(*) Random important topics [in progress]

Question 1

What is the SNOOPS acronym?

Answer 1

Check for space-occupying mass, vascular lesion, infection, metabolic distrubance, systemic problem

S - Systemic sx, illness, condition (fever, weight loss, CA, pregnant, immune compromised)

N - Neuro sx or abnormal signs (confusion, papilledema)

O - Onset is new or sudden (thunderclap)

O - Other assc. sx (head trauma, illicit drug use, worse w/ valsalva, precipitated by sex)

P - Previous HA hx with progression/change

Question 2

What is the NURSE mneumonic?

Answer 2

Mneumonic for empathy

Question 3

If you auscultate bruits in the abdominal exam, what should you be concerned about?

Answer 3

Vascular obstruction (stenosis in renal, iliac, or femoral As)

Question 4

Stones, bones, groans, thrones, and psychiatric overtones can be indicative of what disease process?

Answer 4

Hyperparathyroidism

Hypercalcemia

Question 5

TSH is high in what disease process? When is it low?

Answer 5

TSH high in hypoparathyroidism (low T4, T3)

TSH low in hyperparathyroidism (High T4, T3)

Question 6

What is the most common cause of endogenous cortisol overproduction?

Answer 6

Cushing’s disease

Question 7

What are the most common blood levels used to diagnose diabetes?

Answer 7

Fasting plasma glucose 126 mg/dL or greater

A1C level 6.5% or more

Random plasma gluose >200 mg/dL

Question 8

Where are vesicular breath sounds heard? When are they heard

Answer 8

Over most of lungs (soft and low pitched)

Heard through inspiration and 1/3 expiration

Question 9

Where are bronchovesicular breath sounds heard? When?

Answer 9

1st and 2nd intercostal spaces anteriorly and b/w scapulae

Equally in inspiration and expiration

Question 10

Where are bronchial breath sounds heard best? When?

Answer 10

Heard best over manubrium (loud, high pitched)

Expiratory sounds heard longer than inspiratory

Question 11

5Ps of Sexual history

Answer 11

Partners

Practices

Prevention of pregnancy

Protection from STIs

Past history of STIs

Question 12

When does breast and pubic hair development begin in females?

Answer 12

8-13 yrs old

Question 13

When does pubic hair and male genitalia begin development?

Answer 13

9-13.5 yrs old

Question 14

Tanner stages of male genitalia development

Answer 14

1. Preadolescent - same size and proportions in childhood
2. Slight or no enlargement in penis, testes and scrotum larger
3. Penis larger, especially in length
4. Further enlarged in length and breadth, with development of glans, scrotal skin darkened
5. Adult in size and shape

Question 15

Tanner stages of female breast development

Answer 15

1. Preadolescent - elevation of nipple only
2. Breast bud stage, elevation of breast and nipple as small mound, enlargement of areolar diameter
3. Further enlargement of elevation of breast and areola, with no separation of their contours
4. Projection of areola and nipple to form secondary mound above level of breast
5. Mature stage - projection of nipple only, areola has recede to general contour of breast

Question 16

Tanner stages of pubic hair development

Answer 16

1. Preadolescent
2. Sparse growth of long, slightly pigmented, downy hair, straight or only slightly curled, chiefly along the labia
3. Darker, coarser, curlier hair, spreading sparsely over pubic symphysis
4. Coarse and curly hair as in adults, area covered greater than stage 3 but not as great as adult, does not include thighs
5. Adult hair in quantity and quality, spreads on medial surfaces of the thighs