Bio Med - Day 1b

Question 1

Benign Tumor of the Intermetatarsal Plantar Nerve

Answer 1

Morton’s Neuroma

Question 2

Symptoms of Morton’s Neuroma

Answer 2

Pain and Numbness, sometimes relieved by movement; patient feels like they have a pebble in their shoe

Question 3

Treatment for Morton’s Neuroma

Answer 3

Orthotics & Corticosteroid Injections

Question 4

An inflammation of a thick band of tissue that connects the heel bone to the toes

Answer 4

Plantar Fasciitis

Question 5

Symptoms of Plantar Fasciitis

Answer 5

Symptoms include stabbing pain near the heel. Pain might be worst in the morning

Question 6

What is the most common cause of heel pain

Answer 6

Plantar Fasciitis

Question 7

Medication for reducing Uric Acid (in treatment of Gout or Kidney stones)

Answer 7

Allopurinol

Question 8

What are the risk factors for Cholelithiasis (4 “Fs”)

Answer 8

Female; Fat; Forty; Fertile (pregnant)

Question 9

Where will a patient experience the pain of a Gallbladder problem

Answer 9

Right upper Quadrant

Question 10

What type of pain is associated with Pancreatitis

Answer 10

Epigastric pain going towards the back

Question 11

What type of pain is associated with Kidney Stone

Answer 11

Flank pain - can go to the groin area

Question 12

What type of pain is associated with Aortic Abdominal Aneurism

Answer 12

Abdominal pain that goes towards the back

Question 13

What are the causes of Cholecystitis (Inflammation of the Gallbladder)

Answer 13

Gallstone or chronic illness

Question 14

Symptoms of Cholecystitis

Answer 14

Right Upper Quadrant Pain, Nausea, Vomiting, Fever

Question 15

What test is physically done in order to help diagnose Cholecystitis

Answer 15

Murphy’s Sign - inspiratory arrest on deep palpation of the RUQ d/t pain

Question 16

What type of test is used to identify a Kidney Stone

Answer 16

CT Scan; X-Ray

Question 17

What type of test is used to identify a Gall Stone

Answer 17

Ultrasound

Question 18

Specifically characteristic or indicative of a particular disease or condition

Answer 18

Pathognomonic

Question 19

What condition results from the autodigestion of Pancreas by Pancreatic Enzymes

Answer 19

Acute Pancreatitis

Question 20

Causes of Acute Pancreatitis “GET SMASHED”

Answer 20

Most Common = Gallstone; Ethanol (booze); Trauma
Less Common = Steroids; Mumps; Autoimmune Disease; Scorpion Sting; Hypercalcemia/Hypertrygliceridemia; Drugs (Sulfa Drugs specifically)

Question 21

What enzymes will be elevated during Acute Pancreatitis

Answer 21

Lipase and Amylase

Question 22

Chronic Inflammation, Atrophy, and Calcification of the Pancreas is indicative of what condition

Answer 22

Chronic Pancreatitis

Question 23

Most common causes of Chronic Pancreatitis in adults? Children?

Answer 23

In Adult - Alcohol

In Children - Cystic Fibrosis

Question 24

What is the test for Cystic Fibrosis

Answer 24

Sweat Chloride Test

Question 25

What are the 3 important symptoms when diagnosing Pancreatitis

Answer 25

Steatorrhea (fat in the stool); DM, high blood glucose; pancreatic calcification on a CT Scan; These patients will experience Fat-Soluable vitamin deficiency (A, D, E, K);

Question 26

What is the most common site of Pancreatic Adenocarcinoma (cancer)

Answer 26

75% of it is in the head of the Pancreas

Question 27

What would a patient's history look like with Pancreatic Adenocarcinoma

Answer 27

Abdominal Pain; Obstructive Jaundice; Weight Loss

Question 28

Signs and Symptoms of Pancreatic Adenocarcinoma

Answer 28

Abdominal pain radiating to back; Migratory Thrombophlebitis; Couvorsier Sign (palpable & non tender Gallbladder)

Question 29

Risk Factors of Pancreatic Adenocarcinoma

Answer 29

Tobacco use; Chronic Pancreatitis; DM; > 50 yrs old; of Jewish or African American decent

Question 30

An abnormal condition in which multiple thromboses appear in both superficial and deep veins. It may be associated with malignancy, especially carcinoma of the pancreas, often preceding other evidence of cancer by several months. Pulmonary embolism is uncommon with this condition

Answer 30

migratory thrombophlebitis (also known as trousseau's syndrome)

Question 31

pancreatoduodenectomy is a complex operation to remove part of the pancreas, part of the small intestine and the gallbladder

Answer 31

Whipple Procedure

Question 32

What is abdominal pain, radiating to the back, jaundice, a gallbladder that is enlarged but not painful, migratory thrombophlebitis, a sign of

Answer 32

Pancreatic Cancer

Question 33

Definitive diagnostic test of cancer

Answer 33

biopsy

Question 34

Imaging scope for bladder

Answer 34

cystoscopy

Question 35

Most common cause of Hyperthyroidism

Answer 35

Grave's disease

Question 36

Symptoms specific to Grave's Disease

Answer 36

Exophthalmos = Eyeballs popping out | Pretibial Myexaderma; thyroid bruits

Question 37

Symptoms specific to Grave's Disease

Answer 37

Exophthalmos = Eyeballs popping out | Pretibial Myexedema; thyroid bruits

Question 38

Serious complication of Hypothyroidism

Answer 38

Myxedema Coma

Question 39

What is the most common drug used for Hypothyroidism

Answer 39

Levothyroxine

Question 40

Drug of Choice for Hypothyroidism

Answer 40

Levothyroxine

Question 41

Side Effect of Ibuprofen

Answer 41

GI bleeding

Question 42

Side effect of Tylenol (Acetametophin)

Answer 42

Liver damage/toxicity

Question 43

Which drug makes the pupil very small/point

Answer 43

Opioid

Question 44

Common SSRIs

Answer 44

Paxil; Zoloft; Prozac; Celexa

Question 45

Drug of choice for Hyperthyroidism

Answer 45

Methimazole

Question 46

Rare life threatening clinical condition that represents severe hypothyroidism with physiological decompensation

Answer 46

Myxedema Coma

Question 47

Adrenal insufficiency condition; HYPER PIGMENTATION OF THE SKIN (dark tan skin color); fatigue; muscle weakness; (remember JFK)

Answer 47

Addison's disease

Question 48

life-threatening health condition that is associated with untreated or underrated hyperthyroidism; during the event, the patient will experience a rise in BP, body temp., and heart rate

Answer 48

Thyroid Storm