Midterm Flashcards

1
Q

alcohol abuse screening

A

Cut down
Annoyed by comments about drinking
Guilty about drinking
Eye opener

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2
Q

agraphia

A

inability to write

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3
Q

amnesia

A

inability to retain new information

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4
Q

aphasia

A

a complete loss of language function, but in practice a synonym for dysphasia

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5
Q

broca’s aphasia

A

from damage to left frontal lobe, non-fluent, often accompanied by right sided weakness, usually with insight and frustration

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6
Q

delirium

A

acute, confusional state characterized by clouded, reduced, or shifting attention often associated with sensory misperception or disturbed thinking

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7
Q

dementia

A

acquired impairment of memory and at least one other cognitive function without clouding of the sensorium or underlying psychiatric disease

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8
Q

dysphasia

A

acquired disorder of language not due to generalized intellectual impairment or psychiatric disturbance

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9
Q

expressive aphasia

A

acquired language disorder in which verbal output is nonfluent

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10
Q

wernicke’s aphasia

A

from damage to temporal lobe, fluent but non-sensical, associated with receptive problems, not with insight or weakness

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11
Q

akathisia

A

sped up motor activity

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12
Q

bradykinesia

A

slowed down motor activity

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13
Q

catatonia

A

immobile and rigid

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14
Q

confusion

A

acute inability to function cognitively

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15
Q

lethargy

A

slow speech and responses, patient aware of surroundings but drifts off when not stimulated

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16
Q

obtundation

A

reduced alertness from which patient can be aroused by continued stimulus

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17
Q

stupor

A

partial awareness from which patient can only be briefly aroused by intense stimulus

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18
Q

dysarthria

A

difficulty speaking because of problems with muscle control resulting from neurologic injury or disease

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19
Q

cerebellar dysarthria

A

jerky uncoordinated movement of speech muscles

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20
Q

aphonia or dysphonia

A

inability to produce normal speech sounds, often psychogenic

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21
Q

MMSE

A
  • test helpful in early diagnosis of dementia
  • helpful in documenting progression of dementia
  • does not distinguish between dementia and delirium
  • consider age and education when interpreting
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22
Q

cranial nerves

A
  1. olfactory
  2. optic
  3. oculomotor
  4. trochlear
  5. trigeminal
  6. abducens
  7. facial
  8. auditory
  9. glossopharyngeal
  10. vagus
  11. accessory
  12. hypoglossal
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23
Q

achilles reflex nerve root

A

Sacral 1

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24
Q

patellar reflex nerve root

A

lumbar 2, 3, 4

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25
Q

brachioradialis nerve root

A

cervical 5, 6

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26
Q

biceps reflex nerve root

A

cervical 5, 6

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27
Q

triceps reflex nerve root

A

cervical 6, 7

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28
Q

loss of vibration sensation

A

peripheral neuropathies

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29
Q

loss of proprioception

A

posterior column or peripheral nerve disease

30
Q

loss of discrimination

A

suggests sensory cortex disease

31
Q

flaccidity

A

loss of muscle tone

32
Q

spasticity

A

increased muscle resistance worse at extremes

33
Q

lead pipe rigidity

A

resistance throughout ROM flexion and extension

34
Q

cogwheel rigidity

A

resistance that seems to release and return throughout ROM

35
Q

motor exam strength scale

A

0- no muscular contraction detected
1- barely detectable muscle contraction (twitch)
2- active movement with gravity eliminated
3- active movement against gravity
4- active movement against some resistance
5- active movement against full resistance

36
Q

elbow flexion/extension nerve roots

A

biceps C 5/6

triceps C 6/7/8

37
Q

wrist extension nerve roots

A

C 6/7/8

radial nerve

38
Q

grip strength nerve roots

A

C 7/8

T 1

39
Q

finger abduction nerve roots

A

C8
T1
Ulnar nerve

40
Q

opposition nerve root

A

C8
T1
median nerve

41
Q

hip flexion nerve root

A

L 2, 3, 4

42
Q

hip adduction nerve roots

A

L 2, 3, 4

43
Q

hip abduction nerve root

A

L 4,5

S 1

44
Q

hip extension nerve root

A

S1

45
Q

knee extension nerve root

A

L 2, 3, 4

46
Q

Knee flexion nerve root

A

L 4, 5

S 1, 2

47
Q

ankle dorsiflexion nerve root

A

L 4,5

48
Q

ankle plantarflexion nerve root

A

S 1

49
Q

butterfly rash on cheeks

A

lupus

50
Q

scaly rash, pitted nails

A

scoriasis

51
Q

papules, pustules on red base of distal extremities

A

disseminated gonorrhea which can lead to septic arthritis

52
Q

physical exam for every musculoskeletal injury

A

observation
palpation
ROM
Circulation, motor, sensation

53
Q

shoulder joints

A

sternoclavicular
scapulothoracic
acromioclavicular
glenohumerol

54
Q

trapezius shoulder shrug

A

C4

55
Q

supraspinatus and deltoid shoulder abduction

A

C5

56
Q

biceps and wrist extensor (waiter carry)

A

C6

57
Q

triceps, wrist flexor, finger extensor (waiter tip)

A

C7

58
Q

finger flexor (bucket carry with no thumb)

A

C8

59
Q

thumb and finger abductor

A

T1

60
Q

saphenous sensation

A

medial calf

61
Q

sural sensation

A

lateral calf

62
Q

tibial sensation

A

bottom of foot

63
Q

deep fibular sensation

A

1st dorsal space

64
Q

superficial fibular sensation

A

top of foot

65
Q

bony ankle palpation

A
proximal fibula
medial/lateral malleolus
navicular
5th metatarsal base
calcaneus
66
Q

mammary ridge

A
  • ridge of ectoderm begins in bilateral pectoral area

- extends proximally to axilla, distally to groin

67
Q

milk line

A

corresponding to mammary ridge along which supernumerary breasts or nipples form

68
Q

polythelia

A

supernumerary nipples

69
Q

polymastia

A

supernumery breasts

70
Q

poland syndrom

A

failure of breast development

may include absence of pectoral muscles as well

71
Q

BiRADS

A
0- incomplete, additional studies needed
1- normal or negative
2- benign findings
3- probably benign, repeat in 6 months
4- suspicious, needs biopsy
5- highly suspicious, biopsy
6- biopsy proven cancer