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Phys DI > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

What is second only to the heart in number of errors in examination?

A

Thyroid gland

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2
Q

What lobe of the thyroid gland is larger?

A

Right

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3
Q

How is the patent seated during a tracheal tug exam?

A

Head extended

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4
Q

What are some flags in the HPI?

A

Swelling or neck, change in bowels, menstrual flow, emotion, texture in hair skin nails

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5
Q

The inferior margins of the thyroid lobes are located where?

A

Within the SCM

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6
Q

What type of approach is most commonly used when palpating the thyroid gland?

A

Posterior (can do anterior tho)

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7
Q

What is a palpable cystic mass in the neck?

A

Thyroglossal duct

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8
Q

What is a skin and tissue disorder usually due to severe prolonged hypothyroidism ?

A

Myxedema

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9
Q

What is a goiter called due to hyperthyroidism ?

A

Euthyroid

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10
Q

What are 2 cause for a false positive thyroid exam?

A

Thin patients, long necks

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11
Q

What is autoamminue antibodies to dyroid stimulating hormone receptor leading to overactive thyroid ?

A

Graves

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12
Q

The superior margins of the thyroid lobes just touch what?

A

Thyroid cartilage

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13
Q

What is a goiter called due to hypothyroidism

A

Dysthyroid

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14
Q

What percent of people have a pyramidal lobe?

A

15%

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15
Q

Is a goiter a neoplastic or inflammatory process?

A

No

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16
Q

What is a congenital lesion formed by incomplete involution of brachial cleft

A

Brachial cleft cyst

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17
Q

What is a chronic enlargement of the thyroid ?

A

Goiter

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18
Q

What are some causes of bilateral swelling in the salivary glands?

A

Malnutrition, alcoholism, HIV

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19
Q

Do men or woman have larger thyroid glands?

A

Women

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20
Q

In iodine deflect areas what change do we see in the thyroid gland?

A

They are larger

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21
Q

When examining the head what should one look for?

A

Symmetry, alignment of trachea, fullness, masses, webbing, skinfolds

22
Q

How do you decrease thyroid palpation errors?

A

Practice, cross lighting, categorize, small goiter may be overestimation, evaluate mass, refer them out.

23
Q

What is a downward displacement of the thyroid cartilage during inspiration ?

A

Campbells sign

24
Q

What is the specificity of detecting a goiter with physical exam?

A

82%

25
Q

What can be a tracheal tug reveal?

A

Aortic arch aneurysm

26
Q

A tracheal tug is a coward displament of the cricoid cartilage with each_________?

A

Ventricular contraction

27
Q

What is the sensitivity of detecting a goiter with physical exam?

A

70%

28
Q

Are goiters during pregnancy common?

A

No but hypertrophy is

29
Q

What Region tends to be iodine deficient

A

Mountainous regions

30
Q

What are the dementsions of the thyroid gland?

A

2 cm wide, 5 high, 2.5 thick

31
Q

What is a premature closure of one or more cranial sutures before brain growth is complete?

A

Craniosynostosis

32
Q

What kind of thyroid can extend into the mediastinum ?

A

Lingual

33
Q

How is the patient seated when evaluating the thyroid gland?

A

Slight extension

34
Q

As we age what happens to the thyroid gland?

A

Becomes more fibrotic (t4 decreases)

35
Q

In what percent of the population can an entire left lobe be absence in the the thyroid gland?

A

1%

36
Q

What is a cause for unilateral salivary gland swelling?

A

Ducati calculus

37
Q

A stronger macewen sign is found when what 2 things could be present?

A

Hydrocephalus, abscess

38
Q

What is a problem in the formation, flow, or absorption of cerebrospinal fluid that leads to an increase in volume of CSF?

A

Hydrocephalus

39
Q

What is autoimmune antibodies against thyroid gland, often causing hypothyroidism ?

A

Hasimotodisease

40
Q

In what condition is a bruit most commonly seen??

A

Grave throtoxemia

41
Q

What percent of people have a posterior extracapsular tissue on the thyroid bald?

A

5%

42
Q

What does the thyroid gland feel like?

A

An almond

43
Q

What is a neural tube defect with protrusions of brain and membranes that cover it through openings in the skull?

A

Encephalocele

44
Q

What are you checking for when palpating the thyroid gland?

A

Size, shape, configuration, consistency, tenderness, nodules.

45
Q

When examining children, percussion of the skull with one finger to dectect ______should be done?

A

Macewen sign

46
Q

What is the cause of campbells sign?

A

COPD

47
Q

For tracheal palpation how should the patient be seated?

A

With forward lean

48
Q

What is a mask of pregnancy that you should check for?

A

Chloasma/melasma

49
Q

What are some causes of false negatives for thyroid gland exams?

A

Bad skills, atypical placement of the thyroid gland, short shin necked patients

50
Q

How much do thyroid glands weigh?

A

15-20 grams

51
Q

Pseudogoiters have been termed what?

A

Modigliani

52
Q

What are some causes of torticollis?

A

Birth trauma, tumors, infection

Phys DI (9 decks)

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