Medical Systems Review

Question 1

When completing a medical systems review, you are looking for ___ signs or symptoms that last more than ___ month.

Answer 1

3+ signs or symptoms

>1 month

Question 2

What are the symptoms of cardiac disease?

Answer 2

chest, neck , jaw, shoulder, or arm pain, palpitations, dyspnea, syncope, fatigue, cough, diaphoresis, cyanosis

Question 3

Age, hypertension, obesity, sedentary lifestyle, excessive alcohol, oral contraceptives, family history, tobaccos use, abnormal cholesterol are all risk factors for _____ ______.

Answer 3

cardiac disease

Question 4

Chest pain or dyspnea could be indicators of what cardiac diseases? (6)

Answer 4

angina, MI, pericarditis, endocarditis, mitral valve prolapse, and dissecting aortic aneurysm

Question 5

Palpitations are said to occur during _____ ______ with rapid heart rate (>100 bpm).

Answer 5

sinus tachycardia

Question 6

Claudication is associated with _______ ______ ______/_______ ______ ______ and the patient presents with leg cramps, numbness/tingling, cold legs, pain, pulse, pallor, paresthesia, and paralysis (5P’s)

Answer 6

peripheral vascular disease (PVD)

peripheral artery disease (PAD)

Question 7

Peripheral edema is associated with ______ _____ ____.

Answer 7

congestive heart failure (CHF)

Question 8

Persistent cough and history of smoking is associated with what two cardiac diseases?

Answer 8

mitral valve dysfunction and congestive heart failure (CHF)

Question 9

Fatigue, dyspnea, and syncope are associated with what cardiac diseases? (7)

Answer 9

coronary artery disease, aortic dysfunction, cardiomyopathy, arrhythmias, orthostatic hypotension, poor ventricular function, mitral valve prolapse (MVP)

Question 10

High or low BP is associated with what? (2)

Answer 10

hypertension and orthostatic hypotension

Question 11

Pulsing/throbbing pain is associated with what? (4)

Answer 11

vascular compromise, abdominal aortic aneurysm, syncope, or orthostatic hypotension

Question 12

The ______ system helps regulate functions like water and salt balance, metabolism, stress response, sexual reproduction, and BP

Answer 12

endocrine system

Question 13

Aging, disease and conditions, genetics/family history, and stress are risk factors for the _______ system.

Answer 13

endocrine

Question 14

Hair and nail changes, temperature intolerance, cramps, edema/polyuria/polydipsia, unexplained weakness/fatigue, carpal tunnel, periarthritis/adhesive capsulitis, fruity breath, dark pigmentation with fatigue, and moon face/kyphosis/slow wound healing are all signs and symptoms associated with the ________ system.

Answer 14

edocrine

Question 15

Hair and nail changes may be signs/symptoms of what? (2)

Answer 15

thyroid or adrenal disorders

Question 16

Temperature intolerance may be an indicator of what?

Answer 16

hypothyroidism

Question 17

Cramps may be an indicator of what? (2)

Answer 17

hypothyroidism or diabetes mellitus (DM)

Question 18

Edema, polyuria, and polydipsia could be indicated with what? (2)

Answer 18

pancreas disease or diabetes mellitus (DM)

Question 19

Unexplained weakness and fatigue could be indicators of what? (4)

Answer 19

thyroid, parathyroid, DM, and adrenal diseases

Question 20

Periarthritis or adhesive capsulitis could be indicators of what? (3)

Answer 20

hyperthyroidism, DM, and adrenal related disease

Question 21

Dark pigmentation and fatigue could be indicators of what? (2)

Answer 21

adrenal and Addison’s disease

Question 22

Moon face, kyphosis, and slow wound healing would be associated with what? (1)

Answer 22

Cushing’s syndrome

Question 23

Gastrointestinal conditions typically refer pain where? (6)

Answer 23

chest, shoulder, neck, back, hip, and pelvis

Question 24

Signs and symptoms of gastrointestinal conditions include what? (7)

Answer 24

abdominal pain, indigestion/heartburn, difficulty swallowing, nausea/vomiting, diarrhea/constipation, change in bowel habits, rectal bleeding, blood in stool

Question 25

Abdominal pain could be a result of what three catgeories?

Answer 25

inflammation, organ distention, and necrosis

Question 26

Pain in the _______ region may indicate conditions involving the heart, esophagus, stomach, duodenum, gallbladder, liver, or mediastinal organs

Answer 26

epigastric

Question 27

Pain in the _______ region may indicate conditions involving the small intestine, pancreas, or appendix.

Answer 27

periumbilical

Question 28

Pain in the _______ region may indicate conditions involving the large intestine or colon.

Answer 28

lower abdominal

Question 29

Hematologic conditions may present with what signs/symptoms? (8)

Answer 29

skin color or nail bed changes, bleeding (nose, gums, easy brusing), muscle/joint hemorrhage/hematosis, fatgiue/ dyspnea/weakness, rapid pulse/palpitations, confusion/irritability, headaches, persistent infections

Question 30

Hepatic/biliary system may result in what signs/symptoms? (8)

Answer 30

change in taste/smell, anorexia, feeling or abdominal fullness, nausea/vomiting, muscle tremors, change in urine color (dark), change in skin color, and skin changes (rash itching, spider angiomas, palmar erythema)

Question 31

The immunologic system may result in what changes? (6)

Answer 31

skin or nail bed changes, fever, lymph node changes, sleep disturbance, fatigue/weakness, and joint pain/stiffness/edema

Question 32

Rheumatologic conditions may result in what signs/symptoms? (6)

Answer 32

joint swelling/erythema, muscle pain/weakness, skin rashes, reaction to sunlight, Raunaud’s phenomenon, and nail bed changes