Lecture final 2

Question 1

all medications are

Answer 1

Hepatotoxins

Question 2

liver has full function up untill there is ___% left

Answer 2

about 40%

Question 3

_____ _____ are the only way to identify liver damage

Answer 3

blood samples

Question 4

liver damage is ______

Answer 4

irreversible

Question 5

Portal hypertension can lead to

Answer 5

hepatosplenomegaly

Question 6

caput medusa

Answer 6

opening of collateral veins “medusa’s head”

Question 7

abdomen inspection

Answer 7

color, masses, vasculature, contour, other

Question 8

increases in bilirubin is from ruptured ____

Answer 8

RBCs

Question 9

epigastric I-S pulsation

Answer 9

abdominal anyeurism

Question 10

smoking, low vitamin C

Answer 10

risk factor for abdominal anyeurism

Question 11

percussion of abdomen predominately

Answer 11

tympanic

Question 12

percussion is tympanic for abdominal percussion because

Answer 12

air pressure in stomach and intestines

Question 13

Dullness during abdominal percussion is due to

Answer 13

organs and solid masses

Question 14

A lower liver border that is more than 2 to 3 cm (3/4 to 1 in.) below the costal margin may indicate

Answer 14

organ enlargement or downward displacement of the diaphragm

Question 15

Tympany of Stomach Percuss down the ________ line on the left side at the costal margin .

Answer 15

midclavicular

Question 16

Most common form of peptic ulcer disease. Most common in men.

Answer 16

doudenal ulcer

Question 17

HIATAL HERNIA what the #1 risk factor

Answer 17

being overweight

Question 18

when hiatal hernia is accompanied by acid reflux the result is

Answer 18

Esophagitis

Question 19

_____ is life-threatening and requires immediate surgical intervention. The patient exhibits signs of an acute abdomen.

Answer 19

perforation

Question 20

H. pylori can lead to serious complications, such as ____ and _____ _____.

Answer 20

ulcers, stomach cancer

Question 21

SPIRITS SMOKING SPICES STRESS SUBLUXATION

Answer 21

5 “Ss” of stomach cancer

Question 22

stomach cancer

Answer 22

Arise from epithelial cells of the mucous membrane. Metastases are common.
Virchow lymph nodes. Left supraclavicular Lymph nodes

Question 23

non sinister headaches

Answer 23

common migraine
classic migraine
tension
cluster
hypertensive
hyoglycemic

Question 24

sinister headaches

Answer 24

Space occupying lesion
Glaucoma
Temporal arteritis
Subdural Hematoma
Meningitis

Question 25

space occupying lesion presentation

Answer 25

symptoms of incrased ICP

Question 26

glaucoma presentation

Answer 26

History/field defect

Question 27

temporal arteritis presentation

Answer 27

local tenderness and visible arteries

Question 28

Meningitis presentation

Answer 28

Headache with fever or nuchal rigiditiy

Question 29

Subdural hematoma presentation

Answer 29

History of trauma with neuro sign

Question 30

Headache redflags

Answer 30

``` recent onset positional headache focal neurological sign progressive headaches Vomiting without nausea cognitive changes (confusion,drowsiness, giddiness) Persistent or severe headache in a child ```

Question 31

brudzinski's and kernigs indicate

Answer 31

meningitis

Question 32

brudzinki sign

Answer 32

don't want to flex head while sitting up

Question 33

Kernigs sign

Answer 33

pain when raising leg at hip

Question 34

Marijuana helps with _____ angle glaucoma

Answer 34

open angle

Question 35

temporal arteritis

Answer 35

tender nodule at the temporal part of the head | inflamed vessels of the scalp which are thickened and tender

Question 36

"pain when brushing hair"

Answer 36

temporal arteritis

Question 37

can affect the opthalmic branch of the int. carotid artery causing blindness

Answer 37

temporal arteritis

Question 38

what kind of headaches are associated with lucid intervals?

Answer 38

Subdural hematoma

Question 39

what is a lucid interval?

Answer 39

period of time that lapses between head trauma and the appearance of neurological findings (24-48hours)

Question 40

suspicious lymph nodes

Answer 40

hard, discrete, painless

Question 41

97% of lymph node enlargement is due to

Answer 41

fighting infections

Question 42

primary lymphnode malignancy seen in (3)

Answer 42

lymposarcoma, Hodgkin's, Lymphatic leukemia

Question 43

3% of lymphnodes

Answer 43

fight cancer

Question 44

benign non-cancerous lympnodes

Answer 44

soft or firm, painfull or tender, movable

Question 45

Virchow Lymph nodes located

Answer 45

supraclavicular (especially Left)

Question 46

Inflammed Virchow lympnodes can be

Answer 46

thoracic or abdominal malignancy

Question 47

Sister mary joseph nodules

Answer 47

Malignant lymph nodes around the umbilicus which indicate intra abdominal malignancy

Question 48

ant. cervical chain lymph nodes

Answer 48

mono,strep

Question 49

postauricular

Answer 49

associated with ear infections

Question 50

Preauricular, retropharyngeal,deep cervical

Answer 50

Otis media

Question 51

axillary

Answer 51

breast

Question 52

Inguinal

Answer 52

private areas

Question 53

these +swollen lymph nodes=suspicious

Answer 53

coughing, night fever, night sweats, hemoptysis, loss of weight, lack of energy and general malaise, history of recent infection, history with TB person