MT Flashcards

(57 cards)

1
Q

2 factors required by SBE

A

presence of valvular lesions or scar of previous heart surgery, bacterium of streptococci viridan (80% of cases) - normal bacterial flora of oral cavity - infection occurs after dental work

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2
Q

Pituitary gland. 3

A

hyperfunction => acromegaly or gigantism

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3
Q

3 things that happen: asthma

A

muscle spasm, excess mucous production, congestion of lumen

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4
Q

Hyperfuction of the adrenal gland

A

cushing’s disease

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5
Q

Characteristic of suspicious changes of mole. 4

A

change in color, increase in size, itching, bleeding

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6
Q

Emphysema. 6

A
  • chronic pulmonary problem
  • compensate breathing with tachypnea
  • lungs already hyperinflated
  • no cure
  • also compensates for hypoxia by producing more RBCs
  • alveoli collapse and transfor into one blob
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7
Q

Pulmonary hypertension. 3

A

mitral stenosis, increase BP of over 30mmHG, caused by left side heart failure, COPD, fibrotic lung diseases, or pulmonary embolism or thrombus

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8
Q

Angina pectoris. 4

A
  • myocardial ischemai
  • temporary o2 loss (infarction)
  • in myocardium
  • without tissue death (necrosis)
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9
Q

Pneumonia. 5

A
  1. inflammation of alveoli
  2. high fever
  3. flaring of alae (as well as asthma)
  4. sputum rusty
  5. only pneumococcal and nisseria pneumonia aggressive => healthy people can get
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10
Q

Systemic hypertension. 5

A
  • 180/100
  • affects left ventricle pushing blood into aorta
  • cause left ventricular hypertrophy
  • takes 15 years to show uop
  • results in left ventricular heart failure
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11
Q

Hep B. 2

A
  • serum hepatitis (sexual hepatitis) => incubation 2-6
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12
Q

5 S’s of stomach cancer

A
  • spirits
  • smoking
  • spice
  • stress
  • subluxation
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13
Q

Night fevers and night sweats. 2

A
  • Hodgkins
  • TB
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14
Q

Signs and symptoms of angina pectoris. 4

A
  • occurs after exertion usuall
  • goes away exertion stopped
  • feels CRUSHING pain
  • lasts for 1-10 minutes
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15
Q

Clubbing. 2

A

chronic hypoxia, emphysema

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16
Q

Stippling. 2

A

psoriasis, pits

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17
Q

LUBB

A

first heart sound, closing of mitral and tricuspid valves during ventricular contraction

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18
Q

Signs and symptoms of Emphysema. 11

A
  • barrel chest
    • AP diameter is 1 to 1 instead of 2 to 1
    • clubbing of fingernails
    • accessory muscle use
    • tachypnea
    • excessive use of alae
    • have brain hypoxia short tempered
    • edgy
    • percussoin
      • hyperresonant sound
    • decreased tactive fremitis
      • elasticity of lungs decreased
    • decreased breath sounds
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19
Q

Splinter hemorrhage. 2

A

pathoneumonic finding => doesnt need any other dx, subacute bacterial endocarditis (SBE)

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20
Q

clubbing of fingernails

A

COPD or emphysema

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21
Q

low grade fever

A

TB

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22
Q

Abnomalities of fingernails. 4

A

splinter hemorrhage, koilonychia, clubbing, stippling

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23
Q

clear sputum

24
Q

Gigantism. 2

A

hyperfunction of pituitary gland pre puberty

25
Acromegaly. 2
hyperfunction of pituitary gland post puberty
26
Hep A. 3
* from feces, oral transmission =\> incubation 2-6 wks
27
TB
infectious lung disease
28
Systemic lupus erythematosis. 7
* immune system attacking own cells * butterfly rash present * blood work and symptoms (painful urination etc) * antinuclear antibodies (ANA) * wbc eating nucleus of protein * attacks vital organs * find ANA =\> wbc with blood over teeth and protein hanging out
29
flaring of alae
pneumonia or asthma
30
Pulmonary hypertension. 8
* over 30 mmHg/10 mm Hg * mitral stenosis * blood backs up into lung * enlargement of right ventricle * ischemia occurs * results right side dheart failure * caused by chronic lung disease * cor pulmonale * right ventricular hypertrophy due to lung problem
31
Hodgkins
primary cancer of lymph nodes
32
lymph gland enlargment
TB or carcinoma
33
Asthma. 4
COPD Characterized by airway inflammation, result form airway hyperactivity, triggered by allergen, anxiety, upper respiratory infections, cigarettes
34
Cor pulmonale. 4
right ventricular hypertrophy, due to pulmonary pathology, chronic condition, involves right side heart failure
35
Thyroid gland hyperfunction
graves disease
36
5 percussive nodes
* resonant * heard over normal lung * dull * heard over organ (liver, spleen, heart, kidney) * hyperresonant * more than resonant heard over hyperinflated lung (emphysema\_ * flat * heard over muscle or bone * tympanic * heard over air in stomach * gastric air bubble
37
sputum green, yellow, brown
bacterial infection
38
Hepatitis. 4
* inflammation of liver * bacterial or chemical agents * viral hepatitis -\> A, B, C * types -\> obstructive, hemolytic, hepatic
39
TB
bacterial infection of lungs
40
sputum mucopurulent (yellowish, scrambled eggs)
emphysema or bronchitis
41
bronchitis
inflammation of bronchi
42
Kaposi sarcoma. 2
occurs in HIV/AIDS pts, black-blue lesion
43
SBE. 2
subacute bacterial endocarditis,inflammation of endocardium around valve or scar tissue
44
Squamous cell carcinoma. 4
less aggressive than melanoma, late blood spread, early lymphatic spread, creates cauliflower lesion
45
Jaundice. 4
* Hep B =\> yellowish discoloration of skin and mucous membranes * excess bilirubin =\> bile pigment in blood
46
**Cholecystitis. 6**
* inflammation of gallbladder * primary symptom of acute cholecystitis * pain in right upper quadrant * radiating through right scapula * murphy's sign =\> acute cholecystitis * tenderness and reflex apnea =\> inspiratory arrest
47
Adrenal gland hypofunction
addison's disease
48
Hypofunction of the thyroid gland
addison's disease
49
Basal cell carcinoma. 3
AKA rodent ulcer, LEAST AGGRESSIVE, Locally malignant
50
Benign lupus
butterfly rash on face only
51
Ascites. 4
1. free fluid in peritoneal cavity 2. bad if from liver 3. can be terminal 4. portal hypertension 1. advanced lever cirrhosis or caput medusa
52
Fallot's tetrology. 5
* cyanotic heart disease * ventricular septal defect =\> hole between ventricles =\>close within 2 years * overriding of aorta on both ventricles =\> right and left blood in aorta * pulmonary stenosis =\> valve not working so blood flows back into right ventricle * right ventricular hypertrophy
53
Koilonychia. 4
aka spoon nail, iron deficiency, anemia, fungus infection
54
signs and symptoms of TB. 6
* chronic cough * lymph node swelling * low grade fever * night fever * night sweats * shivering * hemoptysis * coughing blood * weight loss
55
Heart Sounds. S1-S4
* S1 - sudden closing of mitral (primarily) and tricuspid valves * S2 - sudden closing of pulmonic and aortic valves after passage of blood through great vessels * S3 - diastolic phase relaxation of ventricles after passage gush of blood around 70% from atrium to ventricle * S4 - followed by atrial contraction to squeeze last 30% actively prior to next ventricular contraction
56
Malignant melanoma. 2
most aggressive, early blood spread
57
Hep C. 2
* longer incubation * MOST COMMON