Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Part 2/3 boards > General Diagnosis > Flashcards

General Diagnosis Flashcards

1
Q

health history includes

A

chief complaint
past health history
personal and social history
review of systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

chief complaint

A

covers the reason patient is seeking care and should be obtained in the patient’s own words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

present illness

A 
OPQRST
onset
palliative/provoking
quality of pain
radiation/referral
site/setting/severity
timing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

past health history

A 
serious illness
previous injuries
hospitalizations
surgeries
medications
allergies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

family health history

A

cardiovascular disease
diabetes
stroke
cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

social/personal history

A 
marital status
occupation
diet
exercise
bowel/urinary patterns
sleep
alcohol, tobacco, drug use
stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CAGE questionnaire

A

for if you think the person might be an alcoholic
C- cutting down (have you ever felt you need to cut down on the amount of drinking you do?)
A- annoyed by others’ criticisms
G-guilty feelings
E- eye openers (do you feel like you need a morning eye opener drink?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

normal temperature values

A

oral 98.6
rectal and tympanic 99.6
axilla 97.6
range: 96-99.5F/35-37C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

normal respiratory rates

A

adult: 14-18
newborn: 44

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

normal BP values

A

90-120/60-80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

HTN value

A

140-90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

hypotension value

A

90/60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

auscultatory gap

A

take a palpatory systolic readiing
auscultatory gap is the loss and reappearance of pulsatile sound while listening with the stethoscope during cuff deflation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Korotkoff sound

A

low pitched sounds produced by turbulent blood flow in arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

a difference of ____in systolic readings can indicate ___ such as…?

A

10-15mmHg
arterial occlusion
subclavian steal syndrome on the side of decreased value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

blood pressure readings are ____in lower extremities

A

20% higher

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

barre-lieou

A

patient seated, examinera instructs the patient to rotate head maximally from side to side
done slowly at first, then accelererated to patient tolerance
pre-syncope, vertigo, nystagmus, nausea= positive for VBAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

DeKleyn’s

A

patient supine, the examiner instructs the patient to rotate and extend the head off the table and turn to each side for 15-45 seconds
nystagmus, dizzines, lightheadedness, blurred vision, nausea= positive for VBAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hallpike

A

an enhanced DeKleyn’s patient supine, head extended off table
examiner offers support for the skull
examiner brings head into extension, rotation and lateral flexion
nystagmus, dizziness, lightheadedness, blurred vision, nausea= positive for VBAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hautant’s

A

patient seated, arms extended forward to shoulder level with hands supinated
maintain for a few second
patient then closes eyes, rotates and hyperextends the neck to one side
repeat to other side
arms wave with eyes closed and head rotated and extended back= positive for VBAI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Underberg

A

patient stands with eyes open, arms at side, feet close together
patient closes eyes, extends arms and supinates hands, then patient extends and roates head to one side
then in this position patient is instructued to march in place

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Maigne’s

A

patient is seated, examiner brings head into extension and rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

scaly eyebrows indicates?

A

seborrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

loss of lateral 1/3 of eyebrows indicates?

A

myxedema (hypothyroidism)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

is eyebrow loss normal with age?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

adie’s pupil

A

sluggish pupillary reaction to light that is unilateral and caused by a parasympathetic lesion of CN 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

anisocoria

A

unequal pupil size (head injury, physiologic, pharmacologic, pathologic)

28
Q

argyll robertson

A

bilaterally small and irregular pupils that accomodate but do not react to light
seen with syphilis (prostitute’s pupil)

29
Q

arroyo sign

A

sluggish pupillary reaction due to hypo-adrenalism (addison’s disease)

30
Q

blepharitis

A

inflammation of eyelid seen with seborrhea, staph infection and inflammatory processes

31
Q

cataracts

A

opacities seen in lends that are commonly seen with diabetes and in the elderly
also has an absent red light reflex and blurred/clouded vision

32
Q

chalazion

A

an infection of the meibomian gland causing a nodule which points insidethe lid, not painful

33
Q

conjunctiva

A

pink=normal
pale=anemia
bright red=infection

34
Q

corneal arcus

A

grayish opaque ring around the cornea

35
Q

diabetic retinopathy

A

affects veins more than arteries and prsents with microaneurysms, hard exudates, neovascularization
cotton wool patches (early sign)

36
Q

ectropion

A

lid turned outward

seen in elderly

37
Q

entropion

A

lid turned inward

seen in elderly

38
Q

exopthalmosis

A

lid lag/failure to cover eyeball

can be seen with graves (bilateral) or tumor (unilateral)

39
Q

glaucoma

A

increased intraocular pressure causing cupping of optic disc
patient will notice blurring of their vision especially in peripheral fields as well as rings around lights
crescent signs will be present upon tangential lighting of cornea

40
Q

hordeolum

A

AKA sty

an infection of sebaceous glands causing a pimple or boil on the eyelid

41
Q

horner’s syndrome

A

ptosis, miosis, anhydrosis on same side as an interruption to the cervical sympathetics

42
Q

hypertensive retinopathy

A

damage to retianl vessels/background will show copper wire deformity, A-V nicking, flame hemorrhages, cotton wool exudates

43
Q

internal opthalmoplegia

A

dilated pupil with ptosis and lateral deviation
doesn’t react to light or accomodation
multiple sclerosi

44
Q

iritis/uveitis

A

inflammation of iris

seen with AS

45
Q

macular degeneration

A

most common reaction for blindness in elderly

central vision lost, macular drusen is an early sign of macular degeneration

46
Q

miosis

A

fixed and constricted pupils that react to light and accomodated
seen with severe brain damage, pilocarpine medications, narcotic use

47
Q

mydriasis

A

dilated and fixed pupils seen with anticholinergic drugs

48
Q

papilledema

A

AKAchoked sidc
swelling of soptic disc due to increased intracranial pressure
NO VISUAL LOSS
may be seen with brain tumor or brain hemorrhage

49
Q

periorbital edema

A

swelling around the eye seen with allergies, myxedema (hypothyroidism) and nephrotic syndrome

50
Q

pinquecla

A

yellowish triangular nodule in bulbar conjunctiva that is harmless and indicates aging

51
Q

pteryguim

A

triangular thickening of the bulbar conjunctiva that crows across the cornea and is brought on by dry eyes

52
Q

ptosis

A

drooping of eyelid

seen in horner’s CN3 paralysis, myasthenia gravis, mlutiple sclerosis

53
Q

retinal detachment

A

painless sudden onset of blindness described as curtains closing over vision
lightning flashes and floaters are seen prior to visual loss

54
Q

sclera

A

white=normal
yellow=jaundice
blue=osteogenesis imperfecta

55
Q

xanthelasma

A

fatty plaeuqs on the nasal surface of the eye lids that may be normal or indicates hypercholesterolemia

56
Q

emmetropia

A

normal vision

57
Q

myopia

A

near sighted

58
Q

hyperopia

A

farsighted

59
Q

presbyopia

A

loss of lens elasticity due to aging

60
Q

direct light reflex

A

CN 2 and 3

61
Q

consenual light refle

A

CN 2 and 3

62
Q

swinging light test

A

CN 2 and 3

eye pathology

63
Q

accomodation

A

CN 2 and 3

64
Q

visual acutiy

A

snellen chart

65
Q

cardinal fields of gaze

A

CN 3, 4, 6

66
Q

what are the innervations of the muscles of the eye?

A

superior oblique CN4
lateral rectus CN6
inferior oblique, medial rectus, superior recus, inferior rectus CN3

Part 2/3 boards (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions