phy final Flashcards

1
Q

fremitus

A

vibration

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2
Q

light palp, moderate palp, deep pal,

A

1cm
1-2cm
2-4cm

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3
Q

most common type of percussion

A

indirect

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4
Q

tympany

A

air filled organ, stomach or intestine

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5
Q

resonance

A

air in lungs

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6
Q

hyper resonance

A

air trapped

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7
Q

dullness

A

organ

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8
Q

flatness

A

bone

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9
Q

integumentary system

A

skin hair and nails

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10
Q

skin function

A
protection
temperature
vitamine D 
storage fat and blood 
excretion 
sensation
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11
Q

eccrine gland

A

sweat gland,

h20 and nacl

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12
Q

apocrine gland

A

located in aeras of hair
thick milky secretions
bacteria mixwd sweat

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13
Q

sabeacous/ oil glands

A

sebum
lube skin and hair
everywhere but dorsal appendages
increaed in scalp head and chin

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14
Q

hair is composed of

A

keratinized cells 2 trpes

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15
Q

vellus

A

short fine hair

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16
Q

therminal

A

thick dark

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17
Q

woods lamp

A

identifies fungus

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18
Q

jaundice inspection on darm patiens

A

lips , oral mucosa, sclera, conjuctuva adn palms

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19
Q

macule and patch

A

flat non papl change in color

over 1 cm may have uneven boarder “ mongolian patch “

port wine stain

vitiligo

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20
Q

papule

A

solid papl mass less than .05cm ( moles and warts )

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21
Q

plaques

A

groups of papule

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22
Q

nodule

A

elevated solid hard mass
less than 2cm
circle border

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23
Q

visicle bulla

A

blister , elevated fluid filled\

bullae is greter than .5cm

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24
Q

tumor

A

solid masss greater than 2cm with uneven boarder

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25
Q

pustule

A

elevated puss filleed

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26
Q

wheal

A

elevated uneve

incect bite

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27
Q

cyst

A

elevated and encapsulated greater than 1cm

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28
Q

inspection of red skin

A

dorsal part of hand

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29
Q

clubbing

A

copd lack of 02

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30
Q

vernix caseosa

A

white cheese like mix of sebum

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31
Q

millia

A

sebum collection in hair folicle

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32
Q

lanugo

A

fine downy like hair on newbourn

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33
Q

melasma chloasma

A

mask of pregnacy hyper pigmentation

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34
Q

skin pigment durring pregnacy

A

increases

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35
Q

linea nigera

A

linear darekned line

increased darken moles nipples and scars

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36
Q

geriatric decreased

A

skin elasticity
sebum production
perspriation
melanin production

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37
Q

atrophy

A

old people paper skin

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38
Q

crust

A

Dry blood, serum, or pus on the skin surface from burst vesicles or pustules.

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39
Q

fissuer

A

cracke skin

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40
Q

kelloid

A

An elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing that extends beyond the site of the original injury.

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41
Q
moles 
a
b
c
d
e
A
asymmetry
boarder
color
diameter
evolving
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42
Q

ulcer

A

venous HTN

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43
Q

Hemangioma

A

A bright red, raised lesion about 2–10 cm in diameter that does not blanch with pressure and is usually present at birth or within a few months of birth. Typically, it disappears by age 10.

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44
Q

Petechiae

A

red freckles

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45
Q

Purpura

A

flat reddish blue patches

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46
Q

annular

A

leason with circular shape

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47
Q

confluent

A

leason that runs together

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48
Q

discrete

A

seperated and sicrete

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49
Q

grouped

A

clustered leasions

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50
Q

target

A

concentric circle leasions

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51
Q

polycystic

A

circular but united

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52
Q

zosterform

A

linear leasons on nerve rout

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53
Q

tinea

A

fungal or secondar bacteral

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54
Q

rubeola

A

nonblanching red freckles that begin on the face

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55
Q

basal carcinoma

A

ulcer begin as shiny papule

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56
Q

squamous cell carcinoma

A

clearly defined elevated boarder

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57
Q

malignant melanoma

A

grater than 6cm irregular boarder with discoloration

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58
Q

kaposi sarcoma

A

milignt tiumor of hiv patients

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59
Q

seborrheic dermatitis

A

cradle cap

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60
Q

tinea capitis

A

scalp ringworm

fungus

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61
Q

alopecia areata

A

hair loss

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62
Q

hirsitum

A

excess body hair

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63
Q

ascultation of the temporal artery

A

bruit - bell of stethscope

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64
Q

examine lymph nodes w/

A

gentle circular

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65
Q

acromegly

A

enlargement of joints and bones

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66
Q

craniosytosis

A

early closure of sutures

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67
Q

classic migraine

A
depressed
restless
n/v
flashing light 
localizes and light sensitive
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68
Q

cluter ha

A

numerous over days or weeks

acute onset with aura

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69
Q

tenson HA

A

muscle contracetion HA

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70
Q

hyperthyroidism

A
amenorreaha 
insomnea 
heat intolerance 
increased 
weight loss
diaphroesis
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71
Q

hypothryadism

A

constipation
skkin changes
weight gain
cool skin

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72
Q

graves disease

A

hyperthryodism

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73
Q

sullen chart

A

20ft

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74
Q

rosenbaum

A

12-14in

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75
Q

near sited

A

myopia cant see distance only up close

76
Q

farsited

A

hyperopia cant see close things

77
Q

nastagumas

A

flutter of eye crainial nerve III

78
Q

corneal light reflex

A

light in both eyes should seee twinkle

79
Q

ptosisi

A

eye drooping

80
Q

red reflex exam

A

examiners right eye pateints left eye

no reflex = cataracts

81
Q

presbyopia

A

age related farsitedniss

82
Q

lateral deviation

A

normal till 4mo

83
Q

iris blue/grey

A

color by 3 mo

84
Q

astigmatism

A

light refraction over large aera instead of small aera

85
Q

optic chiasm

A

bilateral prephrial viison los

86
Q

esotopia vs exotropia

A

eye goes in vs out

87
Q

mydriasis

A

fixed dialted

88
Q

horners syndrome

A

one pinpoint pupil non reactive to light

89
Q

belpharitis

A

staph inflimation of eyelid

90
Q

basal cell carcinoma

A

papular apperance

91
Q

chalazion

A

firm non tender nodule

92
Q

entropion

A

inversion of eyelid muscle spasm

93
Q

ectropion

A

exvirsion of lower eyelid due to weakened muscle

94
Q

pteryguim

A

non cancerous growth from contjuva

95
Q

glycoma vs cataracts

A

glycoma is increased in interocular pressure and cataracts is opacity in lens

96
Q

pinguecula

A

yellowish nodules in conjunctiva

97
Q

macular degeneration

2 stages

A

dry - vestles ebcome weak and brittel
wet -
vestles break done and leak into eye

98
Q

degeneation of the macula

A

impared central vision

99
Q

auditory canal inspection of adult

A

pinna up and back

100
Q

auditory cal inspection of a child

A

pina downw and back

101
Q

tempanic membrane

A

peral grey in color

102
Q

ear infection

A

otis externia

103
Q

whisper test

A

high frequency sounds

104
Q

rhinne test

A

air and bone conduction

bone should fade first

105
Q

webber bone to bone

A

if the hearing is beeter in impared ear because direct conduction and not picking up enviromental sound

106
Q

nasal polyups

A

chronic allergies

107
Q

presbycusis

A

gradual hearing loss in elderly patients

108
Q

pregnacy norms

A

epitaxiis rhinitis increase sense of smell

109
Q

otitis externia

media

A

ear canal vs red buldging eardrum

110
Q

rhinitis

A

nasal inflimation

111
Q

blakc hairy tongue

A

black hairy tongue tempoary inhibition of normal bacteria

112
Q

ankyloglossia

A

tongue studk to botom of mouth

113
Q

mediastinum

A

countans hear trachea esophagus

114
Q

right lung vs leftlung

A

right lung 3 loabs

left 2 loabs taller

115
Q

eupnea

A

regular breathing

116
Q

dyspnia

A

change of difficulty i breathing

117
Q

unilateral delayed expansion of lungs

A

fibrotic structures or pneumpthorax

118
Q

fremitus increases

A

with fluid or fibrotic structures

119
Q

rhales

A

crackles that do not clear with cough
fine -crackle
course - bubble
durring expriation

120
Q

ronchi

A

clear with cough
wheex = obstruction
snorouse - fluid

121
Q

stridor

A

obstructed upper airway

122
Q

bronchophony

egophany

A

99 become lauder and clear with consilidation
E sounds like ayyyyyy
bad

123
Q

tachypenia

A

rapid shallow

124
Q

bradypenia

A

slow regular

125
Q

hyperventliation

A

rapid deep

126
Q

hypoventliatiion

A

irregular shallow

127
Q

cheyne strokes

A

deeep breathing and apnea

128
Q

obstructed breathing

A

slower expriation (copd)

129
Q

excavastium vs pectus carnatum

A

in vs out

130
Q

kyphosis

A

posteriou curvature of the thoracic spine

lateral is scholosisi

131
Q

pregnant female abg

A

resp alk

132
Q

asthma

A

chronic hyperactive condition of bronchiospasm

133
Q

atelectasis

A

collaps of avoli resulting in impared inflation of lung

mucus plug or lack of surfactant

134
Q

bhronchitis

A

inflimation of trachialbronchial treee

135
Q

emphysema

A

chronoic over inflation and distruction aveoli

136
Q

pneumonia

A

infection of alveoli

137
Q

pleural effusion

A

fluid in plueral space

138
Q

chf

A

edema around aveoli

139
Q

mammory ridge

A

line of different points a nipple can be ( supernumammory nipple)

140
Q

colostrum

A

nipple leakage before child birth

141
Q

breast inspection

A

first three finger pads with dime sized circular motion

142
Q

glacorahhea

A

lactation w/out pregnancy

143
Q

witches milk

A

neonatal milk

144
Q

binign breastdisease

(FIBROCYSTIC BREAST DISEASE

A

thinckning of normal breast tissue

145
Q

fibroadenoma

A

benign tumor of glandular tissue of the breast

146
Q

intraductual papilloma

A

growth of epicelial cells that product into the lumen

147
Q

mamary duct electaus

A

inflimation of the ducts

148
Q

orang peal skin on breast

A

sig of breast cancer

149
Q

s1/s2

A

lub dub

av - semilunar

150
Q

murmurs

A

harsh blowing sounds disruption of blood flow

151
Q
p
pr 
qrs 
t
qt
A
AD
sa-Av travel time 
ventricular depolarization
ventricular repolarization
VD - VR
152
Q

stroke volume vs CO

A
sv= 1 beat 
co = 1min
153
Q

preload vs afterload

A

stretch in

contract out

154
Q

scholosis and the heart

A

prolapsed mitral valve

155
Q

ductus arteriosis

A

hole pulmonary artery descending aorta

156
Q

foramen ova

A

hole between r and l atria

157
Q

coarctation of the aorta

A

aorta narrowed at birth

158
Q

tetralogy of fallot

A

fucked by four

159
Q

normal pulse normal

A
0-absent 
1-weak
2-normal
3-increased
4-bounding
160
Q

alans test

A

respiratory for colateral circulation

161
Q

aarterial insuffency

A

diminished pplses
cool shiny skin
deeep muscle pain ffrom elevation

162
Q

venous insufency

A

uneven edges
pain prolonged sitting gor standing
normal temp

163
Q

varicosites

A

dilated veins diminished rate of blood flow

164
Q

raynauds disease

A

spasms in the fingers causeing purple fingers

165
Q

alimentary canal

A

the tube !

166
Q

scaphoid

A

stomach sucked in

167
Q

RLQ

A

bowl sounds

168
Q

merphys signn

A

cholecystitst

169
Q

esophageal atresia

A

esophagus end in pouch instead of stomach

atresia and fistulas determine name

170
Q

pyloric stneosis

A

thicking of the pyloric muscle

171
Q
hep a
b
c
d
e
A
a- fecal oral
b- parenteal sex 
c - blood
d- b
e- travel
172
Q

abdominal assessment

A
xprocess
umbillicus
costal margins 
iliac crest
pubic bones
173
Q

abdominal assessment

xi - cup

A
xprocess
umbillicus
costal margins 
iliac crest
pubic bones
174
Q

urinary assessment

A

contravertebral angle
rectus abdominas
symphesis pubis

175
Q

female ureter length

A

10-12 inhes

176
Q

stereogenesis

A

object in hand

177
Q

graphesthesia

A

draw in hand

178
Q

anosmia

A

loss of smell

179
Q

asthesia

hyper anf hyposthesia

A

since of touch

180
Q

rapid alturnating action

A

indication of upper motor weakness

181
Q

tonic neck

A

infiant head turned and arms and legs will extend tword that direction ends at 2-6 mo

182
Q

palmar grasp

A

3/4 mo

183
Q

plantar grasp

A

6-8mo

184
Q

moro

A

extend arms and flex legs w/ laud sounds = 4-6 mo

185
Q
p
p
s
b
b
A
34
68
45
46
1824
186
Q

ataxic gate

A

ms/alc intox/

wide base and swaying

187
Q

scosor gate

A

knee slap spastic lower foot

ms