Solutions
Acromegaly Correct Answers - Rare hormonal disorder that
develps when the pituitary produces to much GH.
- can result in noncancerous tumor
- cause swelling, bone enlargement, skin thicking, and face,
hand and feet enlargement.
- occurs AFTER growth plates have sealed.
- big jaw, chin, forehead- president Lincoln had this.
Acute Bronchitis Correct Answers Inflammation of the
bronchial tree caused by infection or irritating factors (smoke)
- Cause: secondary URI, non infectious, enviormental toxins,
smog, cigarette smoke, GERD
- S/S: PRODUCTIVE COUGH, chest pain/congestion,
wheezing, fever/chills, DIB
- Testing: clinical, chest x ray, pulmonary functional tests
- Treatment: antibiotics, rest
Acute Pyelonephritis Correct Answers inflammation of upper
urinary tract.
- renal pelvis, calyces (major and minor), medulla
- Cause: infection associated with urinary obstruction or urine
reflux from bladder
- S/S: fever, chills, flank/groin pain, inc. frequency, dysuria
- Testing: culture, UA, S/S, postive/negative blood culture &
imaging
- Treatment: antibiotics (2-3 weeks based on C/S) relieve
obstruction
,Addison disease - signs and symptoms and treatment Correct
Answers - S/S: electrolyte imbalance, weakness, fatigue,
hypoglycemia, hypotension, hyperpigmentation, N/v
- Testing: ACTH, ACTH stimulation test (inject ACTH and
check cortisol levels), CT/MRI.
- JFK had this
Addisons disease cause Correct Answers Primary adrenal
insufficiency
- decreased adrenal function- look for decrease cortisol and
aldosteroin and increase ACTH
- Cause: AUTOIMMUNE, infection in developing countries,
-- Metastiasis- seeding of cancer cells into adrenal glands
-- Waterhous-Friderichesn syndrome (WFS) aka- hemorrhagic
adrenalitis , faliure of adrenal gland resulting in bleeding
- NOT A SECONDARY ADRENAL INSUFFICIENY- look for
pituitary insufficiency- decrease ATCHT and decrease corisol
and aldosterone
Afterload Correct Answers resistance caused by blood pressure
Alzheimers Disease Correct Answers Progressive destruction
of the brain
- early onset: Could develop 40-50, will be dead by 55-60
(highly genetic)
- Late onset: develop later in life 70-80
*main cause of dementia in elderly
- Cause: suspected genes (chromosome 21), FHX, not aluminum
- S/S: *Amyloid plaques*, *Neurofibrillary tangles*, problems
with memory, judgement, behavioral reasoning
-- >65 years
,- Prevention: healthy aging, intellectual stimulation, social
activity
- Testing: *mental status exam*, CT/MRI to rule out other
causes
Alzheimers tissue Correct Answers has fewer synapses
- Beta amyloid: plaques between cells
- Neurofibrillary tangles: twisted strands of protein
- cortex shrinks
- hippocampus shrinks
- ventricles enlarge
Amyotrophic lateral sclerosis ALS Correct Answers -
progressive, fatal, neurodegenerative disease caused by
degeneration of motor neurons
- also know as lou gehrigs disease
- atrophy of upper and lower motor neurons
- Cause: idopathic M>F, genetic (10%), sporadic (90-95%),
POSSIBLY DUE TO EXCESS GLUTAMATE.
-- Life expectancy is 2-5 years after DX.
Angina Pectoris Correct Answers Chest pain caused by
REVERSIBLE myocardial ischemia
- S/S: sudden severe chest pain last *3-5 minutes*.
pressure/squeezing, fatigue, nausea, SOB.
- cause: cardiovascular disease or anemias
- tx: Rest, nitrates (dialte arteries and viens)
Anxiety Correct Answers most common mental illness
, - a state of being uneasy, apprehensive, or worried about what
may happen.
- set off an alarm reaction in body
*fight or flight
* adrenalin realease
* typically symptoms subsides
Anxiety disorder treatment Correct Answers - *Cognitive
behavioral therapy
- Buspirone
- Benzodiasepines
- Antidepressants
Aphasia vs. Dysphasia Correct Answers - Aphasia: loss of
comprehension or production of language
- Dysphasia: impairment of comprehension or production of
language (semantic processing)
Asthma Correct Answers inflammatory airway disorder with
bronchoconstriction
- mast cells produce histamine contraction of smooth muscle
- Cause: allergies, URI, exercise, cold air, pollution
- S/S: cough, wheezing, due to difficulty breathing out, mucus
production, use of accessory muscles, SOB,
-Testing: PFTS with and without bronchodialator
- Treatment: bronchodialtor
-- think albuterol of B-2 antagonists
Autonomy Correct Answers Right of self determination
concerning medical care