Workbook5 Flashcards

1
Q

Primary Headaches

A

No identifiable underlying cause

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2
Q

Secondary Headaches

A

Arise from other conditions

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3
Q

If headache is severe and of sudden onset

A

Subarachnoid hemorrhage or meningitis

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4
Q

Episodic headaches that peak over several hours

A

Migraine and Tension

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5
Q

New and persisting, progressively severe headaches raise concern of…

A

Tumor, abscess, mass lesions

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6
Q

Unilateral headaches found in…

A

Migraine and cluster headaches

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7
Q

Tension headaches found in…

A

Temporal areas

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8
Q

Cluster headaches found in

A

Retro-orbital areas

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9
Q

Associated symptoms of nausea and vomiting associated with…

A

Migraines, brain tumors, subarachnoid hemorrhage

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10
Q

Feelings of euphoria, food cravings, fatigue, or dizziness, aura, change in vision, numbness/weakness in arm or leg associated with…

A

Migraines

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11
Q

If coughing/sneezing/head position worsens headache it could be…

A

Pain from brain tumor, acute sinusitis

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12
Q

Pts. with chronic daily headaches taking symptomatic meds 2+ days per week might have…

A

Medication overuse

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13
Q

Hyperopia

A

Farsightedness (Difficulty seeing close up)

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14
Q

Presbyopia

A

Aging vision (impaired near vision)

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15
Q

Myopia

A

Nearsightedness (problems with distance)

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16
Q

Unilateral visual loss that is painless might suggest…

A

Vitreous hemorrhage from diabetes or trauma, macular degeneration, retinal detachment, retinal vein occlusion, or central retinal artery occlusion

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17
Q

Unilateral visual loss that is painful might suggest…

A

Corneal ulcer, uveitis, traumatic hyphema, acute glaucoma, optic neuritis from MS

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18
Q

Sudden and painless bilateral visual loss caused by…

A

Medications that change refraction (i.e. cholinergics, anticholinergics, and steroids)

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19
Q

Sudden and painful bilateral visual loss caused by…

A

Chemical or radiation exposures

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20
Q

Gradual bilateral visual loss caused by…

A

Cataracts, macular degeneration

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21
Q

Slow central visual loss caused by…

A

Nuclear cataract, macular degeneration

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22
Q

Peripheral visual loss caused by…

A

Advanced open-angle glaucoma

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23
Q

One-sided visual loss caused by…

A

Hemainopsia, quadrantic defects

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24
Q

Visual field moving specks/strands suggest…

A

Vitreous floaters

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25
Q

Visual field fixed defects suggest…

A

Lesions in the retina or visual pathways

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26
Q

Flashing lights in visual field suggest…

A

Detachment of vitreous from retina…should have prompt eye consultation

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27
Q

Diplopa arises from…

A

Lesion in brainstem/cerebellum, weakness/paralysis of extraocular muscles

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28
Q

Horizontal diplopia due to palsy from CN…

A

III or VI

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29
Q

Vertial diplopia from palsy of CN…

A

III or IV

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30
Q

Diplopia in one eye with the other eye closed suggests…

A

Cornea/lens issue

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31
Q

Hearing loss due to…

A

Congenital, single gene mutations

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32
Q

Conductive hearing loss due to…

A

Problems in external or middle ear

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33
Q

Sensorinerual loss due to…

A

Problems in inner ear, cochlear nerve, connections to the brain

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34
Q

Having trouble understanding speech, complaining that others mumble, and noisy environments makes it worse suggests…

A

Sensorineural loss

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35
Q

Noisy environments help hearing suggests…

A

Conductive loss

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36
Q

Otitis externa

A

Pain in external ear

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37
Q

Otitis media

A

Pain in inner ear

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38
Q

Ear pain associated with other symptoms of respiratory infection/referred from mouth/throat/neck suggests…

A

Otitis media

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39
Q

Soft wax discharge, debris from inflammation, rash in ear canal suggests…

A

Otitis media

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40
Q

Tinnitus

A

Percieved sound with no external stimulus

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41
Q

Tinnitus + hearing loss + vertigo suggests…

A

Meniere’s disease

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42
Q

Vertigo suggests problem in these places:

A

Labrynths of inner ear, peripheral lesions of CN VIII, or lesions in central pathways/nuclei in brain

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43
Q

Best way to ask about vertigo:

A

do you have feelings of being pulled to the ground or off to one side?

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44
Q

Rhinorrhea

A

Drainage from the nose

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45
Q

Causes of rhinorrhea

A

Viral infections, allergic rhinitis (hay fever), vasomort rhinitis

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46
Q

Rhinitis medicamentosa

A

Drainage from nose worsened by excessive use of decongestants

47
Q

Symtoms of acute bacterial sinusitis

A

Symptoms appearing agter a URI, pain bending forward, maxillary toothache, tenderness over sinuses

48
Q

Drugs that cause stuffiness

A

Oral contraceptives, alcohol, reserpine, guanethidine

49
Q

Nasal congestion limited to one side suggests…

A

Deviated septum, foreign body, tumor

50
Q

Epistaxis

A

Bleeding from the nose

51
Q

Causes of epistaxis

A

Trauma, inflammation, drying, crusting, tumors, foreign bodies

52
Q

Fever, pharyngeal exudates, anterior lymphdenopathy, especially in the absence of cough suggests…

A

Streptococcal pharyngitis (strep throat)

53
Q

Sore tongue results from…

A

Local lesions, systemic illness

54
Q

Bleeding gums caused by…

A

Gingivitis

55
Q

Causes of chronic hoarsness

A

Smoking, allergy, voice abuse, hypothyroidism, chronic infections i.e. tuberculosis, tumors

56
Q

Enlarged, tender lymph nodes accompany:

A

Pharyngitis

57
Q

Intolerance to cold, decreased sweating suggests:

A

Hypothyroidism

58
Q

Palpitations and involuntary weight loss suggests:

A

Hyperthyroidism

59
Q

Fine hair accompanies:

A

Hyperthyroidism

60
Q

Coarse hair accompanies:

A

Hypothyroidism

61
Q

Redness and scaling of scalp may indicate:

A

Seborrheic dermatitis, psoriasis

62
Q

Enlarged skull indicates

A

Hydrocephalus or Paget’s disease of bone

63
Q

Hirsutism

A

Excessive facial hair

64
Q

Hirsutism caused by

A

Polycystic ovary syndrome

65
Q

Vision of 20/200 means…

A

At twenty feet, the patient can read print that a person with normal vision could read at 200 ft (larger second number = worse vision)

66
Q

Legally blind

A

20/200 or less in better eye, corrected

67
Q

Temporal hemianopsia

A

Pt can’t see temporal sides

68
Q

Homonymous hemanopsia

A

Temporal defect in visual field of one eye, nasal defect in the other eye

69
Q

Enlarged blind spot in:

A

Glaucoma, optic neuritis, papilledema

70
Q

Inward/outward deviation of eyes or abnormal protrusion seen in

A

Graves’ disease, ocular tumors

71
Q

Eyebrow scaliness seen in

A

Seborrheic dermatitis

72
Q

Lateral sparseness of eyebrows seen in:

A

Hypothyroidsim

73
Q

Upstarting palepbral fissures seen in:

A

Downs syndrome

74
Q

Red inflamed lid margins:

A

Blepharitis

75
Q

Excessive tearing from increased production of tears seen in:

A

Conjunctival inflammation, corneal irritation

76
Q

Excessive tearing due to impaired draininge of tears seen in:

A

Ectropion, Nasolacrimal duct obstruction

77
Q

Jaundice

A

Yellow sclera

78
Q

Miosis

A

Constriction of the puplis

79
Q

Mydriasis

A

Dilation of pupils

80
Q

Aniscoria

A

Pupillary inequality of .5 mm or less (benign if reactions are normal)

81
Q

Asymmetry of corneal reflex suggests:

A

Deviation from normal ocular alignment

82
Q

A fine, rhythmic, oscillation of the eyes

A

Nystagmus

83
Q

Abnormal proturstion of eyeball

A

Proptosis or Exophthalmos

84
Q

Proptosis caused by:

A

Hyperhyroidism

85
Q

Poor convergence seen in:

A

Hyperthyroidism

86
Q

Reasons for dilating the eyes:

A

Head injury, coma, suspicion of narrow angle glaucoma

87
Q

Absence of a red reflex suggests:

A

Opicaity of lens (cataract), detached retina, or retinoblastoma in children

88
Q

Swelling of optic disc and anterior bulging of physiologic cup

A

Papilledema

89
Q

Papilledema suggests:

A

Meningitis, subarachnoid hemorrhage, trauma, mass lesions

90
Q

Loss of venous pulsations signifies:

A

Head trauma, meningitis, mass lesions, elevated intracranial pressure

91
Q

Exostoses

A

Nonmalignant overgrowths in ear canals

92
Q

Skin of ear canal is thickened, red, and itchy in addition to being swollen

A

Chronic Otis Externa

93
Q

Red, bulging, ear drum indicates:

A

Otitis media

94
Q

Prominent short process and prominent handle suggests:

A

Retracted Drum

95
Q

Sound is heard in the impaired ear in:

A

Unilateral conductive hearing loss

96
Q

Sound is heard in the good ear in:

A

Unilateral sensorineural hearing loss

97
Q

BC= AC or BC>AC

A

Conductive hearing loss

98
Q

AC>BC

A

Neural hearing loss

99
Q

Nasal mucosa is reddened and swollen in:

A

Viral rhinitis

100
Q

Nasal mucosa is pale, bluish, or red in

A

Allergic rhinitis

101
Q

Nasal polyps come from:

A

Middle meatus

102
Q

Ulcers result from

A

Nasal use of cocaine

103
Q

Local sinus tenderness with pain, fever, and nasal discharge suggests

A

Acute sinusitis

104
Q

Connects lip with gingiva

A

Labial frenulum

105
Q

Connects tongue to floor of the mouth

A

Lingual Frenulum

106
Q

Swollen interdental papillae, redness of gingiva suggests:

A

Gingivitis

107
Q

A benign midline lump of hard palate of roof of mouth

A

Torus palatinus

108
Q

Asymmetric protrusion of tongue suggests

A

Lesion of CN XII (Hypoglossal)

109
Q

Soft palate fails to rise and uvula deviates to opposite side

A

CN X paralysis

110
Q

Tender lymph nodes suggest:

A

Inflammation

111
Q

Hard/fixed lymph nodes suggest:

A

Malignancy

112
Q

Tracheal deviation may signify

A

Thorax issues such as mediastinal mass, atelectasis, opr large pneumothorax

113
Q

Elarged thyroid gland

A

Goiter