GEN DI Flashcards
(181 cards)
1
Q
unilat sluggish pupil, parasympa lesion CN3
A
adie’s pupil
2
Q
syphillis (prostitutes pupil)
A
argyll robertson
3
Q
sluggish pupil, hypoadrenalism
A
arroyo sign
4
Q
inflam of eyelid
A
blepharitis
5
Q
infection of mebomian gland
A
chalazion
6
Q
pale conjunctiva
A
anemia
7
Q
bilateral lid lag
A
exopthalmosis(graves)
8
Q
increase intraocular pressure
A
glaucoma
9
Q
crescent sign
A
glaucoma
10
Q
infxn of sebaceous glands
A
Hordoleum (sty)
11
Q
pancost tumor is seen in
A
horners
12
Q
copper/silverwire deform,AV nicking
A
hypertensive retinopathy
13
Q
flame hemmorage, cotton wool soft exudates
A
hypertensive retinopathy
14
Q
pupil dilation, ptosis, lat deviation, MS
A
internal opthalmoplegia
15
Q
seen in AS
A
iritis/uveitis
16
Q
loss of lat 1/3 eyebrow
A
myxedema
17
Q
constricted pupils, react & accom
A
miosis
18
Q
dilated, fixed pupils, anticholinergic drugs
A
mydriasis
19
Q
increase in intracranial pressure
A
papilledema/choked disc
20
Q
drooping eyelid
A
ptosis
21
Q
seen in horners, CN3 paralysis, mya grav, MS
A
ptosis
22
Q
blue sclera
A
osteogenisis imperfecta
23
Q
hypercholesterolemia
A
xanthelasma
24
Q
nearsighted
A
myopia
25
farsighted
hyperopia
26
benign tumor CN8
acoustic neuroma
27
swimmers ear
acute otitis externa
28
Dx by dix-hallpike
benign paroxysmal positional vertigo
29
retraction of tympanic mem
eustachian tube block
30
prostrating vertigo, tinnitus, sensory hearing loss
menieres (endo hydrops)
31
bulging tymp membrane
purelent/bacterial otitis media
32
weber lateralization to involved? uninvolved?
inv=cond un=senso
33
rinne ACBC?
ACBC=senso
34
pale blue boggy mucous
allergic rhinitis
35
thin,sclerosis,crusty,foul smelling mucosa
atrophic rhinitis
36
red/swollen mucosa
viral rhinitis
37
Cheilosis/stomatitis
B2 ribo defic
38
atrophic glossitis
B12 or iron defic
39
on toungue cant be scraped off
leukoplakia
40
excess GH pre-maturation
gigantism
41
excess GH middle age
acromegaly
42
caused by graves
hyperthyroidism
43
MC caused by hashimoto's
hypothyroidism/myxdema
44
coarse dry hair/skin
hypothyroidism
45
intolerance to cold
hypothyroidism
46
macroglossia and loss of lat 1/3 eyebrows
hypothyroidism
47
inc t3/t4, dec TSH
hyperthyroidism
48
dec t3/t4, inc TSH
hypothyroidism
49
heat intolerance
hyperthyroidism
50
weight loss, inc appetite
hyperthyroidism
51
weight gain, dec appetite
hypothyroidism
52
periorbital edema
hypothyroidism
53
congenital hypothyroidism
cretinism
54
unila, orbital, temporal. rhinorrhea, red eye
cluster headache
55
occipital, vertex. throbbing, wake up with it
hypertension
56
unilateral with aura
classic migraine
57
basilar area, abrupt onset, excrutiating pain
subarachnoid hemorrhage
58
seen w/ copd and cystic fibrosis
barrel chest
59
funnel chest=
pectus excavatum
60
pidgeion chest
pectus carinatum
61
breathing with resp. acidosis
cheyne stokes
62
breathing with metabolic acidosis, air hunger
kussmaul's
63
clubbed nails
hypoxia, copd
64
koilonychia
spoon nails, iron defic anemia
65
splinter hemorrhage nails
subacute bacterial endocarditis
66
hyperressonant percussion
emphysema, pneumothorax
67
dull percussion
pneumonia, pleurisy
68
normal diaphrag excursion measurement
3-5cm (1.5-2inch)
69
insp=exp
tracheal breathing or bronchovesicular bt 1st&2nd ribs ant or scaps post
70
ex>insp
bronchial breathing over manubrium
71
Rales occur during
bronchitis
72
Rhonchi occur during
bronchiectasis
73
rusty brown sputum
lobar pneumonia
74
silhouette sign, & air bronchogram
lobar pneumonia
75
red jelly sputum, cause by klebsiella
friedlanders
76
yellow/green sputum
TB
77
ghon lesions
TB
78
positive tine/mantoux test
TB
79
friction rub present
pleurisy
80
positive schepelmann's test
pleurisy
81
lung rupture, air trapped in pleural space
pneumothorax
82
collapse of lung
atelectasis
83
bronchial dilation, chronic productive cough
bronchiectasis
84
longterm cough, mucus,cigs
COPD/chronic bronchitis
85
curshmann's spirals, charcot laden crystals
asthma
86
deficiency in alpha 1 anti trypsin
empysema
87
destruction of elastic pulm connective tissue, dilation of alveolar air sacs
empysema
88
shingles
herpes zoster
89
bilateral hilar lympadenopathy
sarcoidosis
90
fever, nightsweats, intense pruritis, enlarged spleen
hodgkins
91
bounding pulse, hyperthyroidism
magnus
92
weak/thready- aortic stenosis CHF
parvus
93
left vent. failure
pulsus alterans
94
aortic regurge aortic stenosis
pulsus bisferians
95
dec amp. on insp., inc amp. on exp.: COPD, bronchial asthma, exmphysema, pericardial effusion
paradoxus
96
jerky pulse, rapid increase then collapse, aortic insuff
water hammer
97
closure of AV valves
S1
98
closure SV valves
S2
99
ventricular gallop
S3
100
atrial gallop
S4
101
murmor with low pitch, heard with bell
stenosis
102
murmor with high pitch heard with diaphragm
regurg
103
diastolic murmors=
ARMS PRTS
104
systolic murmors=
ASMI PSTI
105
failure to shunt bt. aorta & left pulm artery
patent ductus arteriosus
106
continuous machinery like murmor
patent ductus arteriosus
107
loud ejection murmor during systole and sever cyanosis
tetralogy of fallot
108
constriction of descending aorta. higher BP in upper extremity by 20mm hg vs lower
coarctation of aorta
109
proximal stenosis of subclavian artery. females who faint
subclavian steal syndrome
110
MC cause left sided HF=
| 2nd MC cause=
MC=hypertension
| 2nd mc=aortic stenosis
111
right side heart failure by itself lung condition
cor pulmonale
112
inc CKMB, LDH, SGOT
MI
113
normal atrial depol
P wave
114
depol of ventricles, repol of atria hidden here
QRS
115
repol of vents
T
116
repol of papillary muscles
U
117
late intestinal obstruction
absent bowel sounds
118
hematemesis
vomit blood
119
hemoptysis
coughing blood
120
hematochesia
blood in stool
121
thiamine defic w/ alcoholism
wernicke korsakoff
122
thiamine defic w/o alcohol
beri beri
123
food fecal oral hep
A
124
dirty needle sex hep
B
125
blood transfusion hep
C
126
water solu, in with gallstones, hepatic disease, pancreatic cancer,
direct bilirubin
127
not water solu, incr w/ hemolytic disease, drugs , spleen disorders
indirect bilirubin
128
inc in reticulocyte count (coombs test)
hemolytic anemia indirect bili
129
severe RUQ pain
cholecystitis
130
murphy SIGN
cholecystits
131
grey turner sign
bleeding in flank- pancreatitis
132
periumbilical ecchymosis, intraperitoneal hemorrhage, or ruptured ectopic pregnancy
cullens sign- pancreatitis
133
where is pancreatic cancer usually
head of pancreas
134
clay colored stool, dark urine, jaundice
pancreatic cancer
135
post. pituitary gland, insufficient ADH
diabetes insipidus
136
palpable tenderness in LUQ
hiatal hernia
137
caused by sliding hiatal hernia
reflux esophagus
138
coffee ground emesis
peptic ulcers
139
black/tarry stiik
duodenal ulcer
140
occuly blood in stool
guaiac test: duodenal ulcer
141
MC place for gastric carcinoma
lesser curvature
142
Epstein barr, downey cells, paul bunnell
mono
143
affects distal ileum/colon
RI/crohns
144
RLQ pain
crohs/appendicitis
145
causes malabsorbtion of B12
crohns
146
pain at mcburney's
appendicitis
147
rebound tenderness, psoas sign, obturator sign, rovsings sign
appendicitis
148
outpouchings in colon, inadequate fiber
diverticulitis
149
LLQ pain
diverticulitis
150
moon face, buffalo hump, purple striae, hypertension, hirsutism
cushings
151
inc production of adrenal cortex hormone, hyperadrenalism, hypercortisolism
cushings
152
decreased aldosterone, hypoadrenalism, hypocortisolism
addison's
153
tumor of adrenal medulla
pheocromocytoma
154
murphys test, flank pain
nephrolithiasis
155
group A hemolytic strep, RBC casts
acute glomerulonephritis/nephritic syndrome
156
nephrotic syndrome in pregnant women
pre-eclampsia
157
hypertension,edema,proteinuria
nephrotic syndrome(pre-eclampsia in pregnant women)
158
waxy/fatty casts in urine
nephrotic sydrome
159
WBC casts, e-coli from UTI
pyelonephritis
160
many bilateral renal cysts
polycystic kidney disease
161
nitrites in urine, gonnococcal or non gonococcal
urethritis
162
bladder inflamm. suprapubic and lbp
cystitis
163
malignant tumor of kidney less than 5YO
nephroblastoma/wilm's tumor
164
MC, through ing canal exits ext. inguinal ring into scrotum
indirect inguinal hernia
165
heavy lifting/fat ppl, adults over 40, exits directly through ext inguinal ring
direct inguinal hernia
166
MC benign breast tumor
fibroadenoma
167
20-40yo males, excess smoking, intermittent vasc. claudication, non healing ulcers, gangrene
buerger's/ thromboangitis obliterans
168
Allen's test
raynaud's
169
incompetant valves, dilated tortuous channels
varicose veins
170
superficial dilated blood vessels
telangiectasia
171
normal RBC level
4-6mill/cm
172
normal hemoglobin
15gm%
173
normal Hct
42+/- 5%
174
normal MCV
90
175
normal MCH
30
176
normal MCHC
33
177
normal platelets/thrombocytes
200,000-350,000
178
normal WBC/leukocyte count
5-10k/mm
179
```
WBC differential
neutrophils
lymphocytes
monocytosis
eosinophytes
basophils
```
```
neutrophils-60
lymphocytes-30
monocytosis-8
eosinophytes-2
basophils-0
```
180
Rh+ father Rh- mother
erythroblastosis fetalis
181
schilling test
pernicious anemia(b12)
