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Primary Care > Week 2: Review of Systems > Flashcards

Week 2: Review of Systems Flashcards

1
Q

What are the components of a general health screen?

A

Fatigue
Malaise
Fever, chills, sweats
Weight loss, gain
Nausea, vomiting
Dizziness, lightheadedness
Parasthesia, weakness, numbness
Change in mentation, cognitive abilities

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2
Q

What does black, tarry, shiny, sticky stool indicate?

A

Upper GI bleed

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3
Q

What does black, but not sticky stool?

A

Ingestion of iron & bismuh salts, black licorice, some commercial CC cookies

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4
Q

What does light gray, pale stool indicate?

A

Obstructive jaundice

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5
Q

What does bright, blood red stool indicate?

A

Lower GI bleed

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6
Q

what does dark, coke-like urine indicate?

A

rhabdomyolysis
hepatic or biliary obstructive disease

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7
Q

which system is affected? bone pain, increased bruising, increased thirst, parasthesia

A

endocrine

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8
Q

_____ _____ checklist is the starting point for assessing the psychologic system

A

general health

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9
Q

pain that fluctuates over a 24 hr period indicates an issue with which system?

A

MSK

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10
Q

how do most (~80%) adverse drug reactions present?

A

as a magnification of what the drug was meant to do therapeutically

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11
Q

what is the most common cause of joint pain?

A

OA

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12
Q

PTs should be primary care providers for what condition?

A

OA

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13
Q

if a person is experiencing a headache that wraps around the entire circumference of the middle of the head, what type of headache are they having?

A

tension

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14
Q

if a person is experiencing a headache that is around the eyes and forehead, what type of headache are they having?

A

migraine

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15
Q

if a person is experiencing a headache in the orbital region, what type of headache are they having?

A

cluster

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16
Q

if a person is experiencing a headache behind the eyes and radiating to the neck, what type of headache are they having?

A

cervicogenic

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17
Q

which type of headache is a second degree?

A

cervicogenic

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18
Q

which spinal levels refer pain up to the head?

A

C1-C3

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19
Q

what is one of the most common disabling conditions in the world?

A

headache

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20
Q

what’s the most likely condition?
pain improves with exercise
morning stiffness for >30 mins
pain at night
onset <40 yo
uveitis, IBS

A

ankylosing spondylitis

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21
Q

what’s the most likely condition?
onset 33-55 yo
pain improves with exercise
no non-joint conditions
potential pain referral to hip

A

non-specific LBP

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22
Q

classification criteria for RA must be present for ____ to have a diagnosis

A

6 weeks or more

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23
Q

what’s the most likely condition?
morning stiffness >1 hr
sx increase with rest & intense exercise
sx decrease with short rest & mild mvmt
onset 20-50 yo
autoimmune thyroid disorders

A

RA

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24
Q

what is the most common area to see RA?

A

MCP joint

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25
Q

classification criteria for RA

A

morning stiffness >60 mins
arthritis of 3+ joints
arthritis of hand joints
systemic arthritis
rheumatoid nodules
serum rheumatoid factor
radiologic changes

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26
Q

what’s the most likely condition?
sx increase with rest & intense activity
sx decrease with short rest & mild mvmt
onset 15-40 yo
infection, sunlight, meds

A

SLE

27
Q

what’s the most likely condition?
onset 40s-50s
males more likely to have
increased uric acid levels
sx increase with WB and joint use
sx decrease with rest but unrelenting
night pain
no morning stiffness
rapid progression

A

gout

28
Q

what’s the most likely condition?
onset teens-20s
psoriasis with arthritis following
morning stiffness >60 mins
no night pain
sx increase with rest & intense activity
sx decrease with short rest & mild mvmt

A

psoriatic arthritis

29
Q

what’s the most likely condition?
onset 3rd decade (20s)
acute onset
venereal disease or dysenteric disease

A

reactive arthritis (Reiter’s Syndrome)

30
Q

what’s the most likely condition?
abrupt onset
trauma or illness occurred
systemic corticosteroid use
DM, infection
sx increase with WB & joint use
sx decrease with rest but unrelenting

A

septic arthritis

31
Q

what’s the most likely condition?
review of systems findings:
uveitis
fatigue, weight loss, fever, malaise
cardiac & pulmonary complications

A

ankylosing spondylitis

32
Q

what’s the most likely condition?
review of systems findings:
skin rash
fever, fatigue, malaise
photosensitivity
dyspnea, cough
peripheral neuropathies

A

SLE

33
Q

what’s the most likely condition?
review of systems findings:
fever, malaise
tachycardia

A

gout

34
Q

what’s the most likely condition?
review of systems findings:
fever, fatigue, malaise
psoriasis

A

psoriatic arthritis

35
Q

what’s the most likely condition?
review of systems findings:
urethritis
conjunctivitis
nausea, vomiting, diarrhea
weight loss

A

reactive arthritis (Reiter’s Syndrome)

36
Q

what’s the most likely condition?
review of systems findings:
fever, chills, malaise

A

septic arthritis

37
Q

what are some conditions that are associated with limb pain that PTs do not treat?

A

hypothyroidism
Lyme disease
polymyalgia rheumatica
statin-induced myopathy

38
Q

dizziness vs vertigo

A

dizziness - spatial perception
vertigo - spinning sensation

39
Q

T/F: dizziness and vertigo is common in children

A

F
could indicate a tumor

40
Q

what should be considered when evaluating dizziness?

A

serious pathologic neck conditions

41
Q

what are the 5 Ds of vertebral artery insufficiency?

A

drop attacks
dizziness related to neck movement
dysphagia
dysarthria
diplopia

42
Q

what are the 3 Ns of vertebral artery insufficiency?

A

nausea
numbness
nystagmus

43
Q

vertebral artery insufficiency will have positive ______ signs

A

cranial nerve

44
Q

CVA - FAST stands for?

A

facial droop
arm numbness/weakness
speech difficulty
time

45
Q

symptoms of cervical ligamentous instability

A

occipital HA and numbness
severely limited neck AROM all directions
signs of cervical myelopathy

46
Q

what are the 4 categories of dizziness?

A

vertigo
disequilibrium
presyncope
non-specific (psychogenic)

47
Q

what is vertigo?

A

sensation of spinning

48
Q

vertigo is caused by

A

asymmetrical involvement of the vestibular system

49
Q

which type of vertigo is more common?

A

peripheral (rather than central)

50
Q

what is disequilibrium?

A

dizziness, imbalance, unsteadiness
W/O VERTIGO
degenerative changes in brain & body

51
Q

what causes presyncope?

A

vascular compromise to cerebellum
CV disease
hypoglycemia
certain meds

52
Q

what causes non-specific (psychogenic) dizziness?

A

panic/anxiety
cervicogenic

53
Q

what is the most common type of HA?

A

tension

54
Q

____% of HA are cervicogenic

A

15-20%

55
Q

____% of HA are migraine

A

10-15%

56
Q

____% of HA are cluster

A

<1%

57
Q

____% of HA are tension

A

40%+

58
Q

symptoms of cervicogenic HA

A

non-throbbing, non-pulsating
unilateral sx
provoked by neck mvmt &/or sustained posture
sx mild to moderate

59
Q

symptoms of migraine HA

A

unilateral sx but shifts sides
severe sx
1+: nausea, vomiting, photophobia, phonophobia

60
Q

symptoms of cluster HA

A

comes every other day for 8 days
sx are severe or very severe
lacrimation, nasal congestion &/or rhinorrhea, eyelid edema, forehead & facial sweating, ptosis, sense of restlessness or agitation

61
Q

symptoms of tension HA

A

caused by stress, anxiety, or depression
bilateral symptoms
sx mild to moderate

62
Q

red flags for TBI

A

double vision
severe or worsening HA
seizure or convulsion
LOC
deteriorating consciousness
vomiting
agitation &/or combativeness

63
Q

what are the high-risk sites for stress fracture?

A

femoral neck
anterior cortex of tibia
medial malleolus
tarsal navicular
base of 2nd and 5th metatarsal
talus
patella

Primary Care (7 decks)

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