring at the tibial tuberosity

A

Traction apophysis

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22
Q

Stretching with osgood-schlatter disease

A

Gentle of the Quads

23
Q

Piriformis Symptoms are typically exacerbated by

A

Prolonged sitting and activities that combine medial rotation and addiction plus flexion

24
Q

What should be done to further enhance relaxation of Piriformis

A

Soft tissue massage , muscle energy, contract relax, modalities ..as symptoms deceased gradual strengthening of Piriformis should be added

25
Q

What diagnostic test should be used for spinal stenosis

A

MRI due to its ability to differentiate soft tissue pathologies such as disk damage or neural compression

26
Q

Acute trauma (ie contusion) or cumulative trauma associated with running are etiologies of

A

Trochanteric bursitis

27
Q

Pain location Of Trochanteric bursitis

A

Lateral hip pain which may radiate to the lateral aspect of the thigh. Point tenderness and reproduction of pain c palpating. Symptoms exaggerated with palpation. Passive ER and abd, and resisted flexion and abd will reproduce symptoms

28
Q

What muscles should be emphasized to stretch with Trochanteric bursitis

A

It band, tensor fascia latae, hip ER, Quads, and hip flexors. Modalities, massage, ionto , phono, tens, on going strengthening and stretching

29
Q

An autoimmune condition of adrenal insufficiency that occurs due to dysfunction of adrenal cortex

A

Addison’s disease

30
Q

Addison’s disease decreased production of?

A

Glucocorticoid (cortisol ) and mineralcorticoid (aldosterone)

31
Q

What is typically the first symptom of Addison’s disease

A

Hyperpigmentation of the skin and mucous membranes.. Weakness, fatigue, myalgias, weight loss, water-electrolytes imbalance, low blood pressure, dizziness, fainting, sweating

32
Q

How to definitely diagnose Addison’s disease

A

Rapid adrenocorticotropic hormone test ACTH

33
Q

Pain most commonly reported initially as umbilical or gastric pain that migrates to RLQ

A

Appendicitis

34
Q

Untreated venous hypertension and statis related to Chronic venous insufficiency will cause a

A

Brawny skin discoloration and hyperkeratosis. Inflammation wounds

35
Q

A transverse fracture of the distal humerus causing a dorsal displacement of the distal radius, carpals, and hand in relation to the forearm

A

Colles fracture

36
Q

Typically Results from a chronic condition resulting from long-term hypertension and deoxygenated blood in the pulmonary arteries(ie COPD)

A

Cor pulmonale- can also occur from PE or ARDS- either way the r ventricles ability to pump blood significantly limited

37
Q

Initial symptoms of for pulmonale?

A

Pulmonary distress symptoms like cough, tachypnea, inc cheat diameter, hyperresonance with chest percussion, dyspnea with excursion .. As the condition advances, pitting edema and jugular distention

38
Q

Inflammation of lining on GI tract causing abdominal pain, crampin, diarrhea, blood in stool, ulcers, weight loss

A

Chrons disease

39
Q

Disease caused by hypercortisolism from a pituitary or adrenal gland tumor

A

Cushing’s syndrome

40
Q

8 signs of Cushing’s syndrome

A

Weight gain, purple striae, ruddy complexion, moon face, buffalo hump, central obesity, hypertension, and proximal muscle weakness

41
Q

Tenosynovitis of which tendons for de quervains tenosynovitis

A

APL and EPB, pain in the anatomical snuff box

42
Q

A weak or abnormally functioning lower esophageal sphincter causing persistent reflux

A

GERD- best position L side lying

43
Q

A condition characterized by increased uric acid levels around joints, needle-like crystals to form and accumulate causing inflammation and joint swelling ( arthritis)

A

Gout- diagnosed via synovial biopsy for uric acid crystals

44
Q

Gout most commonly occurs in

A

Males in the great toes, knees and ankles

45
Q

Infection attacking nerve fibers while moving along the nerve towards the skins surface. Once reaches skin, blistered rash will appear

A

Herpres zoster shingles

46
Q

Symptoms of herpes zoster

A

Unilateral painful itching burning sensation, numbness along nerve distribution

47
Q

Mole or freckle that begins to look asymmetrical, irregular borders, discoloration, inc diameter

A

Malignant melanoma

48
Q

Osteomyelitis is an infection within the bone that commonly occurs secondary to a staphylococcus aureus microbe. How is is diagnosed

A

Bone biopsy

49
Q

What are the two most prevent etiologies linked to peptic ulcers

A

H pylori and use of high dose NSAIDs

50
Q

What occurs when the balance between protective and erosive factors is disrupted to such an extent that epithelial injury occurs and subsequent erosion extends to the muscularis mucosa

A

Peptic ulcers

51
Q

What are symptoms of peptic ulcers

A

Gnawing or burning epigastric pain, pt will typically report pain shortly after eating (gastric ulcer) or several hours after eating (duodenal ulcer)

52
Q

Pressure or demyelination injury producing a chronic pain condition which may impact the entire trigeminal cranial nerve distribution

A

Trigeminal neuralgia

53
Q

UTI symptoms

A

Persistent urge to urinate, burning while urinating, cloudy and smelly urine, fever. Cognitive impairment can be caused in elderly

54
Q

Chads equina syndrome is self limiting and will present as diminished sensation in the

A

Saddle area, bowel and bladder dysfunction (retention or incontinence), sexual dysfunction, severe back pain, decreased strength