Adult Health II Test 3 Flashcards by Unknown Unknown

pain in right anterior knee that worsens with running or jumping; painful enlargement of the tibial tubercle

Osgood-Schlatter Disease

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You should avoid aspirin, sulfa drugs, and fava root when you have

G6PD (glucose-phosphate dehydrogenase deficiency)

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tests that include application of mediolateral valgus-varus strain w/the knee in full extension and in 15-20 degrees of flexion are utilized for?

collateral ligaments

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____ involves treatment by corticosteroids for decreased platelet production or increased platelet destruction

thrombocytopenia

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what is the most definitive when diagnosing gout?

joint fluid analysis

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Contraindications for sumatriptan (Imitrex)

CAD, pregnancy, uncontrolled hypertension

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which lab test is sensitive for SLE?

ANA

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patient in office c/o of lower back pain that radiates to dorsal of foot and great toe, what is this suggestive of?

lumbar disk protrusion L4 to L5

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patient w/new onset of depression, increased TSH, what drug to treat?

Synthroid

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most non-invasive diagnostic test for aneurysmal subarachnoid hemorrhage?

CT of head w/o contrast

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blank staring lasting 3-50 seconds, accompanied by impaired level of consciousness describes?

abcense (Petit mal) seizure

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involuntary movements of tongue protrusion and chewing movements is

Dyskinesia

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results of CBC show MCV=120 fL indicates which type of anemia?

pernicious anemia (b12 anemia)

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ankylosing spondylitis is characterized by

low back pain for 3 months duration, and improvement w/exercise but not rest

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pain in sole of right foot located btw 3rd and 4th toe, describes as pebble in shoe

Morton’s neuroma

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prophylactic treatment of migraine headache is

propanolol (Inderal)

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what maneuver is the most useful in testing for vestibular dizziness?

Dix-Hallpike maneuver

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best way to distinguish between different psychiatric disorders?

patient history

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what maneuver to test for ankle sprain?

talar-tilt test

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when on eliquis, what is most important teaching point for your patient?

do not use NSAIDs or medications w/NSAIDs in them

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polymyalgia rheumatica is associated with?

Giant Cell arteritis

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which tests the shoulder w/internal rotation at 90 degrees of forward flexion?

Hawkins sign test

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iron rich foods are…

liver, oysters, egg yolks, fish, and lean beef

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patient presents w/ “shade or curtain that descends over right eye” could signify the patient is having a

Transient Ischemic attack. (carotid TIA)

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non-pharmacological treatment of osteoporosis

weight-bearing exercises

medication that is used in the prevention of secondary gout because it enhances urate excretion includes

probenecid

which macrolytic anemia causes numbness in extremities and a sore tongue?

Vitamin B-12 deficiency (pernicious anemia)

Patient is asked to maintain wrists in palmar flexion for full minute which causes pain to patient, this indicates

carpal tunnel syndrome

symptoms of Parkinson's disease

difficulty initiating involuntary movement, pill-rolling tremor, shuffling gait

patient presents w/headache that she describes as unilateral, pulsating, moderate-severe intensity, w/nausea, photophobia, photophobia

migraine headache

patient has a DEXA scan and it reveals a score of -1.5 which indicates what?

osteopenia

subarachnoid hemorrhage is often called?

thunderclap headache

fibromyalgia causes

persistent widespread pain and 11 of 18 tender points on digital palpation for > or equal to 3 months

pain upon extension of the leg after the hip is flexed at 90 degrees could be indicative of

nuchal rigidity in meningitis

lack of light exposure can be the cause of

seasonal affective disorder

polycythemia vera causes

hyper viscosity, hypervolemia, and sluggish blood flow

when taking Zoloft and patient feels better, they should

continue medication for an additional 6-9 months

when attempting to wean Zoloft, how long should the dose be tampered before quitting completely?

4 weeks

what is the most helpful diagnostic test for seizures?

EEG

first line treatment of tic douloureaux is

carbamazepine, BID

during a simple focal seizure patient will most likely be

conscious

prophylaxis for cluster headaches are

Calcium channel blockers

patient complaining of vision changes (diplopia), pain to temporal area, and pain with chewing could have?

giant cell arteritis

patient complains of pain when taking first step after sitting down for a prolonged period, this could be?

plantar fascitis

test for scoliosis?

Adams forward bend test

which corticosteroid preparation has the LEAST potentency?

solution

patient has started retin-a for obstructive acne 2 weeks ago, and has started to have peeling skin, what would you tell him?

instruct him to use every 3rd night and increase to nightly as tolerated

patient complaining of extreme pruritis, burrow lesions in finger webs what could this be and what to treat it?

scabies, permethrin 5%

smooth dome shaped, flesh-colored papule with central umbilication are?

molluscum

patient has honey colored crusts, what would you prescribe?

mupirocin ointment

patient complains of bug bite a few days ago with redness and a bulls-eye pattern, should ask him if?

he was bitten by a TIC

you should have a patient follow up with dermatologist if you suspect what?

actinic keratosis

if a patient presents with a skin lesion that has variable pigmentation, you would suspect?

melanoma

19 year old patient c/o pruritic macerated areas in his groin for the past few days, this is most likely?

tinea Curtis

what disease causes erythema infectiousum?

parvovirus B19

what is the treatment of choice for erythematous seborrheic dermatitis?

non fluorinated topical steroid lotion

lesion that is greasy and scaly in the nasolabial folds describes

seborrheic dermatitis

use of OCPs are contraindicated in patient's who have

migraines w/auras

most often called the "suicidal headache"?

cluster headache

most common demyelinating disease of CNS?

7th cranial nerve (facial nerve) paralysis is

Bell's palsy

Bell's palsy may be caused by?

lyme disease, herpes virus

treatment for bells palsy if caused by herpes virus?

acyclovir 400 mg 5x/day for 7 days

Trigeminal neuralgia or Tic Douloureux is very painful and involves which cranial nerve?

5th cranial nerve

first line treatment for bipolar disorder?

lithium

positive pain on MTP squeeze test indicates?

morton's neuroma

maintaining wrists in palmar flexion for 1 min is called a

phelan test

tapping over median nerve at or proximal to wrist crease causes electric shocks or paresthesias in median nerve distribution?

tinel sign

s/s of osteoporosis?

asymptomatic, back pain, loss of heigh, kyphosis

A t-score of <2.5 indicates

osteoporosis

a T-score of >-1 indicates

normal DEXA scan

Dexa scans start at what age, and how often?

65, every 2 years

high RF titer and anti-citrullinated peptide antibody titer (ACPA) indicates?

rheumatoid arthritis

this type of anemia causes production of condoyctes-red blood cells on smear that are thin with overproduction of cell membrane causing "bell-shaped cells" called target cells

thalassemia

deficiency of enzyme that causes destruction of RBCs and can lead to hemolytic anemia w/jaundice?

G6PD

G6PD is diagnosed with the

combes test

what is characterized by a platelet count of <150,000?

Idiopathic thrombocytic purpurea

herpes zoster causes which type of lesions?

grouped vesicles

pediculosis is also called what and is treated w/?

lice, permethrin 1% cream

honey colored crusts

impetigo

which causes erythema, scaling of scalp, and hair loss?

tinea capitis

treatment of tinea capitis is

griseofulvin PO for 4-8 weeks or ketoconazole shampoo

this skin condition gets worse with hot, humid weather or use of skin oils

Tinea versicolor

1st disease

measles

2nd disease

scarlet fever

3rd disease

rubella

4th disease

duke's

5ths disease

erythema infectiousum

6ths disease

roseola infantum

Koplik spots are associated with?

measles

small white spots with redness around found on the inside of cheeks during early measles infection?

Kopek spots

disease that is caused by staph and produces scaled-looking skin is called

Duke's disease or fourth disease

red sunburnt looking skin that feels like sandpaper is caused by

scarlet fever (2nd disease)

slapped cheeks rash

erythema infectiosum

if severe symptoms of osgood schlatter disease, what is treatment?

rest, elevation, ice, NSAIDs

gold standard treatment for rheumatoid arthritis

methotrexate

Adult Health II Test 3 Flashcards

(96 cards)