Term
| True/False: Antihistamines are the first line treatment for nasal congestion? |
|
Definition
|
|
Term
| After how many days will most sinusitis patients resolve? |
|
Definition
|
|
Term
| How long must a cough be present for it to be called "chronic?" |
|
Definition
|
|
Term
| How long can an acute viral upper respiratory infection induced cough last? |
|
Definition
|
|
Term
| What is the best first line treatment for bacterial sinus infection? |
|
Definition
|
|
Term
| What is a normal Rinne test result? |
|
Definition
|
|
Term
| What do the Barany positional tests test for? |
|
Definition
|
|
Term
| How does the cough rank in the top most common symptoms seen by physician? |
|
Definition
|
|
Term
| A patient has sinus congestion and post-nasal drip: dx? |
|
Definition
|
|
Term
| Patient has dyspnea on exertion, orthopnea, history of heart disease, edema, crackles: What is the dx? |
|
Definition
|
|
Term
| What does stridor sound indicate? |
|
Definition
| obstructed airway for example by a foreign body |
|
|
Term
What is a patient with the following presenting with for an illness:
purulent sputum
cough
fever
tachy
rales |
|
Definition
|
|
Term
| What medication often causes cough? |
|
Definition
|
|
Term
| What three conditions count for 99% of chronic cough complaints? |
|
Definition
post nasal drip
asthma
GERD |
|
|
Term
| If a cause of a cough cannot be determined, how must the treatment be initiated? in what order of the three most common entities for cough |
|
Definition
| treat first for post nasal drip, then asthma, then GERD |
|
|
Term
| When will people with lung disease usually present with a cough? |
|
Definition
|
|
Term
| When acquiring about sputum what three things must be asked? |
|
Definition
|
|
Term
| When can the diagnosis of chronic bronchitis be made? |
|
Definition
| when the pat states that he/she has a cough productive of sputum for three months per year for 2 years with no other obvious cause |
|
|
Term
| An example of how dyspnea caused by lung disease is aggrevated? |
|
Definition
|
|
Term
| What type of disease is paroxysmal nocturnal dyspnea classic in? |
|
Definition
|
|
Term
| What are the four E's for aggrevating factors of angina? |
|
Definition
exposure to cold
exercise
emotion
eating |
|
|
Term
Which of the following structures have no pain sensors:
trachea
bronchi
lung parenchyma
parietal pleura |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the maximal diaphragmatic movement in cm? |
|
Definition
|
|
Term
| When auscultating what 3 general findings do you want to document? |
|
Definition
quality
intensity
duration |
|
|
Term
|
Definition
the most common sound heard of lungs (normal)
sounds like wind blowing through trees |
|
|
Term
What is true of the normal duration of lung sounds (not what is actually heard)?
Which seems to be longer through the stethescope? |
|
Definition
expiration is longer than inspiration
inspiration appears to be longer because not all the expiration can be heard |
|
|
Term
| What are four general causes of palpitations? what is most common? |
|
Definition
cardiac (most common)
psychiatric
idiopathic
mixed |
|
|
Term
| What 3 tests at minimum do you want to do for a patient complaining of palpitations? |
|
Definition
|
|
Term
|
Definition
beginning of systole
ventricles contract
aortic valve opens |
|
|
Term
|
Definition
| the closing of the aortic valve |
|
|
Term
| What are examples of defects that are holosystolic? |
|
Definition
septal defect
regurgitations |
|
|
Term
| What is an example of non-holosystolic defect? |
|
Definition
|
|
Term
| What are examples of diastolic defects? |
|
Definition
aortic insufficiency
mitral stenosis |
|
|
Term
| Which way is the spine curved in dextroscoliosis? |
|
Definition
|
|
Term
| Which way is the convex part of the curved spine to in levoscoliosis? |
|
Definition
|
|
Term
|
Definition
curved inward
Ex: cervical spine |
|
|
Term
|
Definition
curved out
Ex: upper thoracic spine |
|
|
Term
| What is the most common vertebral location for a herniated disc? |
|
Definition
|
|
Term
| A positive streight leg test would indicate the likely hood of what? |
|
Definition
| disc injury in lumber spine |
|
|
Term
| What can the Slump test indicate when positive? |
|
Definition
|
|
Term
| What are the four aspects of family violence? |
|
Definition
domestic
child abuse
elder abuse
Teen Dating Violence |
|
|
Term
| True/False: Domestic violence is intentional and delibrate? |
|
Definition
|
|
Term
| What percentage of women will be abused by an intimate partner? men? |
|
Definition
|
|
Term
| How many women a day are murdered by their husband/boyfriend in the U.S.? |
|
Definition
|
|
Term
| In the cycle of violence what is the name of the stage when the abuser is not abusive? |
|
Definition
|
|
Term
| What is a large indicator of the health of an individual which is associated with 8/10 leading health indicators? |
|
Definition
|
|
Term
| When in a females life will domestic violence often present or become increased in severity? |
|
Definition
|
|
Term
| WHat is the second leading cause of tramatic death for pregnant and recently pregnant women? |
|
Definition
|
|
Term
| What is the rate of domestic violence in same gender relationships? |
|
Definition
| roughly the same as that for women (25%) |
|
|
Term
| What makes it difficult for individuals in a same gender relationship to get help with domestic violence? |
|
Definition
|
|
Term
| What does RADAR stand for? |
|
Definition
routinely ask
ask direct questions
document
assess safety
reveiw and refer |
|
|
Term
What is the current NY state law regarding domestic violence?
|
|
Definition
| no mandatory reporting unless firearm/knife wound or burns |
|
|
Term
| What is the sequence of the musculoskeletal exam when considering each joint? |
|
Definition
inspection
palpation
ROM
Strength |
|
|
Term
| When rating muscle strenght what are the general findings in each of the 6 categories? |
|
Definition
0: no activity
1: flicker activity
2: movement but not against gravity
3: Full ROM against gravity only
4: full ROM, some resistance
5: full ROM full resistance |
|
|
Term
|
Definition
| used to measure joint ROM |
|
|
Term
| What must be ruled out in all women with abdominal pain? |
|
Definition
|
|
Term
| Where will the pain present in diverticulitis normally? |
|
Definition
|
|
Term
| What quadrant is the right kidney located in? |
|
Definition
|
|
Term
| What quadrant is the left kidney located in? |
|
Definition
|
|
Term
| What is the correct order of the abdominal physical exam? |
|
Definition
inspect
auscultate
percuss
palpate |
|
|
Term
|
Definition
|
|
Term
|
Definition
| inflammation of the cornea |
|
|
Term
|
Definition
|
|
Term
| What is the most common cause of red eye in the outpatient setting? |
|
Definition
|
|
Term
| What is the typical presentation of viral conjuntivitis? |
|
Definition
ocular discomfort, not pain
watery discharge
|
|
|
Term
| What are three types of conjunctivitis? |
|
Definition
|
|
Term
|
Definition
| inflammation of the eye lid |
|
|
Term
| What is a hordeolum or chalazion? |
|
Definition
|
|
Term
| What is the number one cause of blindness? |
|
Definition
|
|
Term
|
Definition
| inflammation of the lacrimal sac |
|
|
Term
| At what age is adult visual acuity achieved? |
|
Definition
|
|
Term
| What is the visual acuity of a new born at term? |
|
Definition
|
|
Term
| At what month can color be differentiated? |
|
Definition
|
|
Term
| Around what age does prebyopia begin to begin? |
|
Definition
|
|
Term
| What is the name of the small portable eye chart? |
|
Definition
|
|
Term
| What is peripheral vision controlled by?r |
|
Definition
|
|
Term
| Where is light intensity least at in vision? |
|
Definition
|
|
Term
| What are three general reasons for using a slit lamp? |
|
Definition
abrasions
foreign bodies
cataracts |
|
|
Term
| What is an Amsler Grid used for? |
|
Definition
| indicating macular degeneration |
|
|
Term
| What condition presents with a painless, cloudy area in the lens of the eye? |
|
Definition
|
|
Term
| What is a normal cup to disc ratio in the eye? |
|
Definition
|
|
Term
| What is an eye burr used for? |
|
Definition
| removal of a foreign body |
|
|
Term
| What is the size of what would be considereda normal mole? |
|
Definition
|
|
Term
| Where are the majority of normal moles found? |
|
Definition
|
|
Term
| What is a normal amount of moles to have on the body? |
|
Definition
|
|
Term
What are the 5 types of nevi discussed in class?
What is a nevi? |
|
Definition
nevi is a mole
compound
hairy
intradermal
halo
junction |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is a macule greater than 1 cm in diameter called? |
|
Definition
|
|
Term
| Can a macule or patch be felt? |
|
Definition
|
|
Term
| What is the general characteristics of a papule? |
|
Definition
| less than 1 cm and elevated |
|
|
Term
| What type of dermatologic term is used to describe an elevated area greater than 1 cm with a rough surface? |
|
Definition
|
|
Term
| What term is used to describe a greater than 1 cm discoloration of the skin that can not be felt? |
|
Definition
|
|
Term
The term for an area of edema in the epidermis?
such as an insect bite |
|
Definition
|
|
Term
| The term used to describe a raised circiumscribed lesion that is 1-2 cm in diameter? It is deeper than a papule? |
|
Definition
|
|
Term
| What is a elevated superficial dermatological finding that is filled with serous fluid and less than 1cm? |
|
Definition
|
|
Term
| What is the term for a vesicle greater than 1 cm? |
|
Definition
|
|
Term
What is the term given to an elevated lesion filled with purulent fluid?
Ex: acne |
|
Definition
|
|
Term
| A elevated lesion filled with liquid or semi-solid material? |
|
Definition
|
|
Term
| Term used to describe fine irregular red lines on the skin produced by capillary dilatation? |
|
Definition
|
|
Term
|
Definition
| when the epidermis gets rough and thickened due to persitent rubbing of the skin |
|
|
Term
| Term used to describe the loss of the epidermis? |
|
Definition
|
|
Term
| Approximately how many people die eah day waiting for an organ? |
|
Definition
|
|
Term
| What is the occulo cephalic reflex response? |
|
Definition
when you move the head the eyes should move to stay on one object
test of brain function |
|
|
Term
| What is the vestibulo-occular reflex? |
|
Definition
cold water in the ear should make the eyes move (occular deviation)
tests brain function |
|
|
Term
| Which fontanel closes first? |
|
Definition
|
|
Term
| At what age are suture lines no longer palpable? |
|
Definition
|
|
Term
| When should the effects of molding be gone after birth? |
|
Definition
|
|
Term
| What does a bulging anterior fontanel with marked pulsations indicate? |
|
Definition
| increased intracranial pressure |
|
|
Term
| How are the teeth numbered? |
|
Definition
Top right 3rd molar is #1
Top left 3rd is #16
Bottom left 3rd molar is #17
Bottom right 3rd molar is #32 |
|
|
Term
How many of each of the following teeth in the mouth?
incisors
canine
premolar
molars |
|
Definition
on top: 4 incisors, 2 canine, 4 premolars, 6 molars
on bottom: same |
|
|
Term
| Why must nasal patency be checked in an infant? |
|
Definition
| because they are obligate nasal breathers |
|
|
Term
| What is the grading system for tonsil size? |
|
Definition
1+ visable
2+ halfway to the uvula
3+ just touching the uvula
4+ touching each other |
|
|
Term
|
Definition
|
|
Term
|
Definition
| age related loss of vision |
|
|
Term
What are the usual clinical manifestations of strep throat?
Which symptoms are absent |
|
Definition
fever
pain in throat
tender anterior cervical lymph nodes
tonsillar exudate
absent: cough, post nasal drip (symptoms and signs of URI) |
|
|
Term
| What does a tender node likely indicate? |
|
Definition
|
|
Term
| What does a hard non moveable node likely indicate? |
|
Definition
|
|
Term
| How often should a patient be able to hear a wisper from 1-2 feet? |
|
Definition
|
|
Term
| How close do you need to be to patients eye to do an accurate examination of the eye? |
|
Definition
|
|
Term
| What does egophony represent when you hear an "aa" sound and not "ee"? |
|
Definition
|
|
Term
| What are three normal lung sounds? |
|
Definition
vesicular
bronchial
bronchovesicular |
|
|
Term
| Retraction of the chest muscles suggests what type of problem? |
|
Definition
|
|
Term
| What is the normal respiration rate in a newborn? |
|
Definition
|
|
Term
| What does egophony, bronchophony, and whispered pectoriloquy indicate? |
|
Definition
|
|
