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PCM III > Respiratory King > Flashcards

Respiratory King Flashcards

1
Q

Mild Microencepahly

A

Fetal Alcohol Syndrome

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2
Q

Broad Nasal Bridge

A

Fragile X Syndrome

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3
Q

Low nasal bridge

Frontal prominence

A

Hurler Syndrome

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4
Q

Downward slanting palpebral fissures
Low set ears
Micrognathia

A

Treacher Collins Syndrome

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5
Q

Elongated head
Coarse facial features
Boney overgrowth of forehead, nose and lower jaw

A

Acromegaly

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6
Q

Moon face
Reddened cheeks
Hirsuitism

A

Cushing disease

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7
Q

Puffy face

thinking, coarsening of eyebrows and hair

A

Hypothyroidism

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8
Q

Overgrowth of collagen in scar tissue

Grows beyond borders of original injury

A

Keloid

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9
Q

Hematoma separates cartilage from perichondrium with scar tissue filling gap between the two layers

A

Cauliflower Ear

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10
Q

Bacterial responsible for otitis external

A

Pseudomonas

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11
Q

Tx Otitis Externa

A

Ear drops, open and clean canal if possible

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12
Q

In diabetics the infection can spread to the soft tissues of the base of the skull

A

Malignant Otitis Externa

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13
Q

How many AOM will clear without Tx?

A

50% clear without antibiotics

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14
Q

How many AOM will convert to acute coalescent mastoiditis?

A

1 in 400

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15
Q

Tx of Otitis Media with Effusion?

A

Surgical, slit in ear drum with fluid drained by myringotomy tube

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16
Q

Hemotypanum MCC

A

Head trauma

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17
Q

Tympanic Membrane Retraction usually sequela of

A

Glue ear

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18
Q

Portion of tympanic membrane is weakened and retracts into middle ear due to negative pressure, auditory acuity can be compromised

A

Tympanic Membrane Retraction

19
Q

Occurs most commonly in older patients with fragile vessels, profuse bleeding (sphenopalatine artery) requires hospitalization and surgical tx

A

Posterior Epistaxis

20
Q

Nasal septum deviated laterally congenital or due to trauma

A

Deviated Septum

21
Q

Occurs when blood supply to the septum is chronically compromised often caused by inhalation of vasoconstrictive substances

A

Septal Perforation

22
Q

Sinusitis after URI Pathophysiology

A

Virus infects mucus membrane of the sinuses, causes swelling and narrowing, secondary increase in secretions gets trapped in swollen sinuses and becomes infected with bacteria

23
Q

Slow growing most common skin cancer

A

Basal Cell Carcinoma

24
Q

More aggressive, early metastasis, scaly crusting patch

A

Squamous Cell Carcinoma

25
Q

Melanin deposits on mucus membranes
Intestinal polyps with increased risk of GI cancers
Autosomal dominant

A

Peutz-Jeghers

26
Q

Appearance caused by loss of papillae, may be linked to Vitamin B deficiency

A

Geographic Tongue

No Tx necessary

27
Q

Usually squamous cells, link to HPV infection often presents late in disease course due to few early Sx

A

Tonsillar Carcinoma

28
Q

Hard bony growth in center of hard palate
Benign - exostosis
Occurs in females over 30, rarely needs Tx

A

Torus Palatinus

29
Q

MCC Tonsillitis

A

Gram positive bacteria

30
Q

Rheumatic fever organism

A

Strep Pyogenes

31
Q

Sternum displaced anteriorly increasing AP diameter

Adjacent costal cartilages depressed

A

Pigeon chest

Pectus carinatum

32
Q

Depression in lower portion of sternum, compression of heart and great vessels may cause murmurs

A

Funnel chest

Pectus Excavatum

33
Q

Subcutaneous emphysema may indicate

A

Pneumothorax

34
Q

Decreased motion with respiration may indicated

A

Bronchial obstruction or pleural effusion

35
Q

Posteriorly the Upper Lung/Lower Lung transition occurs at

A

Spinous process of T3

36
Q

Which lung has 3 lobes?

A

the right one!!

37
Q

Bronchial sounds with primarily rhonci may indicate

A

Pneumonia

38
Q

In Pneumonia percussion reveals____ while bronchophony and tactile fremitus reveal____

A

Dullness on percussion with increased bronchophony and tactile fremitus

39
Q

In COPD percussion reveals____ while bronchophony and tactile fremitus reveal____

A

Hyperresonance on percussion with decreased bronchophony and tactile remits

40
Q

Decreased breath sounds throughout lung fields indicated

A

COPD

41
Q

Decreased breath sounds in dependent portions of the lung with rales and crackles

A

CHF

42
Q

In Pneumothorax percussion reveals____ while bronchophony and tactile fremitus reveal____

A

Marked hyper resonance on percussion with decreased bronchophony and tactile fremitus

43
Q

Tactile fremitus only is decreased in

A

Pleural Effusion

PCM III (3 decks)

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