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boards part 4 > phys dx > Flashcards

phys dx Flashcards

1
Q

BP over 140/90

BP under 90/60

A

HTN

hypotension

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2
Q

vesicle: elevated serous filled cavity .5 cm that follows a unilateral thoracic dermatome

A

herpes zoster

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3
Q

silver scales on extensor surfaces

A

psoriasis

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4
Q

butterfly rash

A

sle

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5
Q

pos dedlyns, or vertebrobasilar artery functional maneuver indicate

A

pos: vertigo, blurred vision, nausea, syncope, nystagmus
Indicates: vertebrobasilar artery circ compromise

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6
Q

bilateral ptosis is ___ unilateral is _____

A

bilat: myasthenia gravis
unilat: horners (loss of cervical symp + miosis, anhydrosis), CN III lesion

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7
Q

iritis/uveitis

A

early stage AS (and retirees)

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8
Q

pailledema

A

increased ICP

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9
Q

AV nicking, silver wire arterioles, widened light reflex

A

arteriosclerosis

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10
Q

flame hemorrhages, cotton wool spots, narrow light reflex

A

HTN

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11
Q

yellow, hard, waxy exudates, neovascularization, micro aneurysm, absent red light reflex

A

diabetes

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12
Q

external ear conditions

A

otitis externa

air conduction loss

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13
Q

middle ear conditions

A

otitis media
otosclerosis
meniere’s

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14
Q

inner ear conditions

A 
menier's
labyrinthtis
vertigo
acoustic neuroma
ototoxicity
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15
Q

tactile fremitus INCREASED with ____ and DECR with ___

A

pneumonia

emphysema

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16
Q

dull chest percussion

A

pneumonia, atelectasis, pleurisy

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17
Q

resonant chest percussion

A

normal, bronchitis

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18
Q

hyperresonant chest percussion

A

emphysema, pneumothorax

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19
Q

dull percussion, increased TF
rales/crackles
productive cough 10 days
rust sputum

A

lobar pneumonia

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20
Q 
low grade fever, night sweat, prod cough
yellow/green sputum
apices of lung, crackles in upper lobe
tine/mantoux test
mycobacterium \_\_\_
A

TB

21
Q

dull percussion, dec TF
dry non prod cough, dec res excursion
friction rub, dec breath sounds
+ schep

A

pleurisy

22
Q

dec chest expansion
dec TF, hyperres, dec breaths sounds
unilat darkening of chest

A

pneumothorax

tracheal shift away from lesion

23
Q

mucous plug
dec TF, dull perc, dec/no breath sounds
dec chest expansion
increased density on xray

A

atelectasis

tracheal shift towards lesion

24
Q

dec TF, hyperres perc, dec breath sounds
prolonged expiration, EXPIRATORY wheeze
20-30y smoking
bilat darkened lung field, narrowed compressed heart, horizontal ribs, flattened diaphragm

A

emphysema

25
Q

LT hx of smoking, non prod coughing > 30 days

afebrile***, dyspnea, weight loss, fingernail clubbing

A

bronchogenic CA

26
Q

from phys activity, worse with activity, pain incr with deep breath

A

costochondritis

tietze syndrome

27
Q

granuloma nodules, appears in lungs and lymph nodes
african american
bilateral hilar lymphadenopathy

A

sarcoidosis

28
Q 
young cause male 20-30
fever, night sweat, weight loss, pruritus, enlarged spleen
two lumps above clavicle
reed sternberg cell
unilat hilar lymphad
A

hodgkins

29
Q

cardiomegaly, jugular venous pulsations/distension

billet leg swelling, pitting edema, difficulty breathing

A

right sided HF

**common cause of LSHF, for pulmonale

30
Q

comes on with exertion

relived by vasodilator under tongue

A

angina pectoris, coronary vasospasm

prinzmetal comes on with rest

31
Q

comes on with rest, severe substernal chest pn, refer to left arm
labored breathing, atherosclerosis
inc CPK, SGOT, LDH
test with electrocardiogram, echocardiogram, refer to cardio

A

MI

32
Q

pain refer to right shoulder, tip of right scap

A

gallbladder

33
Q

overweight female, RUQ pn
cause is cholelithiasis
n/v, eating a large fatty meal

A

cholecystitis, choledocholithiasis

test: us, oral cholecystogram, murphy sign

34
Q

epigastric pn thru t10-12 like a knife
grey turner
cullen sign
inc amylase and lipase

A

pancreatitis

chronic: alcoholism
acute: 911 emergency

35
Q

protrusion of stomach above diaphragm with LUQ

esophagitis, dyspepsia, worse after large meal and when lying down

A

hiatal hernia

36
Q

upward reflux of acid contents of stomach into esops
caused by sliding hiatal hernia
worse with lying down, after meal, valsalva, bearing down
-xray, upper gi series

A

reflux esophagitis

37
Q

EBV, young adults
flu symptoms, young
downey cells in blood
monospot, herterophile, paul bunnel

A

mono

can adjust

38
Q

RLQ pn, chronic diarrhea
B12 malabsorption
cobble stone
distal ileum and colon

A

regional ileitis/chron’s

-dx with sigmoidoscopy

39
Q

colon, rectum, left side

bloody diarrhea and fever, can lead to sacroliliitis

A

UC –> enteropathic arthropathy

dx with sigmoidoscopy

40
Q

BP radiating into groin, writing pain
inc BUN, uric acid, creatinine clearance, KUB, UA
staghorn calculi

A

nephrolithiasis

41
Q

icily from Muti

wbc casts

A

pyelonephritis

42
Q

ecoli in females
n gonorrhea in males
nitrates in urine

A

urethritis

43
Q

noninfectious bladder inflame causes burning, painful, freq urination with incontinence
suprapubic and lbp

A

cystitis

44
Q

nipple retraction, bleeding, orange peel, dimpling (pages of breast) mets to axilla
lytic to bone
case hx lumpectomy

A

breast ca

2nd mcc ca death women

45
Q

post lobe is hard, nodular, painless, enlarged

mets to lumbar spine via batsons plexus

A

prostatic ca

46
Q

pain appears while walking and disappears after rest

A

intermittent claudication

47
Q

tenderness, edema, pain in calf

A

dvt

48
Q

blockage of artery in lung
difficulty breathing, chest pain on inspiration, palpitations
flying and prolonged bed rest

A

pulmonary embolism

boards part 4 (15 decks)

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