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Primary Care > Week 2: Review of Systems > Flashcards

Week 2: Review of Systems Flashcards

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1
Q

What are the components of a general health screen?

A

Fatigue
Malaise
Fever, chills, sweats
Weight loss, gain
Nausea, vomiting
Dizziness, lightheadedness
Parasthesia, weakness, numbness
Change in mentation, cognitive abilities

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2
Q

What does black, tarry, shiny, sticky stool indicate?

A

Upper GI bleed

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3
Q

What does black, but not sticky stool?

A

Ingestion of iron & bismuh salts, black licorice, some commercial CC cookies

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4
Q

What does light gray, pale stool indicate?

A

Obstructive jaundice

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5
Q

What does bright, blood red stool indicate?

A

Lower GI bleed

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6
Q

what does dark, coke-like urine indicate?

A

rhabdomyolysis
hepatic or biliary obstructive disease

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7
Q

which system is affected? bone pain, increased bruising, increased thirst, parasthesia

A

endocrine

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8
Q

_____ _____ checklist is the starting point for assessing the psychologic system

A

general health

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9
Q

pain that fluctuates over a 24 hr period indicates an issue with which system?

A

MSK

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10
Q

how do most (~80%) adverse drug reactions present?

A

as a magnification of what the drug was meant to do therapeutically

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11
Q

what is the most common cause of joint pain?

A

OA

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12
Q

PTs should be primary care providers for what condition?

A

OA

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13
Q

if a person is experiencing a headache that wraps around the entire circumference of the middle of the head, what type of headache are they having?

A

tension

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14
Q

if a person is experiencing a headache that is around the eyes and forehead, what type of headache are they having?

A

migraine

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15
Q

if a person is experiencing a headache in the orbital region, what type of headache are they having?

A

cluster

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16
Q

if a person is experiencing a headache behind the eyes and radiating to the neck, what type of headache are they having?

A

cervicogenic

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17
Q

which type of headache is a second degree?

A

cervicogenic

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18
Q

which spinal levels refer pain up to the head?

A

C1-C3

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19
Q

what is one of the most common disabling conditions in the world?

A

headache

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20
Q

what’s the most likely condition?
pain improves with exercise
morning stiffness for >30 mins
pain at night
onset <40 yo
uveitis, IBS

A

ankylosing spondylitis

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21
Q

what’s the most likely condition?
onset 33-55 yo
pain improves with exercise
no non-joint conditions
potential pain referral to hip

A

non-specific LBP

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22
Q

classification criteria for RA must be present for ____ to have a diagnosis

A

6 weeks or more

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23
Q

what’s the most likely condition?
morning stiffness >1 hr
sx increase with rest & intense exercise
sx decrease with short rest & mild mvmt
onset 20-50 yo
autoimmune thyroid disorders

A

RA

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24
Q

what is the most common area to see RA?

A

MCP joint

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25
classification criteria for RA
morning stiffness >60 mins arthritis of 3+ joints arthritis of hand joints systemic arthritis rheumatoid nodules serum rheumatoid factor radiologic changes
26
what's the most likely condition? sx increase with rest & intense activity sx decrease with short rest & mild mvmt onset 15-40 yo infection, sunlight, meds
SLE
27
what's the most likely condition? onset 40s-50s males more likely to have increased uric acid levels sx increase with WB and joint use sx decrease with rest but unrelenting night pain no morning stiffness rapid progression
gout
28
what's the most likely condition? onset teens-20s psoriasis with arthritis following morning stiffness >60 mins no night pain sx increase with rest & intense activity sx decrease with short rest & mild mvmt
psoriatic arthritis
29
what's the most likely condition? onset 3rd decade (20s) acute onset venereal disease or dysenteric disease
reactive arthritis (Reiter's Syndrome)
30
what's the most likely condition? abrupt onset trauma or illness occurred systemic corticosteroid use DM, infection sx increase with WB & joint use sx decrease with rest but unrelenting
septic arthritis
31
what's the most likely condition? review of systems findings: uveitis fatigue, weight loss, fever, malaise cardiac & pulmonary complications
ankylosing spondylitis
32
what's the most likely condition? review of systems findings: skin rash fever, fatigue, malaise photosensitivity dyspnea, cough peripheral neuropathies
SLE
33
what's the most likely condition? review of systems findings: fever, malaise tachycardia
gout
34
what's the most likely condition? review of systems findings: fever, fatigue, malaise psoriasis
psoriatic arthritis
35
what's the most likely condition? review of systems findings: urethritis conjunctivitis nausea, vomiting, diarrhea weight loss
reactive arthritis (Reiter's Syndrome)
36
what's the most likely condition? review of systems findings: fever, chills, malaise
septic arthritis
37
what are some conditions that are associated with limb pain that PTs do not treat?
hypothyroidism Lyme disease polymyalgia rheumatica statin-induced myopathy
38
dizziness vs vertigo
dizziness - spatial perception vertigo - spinning sensation
39
T/F: dizziness and vertigo is common in children
F could indicate a tumor
40
what should be considered when evaluating dizziness?
serious pathologic neck conditions
41
what are the 5 Ds of vertebral artery insufficiency?
drop attacks dizziness related to neck movement dysphagia dysarthria diplopia
42
what are the 3 Ns of vertebral artery insufficiency?
nausea numbness nystagmus
43
vertebral artery insufficiency will have positive ______ signs
cranial nerve
44
CVA - FAST stands for?
facial droop arm numbness/weakness speech difficulty time
45
symptoms of cervical ligamentous instability
occipital HA and numbness severely limited neck AROM all directions signs of cervical myelopathy
46
what are the 4 categories of dizziness?
vertigo disequilibrium presyncope non-specific (psychogenic)
47
what is vertigo?
sensation of spinning
48
vertigo is caused by
asymmetrical involvement of the vestibular system
49
which type of vertigo is more common?
peripheral (rather than central)
50
what is disequilibrium?
dizziness, imbalance, unsteadiness W/O VERTIGO degenerative changes in brain & body
51
what causes presyncope?
vascular compromise to cerebellum CV disease hypoglycemia certain meds
52
what causes non-specific (psychogenic) dizziness?
panic/anxiety cervicogenic
53
what is the most common type of HA?
tension
54
____% of HA are cervicogenic
15-20%
55
____% of HA are migraine
10-15%
56
____% of HA are cluster
<1%
57
____% of HA are tension
40%+
58
symptoms of cervicogenic HA
non-throbbing, non-pulsating unilateral sx provoked by neck mvmt &/or sustained posture sx mild to moderate
59
symptoms of migraine HA
unilateral sx but shifts sides severe sx 1+: nausea, vomiting, photophobia, phonophobia
60
symptoms of cluster HA
comes every other day for 8 days sx are severe or very severe lacrimation, nasal congestion &/or rhinorrhea, eyelid edema, forehead & facial sweating, ptosis, sense of restlessness or agitation
61
symptoms of tension HA
caused by stress, anxiety, or depression bilateral symptoms sx mild to moderate
62
red flags for TBI
double vision severe or worsening HA seizure or convulsion LOC deteriorating consciousness vomiting agitation &/or combativeness
63
what are the high-risk sites for stress fracture?
femoral neck anterior cortex of tibia medial malleolus tarsal navicular base of 2nd and 5th metatarsal talus patella

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