General Inspection

Question 1

Build, physique, and general shape of the human body.

Answer 1

body habitus

Question 2

Metabolic syndrome if have three or more of these 5 traits (or medicating to control them)

Answer 2

• Large waist circumference (35+ for W and 40 + for M)
• High triglyceride level (> 150)
• Reduced HDL cholesterol (<40 in M, <50 in W)
• Increased blood pressure (> 130/85)
• Elevated fasting blood sugar (>100)

Question 3

Flat, less than 1cm =

Answer 3

Macule

Question 4

Flat, greater than 1 cm as seen in freckles or measles

Answer 4

Patch

Question 5

Solid raised lesion Less than 1 cm

Answer 5

Papule

Question 6

solid, larger than 1 cm such as lichen planus, warts, or scabies

Answer 6

plaque

Question 7

1-2cm solid lesion with distinct edges

Answer 7

nodule

Question 8

nodule greater 2cm such as a lipoma

Answer 8

tumor

Question 9

Raised lesions less than 1 cm and filled with clear fluid.

Answer 9

vesicle

Question 10

Herpes Zoster and Chickenpox are examples of

Answer 10

vesicles

Question 11

Circumscribed fluid-filled lesions that is greater than 1 cm

Answer 11

Bullae

Question 12

blister is an example of a

Answer 12

Bullae

Question 13

Circumscribed elevated lesions with pus such as acne

Answer 13

Pustule

Question 14

Edema like in Insect bite or Allergic reactions

Answer 14

Wheal

Question 15

Permanent dilatation of superficial blood vessels in skin like seen in CREST syndrome

Answer 15

Telangiectasia

Question 16

Flakes or plates of desquamated layers of stratum corneum like seborrheic dermatitis

Answer 16

Scales

Question 17

Drying of plasma/exudate on skin like a Scab or Abrasion eczema

Answer 17

Crust

Question 18

Open areas of skin where all of the epidermis has been lost.

Answer 18

Erosions

Question 19

Varecella after rupture is an example of what?

Answer 19

Erosion

Question 20

Thickening of epidermis: seen with exaggeration of normal skin lines due to chronic rubbing or scratching

Answer 20

Lichenification

Question 21

Chronic Dermatitis can result in

Answer 21

Lichenification

Question 22

Traumatized skin which extends into epidermis such as Abrasions or Scratches

Answer 22

Excoriations

Question 23

Linear cleavage of skin which extends into the dermis such as Athlete’s foot and Cracks in corners of mouth

Answer 23

Fissures

Question 24

Permanent fibrotic changes following damage to the dermis.

Answer 24

SCARS

Question 25

Exaggerated connective tissue response of injured skin that extend beyond the edges of the original wound

Answer 25

KELOID

Question 26

Dark spots over buccal mucosa, skin folds, stretch marks seen in

Answer 26

Addison’s Disease

Question 27

Purple Striae seen in

Answer 27

Cushing’s Disease

Question 28

A sex hormone precursor that takes over Estrogen production after menopause

Answer 28

DHEA | Dehydroepianadrosterone

Question 29

Used for Proteins & Fat metabolism enhancement of the Immune system and insulin sensitivity

Answer 29

DHEA | Dehydroepianadrosterone

Question 30

“ANTI - AGING HORMONE”

Answer 30

DHEA | Dehydroepianadrosterone

Question 31

Initial response to stress.

Answer 31

Arousal (‘Fight or fight’) Rapid: ↑ catecholamines Slower: ↑ corticosteroids

Question 32

Continued release of corticosteroids which allows system to continue it’s adaptation to stress long after initial alarm is turned off.

Answer 32

Adaptation (Resistance)

Question 33

Adaptation (Resistance) results in

Answer 33

altered glucose tolerance, increased blood pressure, thyroid hormone & sex hormone metabolism altered

Question 34

‘Burned out adrenals’

Answer 34

Exhaustion

Question 35

‘Stress’ hormones (cortisol) produced at expense of sex hormones (testosterone, estrogen) may result in

Answer 35

adrenal exhaustion

Question 36

Loss of pigmentation resulting in irregular white patches

Answer 36

Vitiligo

Question 37

Destruction of melanocytes in 1-2% of pop usually between 10 - 30 years. usually before 40

Answer 37

Vitiligo

Question 38

Café-au-lait spots are seen in what two conditions?

Answer 38

McCune -Albright | Syndrome and Neurofibromatosis

Question 39

Fibrous Dysplasia, Skin spots with “Coast of Maine” Irregular borders and Precocious puberty

Answer 39

McCune -Albright | Syndrome

Question 40

Derm lesions with “Coast of California” regular borders and Systemic Nodules

Answer 40

Neurofibromatosis | VonReckinghausens Disease

Question 41

Rhythmic oscillations | Fine 6+/second

Answer 41

Tremors

Question 42

Usually in hands, head and voice (Increases with intention)

Answer 42

Essential Involuntary Movements

Question 43

Repetitive, brief, jerky, large-scale, dancelike, uncontrolled movements.

Answer 43

Choreiform

Question 44

Slow, writhing, snake like motions

Answer 44

Athetosis

Question 45

Spoon Shaped concave nails seen in Plummer-Vinson Syndrome, IDA, and Hemochromatosis

Answer 45

Koilonychia

Question 46

Convexity Nails seen in Lung CA, Hypertrophic Pulmonary | osetoearthropathy, Cardiac Failure and Hepatic Cirrhosis

Answer 46

Clubbing

Question 47

Clubbing creates ________ sign

Answer 47

Scharmroth's

Question 48

Lindsay’s (Half & Half) nails are specific for

Answer 48

Renal failure

Question 49

Transverse white band parallel to lunula

Answer 49

Mee’s lines

Question 50

Mee’s lines result from

Answer 50

Arsenic intoxication

Question 51

White banding with lunula covered by white band up 1-2mm of distal border

Answer 51

Terry Nails

Question 52

Transverse depression across nail plate (can be from severe zinc def)

Answer 52

Beau’s lines

Question 53

Separation of distal nail from psoriasis, trauma or thyroid disorders

Answer 53

Oncholysis

Question 54

Pitting commonly from

Answer 54

Psoriasis

Question 55

Infection of cuticle often after trauma

Answer 55

Paronychia

Question 56

done to avoid, minimize pain in the back, hip, or lower limb

Answer 56

Antalgic

Question 57

Broad Base stance, Watches the ground and Slaps feet down

Answer 57

Ataxic Sensory: (Tabetic)

Question 58

Leg extended with foot movement from pelvic tilting and Arm adducted

Answer 58

Hemiplegic: (Circumduction

Question 59

parkinson gait

Answer 59

propulsion (festination)

Question 60

throws foot forward from hip, & slaps it down.

Answer 60

Steppage

Question 61

Poliomyelitis gait

Answer 61

Steppage

Question 62

Cerebellar Ataxia from Multiple Sclerosis and alcoholic intoxication

Answer 62

Staggering (Reeling)

Question 63

Multiple Sclerosis gait

Answer 63

scissors (spastic)

Question 64

Weak pelvic muscles causes

Answer 64

Waddling