Week 1 Rash

Question 1

What does SOS stand for?

Answer 1

S - sign/symptom
O - organ system
S - science

Question 2

Differentiate between a symptom and a sign.

Answer 2

Symptom - chief complaint or concern patient verbalizes (ex. pain)
Sign - observed physical exam finding by provider (ex. tenderness)

Question 3

What is the “science” when examining a patient?

Answer 3

the pathophysiology, i.e. how disease/injury affects the body (ex. Parkinson’s leads to death of dopaminergic neurons)

Question 4

As clinicians, ________________is the major skill you will use in making a correct diagnosis.

Answer 4

Visual inspection

Question 5

What do the 4 C’s stand for?

Answer 5

Capture
Connect
Consider
Conclude

Question 6

The patient informs you that they have diagnosed pneumonia from an x-ray. Is this a symptom or a sign?

Answer 6

Until you physically have a copy of the x-ray and review it yourself, this is a symptom because it is just something the patient is telling you. It is subjective.

Question 7

Pain. Sign or symptom?

Answer 7

Symptom

Question 8

Tenderness. Sign or symptom?

Answer 8

Sign

Question 9

Weight gain/loss. Sign or symptom?

Answer 9

Can be both

Question 10

Swelling/edema. Sign or symptom?

Answer 10

Both

Question 11

Cut or abrasion. Sign or symptom?

Answer 11

Both

Question 12

Pink eye (conjunctivitis). Sign or symptom?

Answer 12

Both

Question 13

Insect bite. Sign or symptom?

Answer 13

Both

Question 14

Fever/pyrexia. Sign or symptom?

Answer 14

Both

Question 15

Burn. Sign or symptom?

Answer 15

Both

Question 16

Cough. Sign or symptom?

Answer 16

Both

Question 17

Wheezing. Sign or symptom?

Answer 17

Both

Question 18

Shortness of breath. Sign or symptom?

Answer 18

Both

Question 19

Scar. Sign or symptom?

Answer 19

Both

Question 20

Height and weight. Sign or symptom?

Answer 20

Both

Question 21

What is a SOAP note and what the acronym stand for?

Answer 21

health provider’s documented notes on a patient for their chart

Subjective
Objective
Assessment
Plan

Question 22

Describe the component of a SOAP note.

Answer 22

Subjective - what the patient tells you
Objective - what you detect during exam
Assessment - diagnoses
Plan - treatment or recommendations

Question 23

What do HPI and OLDCARTS stand for?

Answer 23

History of present illness

Onset
Location
Duration
Character
Aggravating factors
Relieving/radiating factors
Timing
Severity

Question 24

What does FIFE stand for?

Answer 24

Feelings
Ideas
Function
Expectations

Question 25

Good/normal or bad/abnormal sign/symptom? 1. Negative fever 2. Negative heart murmur 3. Negative bowel sounds 4. Negative pupillary constriction with light 5. Positive tenderness to palpation

Answer 25

1. Good 2. Good 3. Bad 4. Bad 5. Good

Question 26

What are the signs/symptoms of an allergic reaction?

Answer 26

Vasodilation, permeability changes, visceral smooth muscle contraction, mucous secretory gland stimulation, and tissue inflammation

Question 27

What is the etiology of an allergic reaction?

Answer 27

IgE antibodies occupy receptor sites on mast cells and within minutes after exposure to allergen, a multivalent agent links adjacent IgE molecules which activates and leads to degranulation of mast cells

Question 28

What is the route of transmission of an allergic reaction?

Answer 28

Nontransmissable

Question 29

What are the signs/symptoms of herpes zoster?

Answer 29

Fever, malaise, pruritic, pain, lesions that are maculopapular > vesicles > pustules > crusted

Question 30

What is the etiology of herpes zoster?

Answer 30

Varicella-zoster virus

Question 31

What is the route of transmission of herpes zoster?

Answer 31

Respiratory secretions or contact with fluid from vesicles

Question 32

How is dormant varicella-zoster virus reactivated?

Answer 32

From cranial nerve sensory ganglia and spinal dorsal root ganglia

Question 33

This differential has lesions in all different stages of development at once.

Answer 33

Herpes zoster

Question 34

This differential’s rash is usually unilateral and does not cross into other dermatomes

Answer 34

Herpes zoster

Question 35

What are the signs/symptoms of tinea corporis?

Answer 35

ring-shaped lesions with an advancing scaly border and central clearing, scaly patches with distinct border, itching, burning, stinging, superficial cracks, macerated skin in web spaces, and/or annular lesions with central clearing and scaly patches with a distinct border

Question 36

What is the etiology of tinea corporis?

Answer 36

Various types of fungal organisms

Question 37

What is the route of transmission of tinea corporis?

Answer 37

direct contact

Question 38

What are the signs/symptoms of eczema?

Answer 38

Pruritic, macular and/or papular rash with a distinct presentation in different ages and races, intermittent exacerbations with familial, environmental, and emotional components

Question 39

What is the etiology of eczema?

Answer 39

Increased skin sensitivity and characteristic manifestations

Question 40

What is the route of transmission of eczema?

Answer 40

Non-transmissible

Question 41

What are the signs/symptoms of cancer?

Answer 41

Red or purple plaques or nodules on skin or mucous membranes (occurs largely in homosexual men with HIV infection as an AIDS-defining illness)

Question 42

What is the etiology of skin cancer?

Answer 42

Herpes virus 8 (HHV-8)

Question 43

What is the route of transmission of skin cancer?

Answer 43

Saliva and other bodily fluids passed that contain herpes virus 8 (HHV-8)

Question 44

What does the review of systems (ROS) do?

Answer 44

It summarizes all the symptoms that may have been overlooked in the chief complaint or HIP in terms of body systems

Question 45

What does the past history include?

Answer 45

Pertinent negative associated and positive associated symptoms, negative non-symptom data, past med history, past social history, family history, and social history