Peer 8 - Signs and Sx

Question 1

Most likely cause of infection in geriatric patients?

Answer 1

Respiratory, urinary, skin infections

Question 2

Cause of decubitus ulcers?

Answer 2

immobility

Question 3

Primary psych disorder is caused by: disorientation, fluctuating level of consciousness, gradual onset, visual hallucinations?

Answer 3

gradual onset

Question 4

Tx of N/V with vertigo and nystagmus on exam?

Answer 4

meclizine

Question 5

Oculovestibular response to cold water irrigation in ear?

Answer 5

slow devation toward side of stimulus with nystagmus and corrective back to mjidline.

COWS - direction of nystagmus

Question 6

Findings in beta hemolytic strep?

Answer 6

sore throat, fever, anterior cervical adenopathy. No cough. palatal petechiae.

Question 7

MCA stroke leads to?

Answer 7

contralateral hemiparesis with hemisensory loss, more so upper half

Question 8

diabetic mononeuropathy sx?

Answer 8

diplopia, unilateral ptosis, inability to adduct, depress or elevate the eye with pupil sparing.

Question 9

Visceral abdominal pain?

Answer 9

midline and bilateral, follows embryological origin

Question 10

Earliest sign of superior vena cava syndrome?

Answer 10

facial swelling

Question 11

Gilbert syndrome?

Answer 11

abnormal conjugation of bili, unconjugated bili

Question 12

Where is virchow’s node/troisier’s node?

Answer 12

supraclavicular

Question 13

Cause of peripheral cyanosis?

Answer 13

low cardiac output states, environmental exposure, arterial or venous occlusion, redistribution of blood flow

Question 14

Typical presentation of myopathies?

Answer 14

skeletal muscle pain or weakness. prox muscles and tenderness. Reflex and sensation normal

Question 15

Metabolic acidosis causes what respiratory response?

Answer 15

respiratory alkalosis, dyspnea and tachypnea

Question 16

Body’s main defense against hypernatremia?

Answer 16

thirst

Question 17

Cause of bradycardia with fever?

Answer 17

beta blocker use, infection/inflammation of cardiac structures (lyme disease, endocarditis, rheumatic fever)

Question 18

Systemic illnesses associated with pruritus?

Answer 18

renal disease, cholestatic disease, hematologic disease, endocrine disorders, malignancy

Question 19

More common in encephalitis instead of meningitis?

Answer 19

focal neuro findings (seizure, hallucinations, aphasia, muscle weakness)