clinical manifestations of disease

Question 1

Chronic nasal stuffiness or chronic respiratory correlated with?

Answer 1

sinusitis

Question 2

Impaired vision or seeing “holes” around light correlated with?

Answer 2

glaucoma

Question 3

Visual field defects correlated with?

Answer 3

suggest the presence of a lesion of the optic pathway

Question 4

Sudden, severe, unilateral vision loss correlated with?

Answer 4

suggests the presence of optic neuritis

Question 5

Headache, fatigue, generalized aches and pains, and night sweats in subjects age 55 yo or older correlated with?

Answer 5

suggest presence of temporal arteritis

Question 6

Intermittent headaches with high blood pressure correlated with?

Answer 6

pheochromocytoma

Question 7

Neck stiffness and especially meningismus correlated with?

Answer 7

suggests meningitis

Question 8

Focal neurologic signs correlated with?

Answer 8

intracranial mass lesion

Question 9

increased pressure in or around the brain causes the part of the optic nerve inside the eye to swell correlated with?

Answer 9

Papilledema

Question 10

where is sinus headache pain?

Answer 10

behind forehead, cheekbones

Question 11

where is cluster headaches pain

Answer 11

in and around one eye

Question 12

where is tension headache pain?

Answer 12

like a band squeezing the head

Question 13

what is symptoms of migraine

Answer 13

Pain nausea and visual changes

Question 14

What are fever values? (rectal,oral,axillary)

Answer 14

100.4(37.8) ,100(37.8) ,99(37.2)

Question 15

Differential Diagnosis of Fever:

Infectious diseases? (5)

Answer 15

Influenza
HIV
UTI
Infectious mononucleosis
Gastroenteritis

Question 16

Two skin inflammations?

Answer 16

Boils (Furuncle or Carbuncle)

Abscess

Question 17

Four Immunological diseases?

Answer 17

Lupus erythematosis
Sarcoidosis
Inflammatory bowel diseases
Kawasaki disease

Question 18

what is Rhabdomyolysis?

Answer 18

breakdown of muscle.

Question 19

two Metabolic Disorders?

Answer 19

Gout (build up of crystals in a joint)

Porphyria (inherited)

Question 20

First think to think kids with fever?

Answer 20

urinary tract

Question 21

Four thinks to consider/order for fever?

Answer 21

CBC (complete blood count)
BMP (Basic metabolic panel) to check electrolytes
Consider blood cultures on temps >102
UA (Urinalysis) to r/o (rule out) uti’s (urinary tract infections) and to check hydration status

Question 22

four ways a cough can be classified by?

Answer 22

duration, character, quality and timing

Question 23

Four cough Infections (respiratory tract infections)

Answer 23

Common cold (most common)
Pneumonia
Pertussis
Tuberculosis

Question 24

Three Reactive airway diseases?

Answer 24

Cough variant asthma
Chronic bronchitis (often referred to as smokers cough)
Long term fume inhalation

Question 25

Unexplained cough consider what?

Answer 25

Gastroesophageal reflux

Question 26

Cough can be side affect of what drugs used to treat diabetics heart disease and hypertension?

Answer 26

ACE Inhibitor

Question 27

5 Diagnostic approach to cough (tests)?

Answer 27

``` CBC (complete blood count) H pylori if h/o GERD Sed Rate (inflammation) CXR (Chest xray) Spirometry ```

Question 28

Cough treatments?

Answer 28

Often symptomatic Antibiotics Corticosteroids

Question 29

Important patient history that has edema?

Answer 29

Coronary disease ETOH abuse (alcohol) Hypertension Hepatic or renal disease (albumin in blood, low venous pressure) Medications check venous pressure -> (high= heart failure)

Question 30

Unilateral leg edema could be caused by?

Answer 30

``` DVT -History of long drive or flight History of tobacco use History of birth control use Recent surgery ```

Question 31

Work up of edema includes? (6)

Answer 31

``` CBC (Complete Blood Count) CMP (checks electrolytes and lft’s) TSH (Thyroid) EKG CXR Duplex US (Ultrasound) if concerned about DVT (Deep Vein Thrombosis) ```

Question 32

How much weight loss indicates medical issue?

Answer 32

involuntary 5% over six months

Question 33

Work up of weight loss? (8)

Answer 33

``` CBC with differential CMP (Complete Metabolic Panel) TSH (Thyroid Stimulating Hormone) Hemoglobin A1C UA (Urinalysis) Stool hemoccult ESR and/or C reactive protein Consider CXR ```

Question 34

Workup for Vague neurological complaints: (9)

Answer 34

``` CBC CMP (glucose) TSH UA HgbA1c HCG (if appropriate) CXR EKG Pulse Ox ```

Question 35

physical exam for neurological symptoms (6)

Answer 35

``` Higher functions Cranial nerves Sensory system Motor system Reflexes Cerebellum ```

Question 36

Differential Diagnosis of signs of inflammation? | 5 cardinal signs (PRISH)

Answer 36

``` Pain Redness Immobility Swelling Heat ```

Question 37

Inflammation work up? (5)

Answer 37

``` CBC Sed Rate/ c reactive protein CMP UA Plain films ```