NBCE Part 2 - General Diagnosis Questions And Correct Answers

NBCE Part 2 - General Diagnosis Questions And Correct Answers A case history includes Chief complaint Present illness Past History Family, occupational, social, review of systems Answers given from a chief complaint should be.. Own words, open ended. Temperature can be taken where? Anal, oral, otic, axilary, vaginal, testicular What is the difference in temperatures between a bacterial infection and viral infection? Bacterial is sustained. Viral has spikes, where they will have combination of fevvers and chills. What is the average blood pressure? 90/60 over 140/110 S/D _____ is the difference between the systolic and diastolic readings. What is the average? Pulse pressure. 30-40 Orthostatic hypotension that can cause syncope is a result of para or sympathetic nervous system? Parasympathetic What time of day are bacterial fevers the worst? At night Medical term for jaundice in eyes Icterus Absent red light reflex, lens opacity worsens. Cataracts Retinal detachment risks increase after surgery for? Cataracts "Cats like to play w/ detached retinas" MC cause of vision loss for people over 40 Cataracts Optic disc swelling that causes increased intracranial pressure Papilledema Blurred vision, with halos around lights, leading to increased intraocular pressure Glaucoma Insignificant eye probem caused by buildup of fat around the deep edges of the cornea Arcus senilis Waxy exudates in the eye with microaneurysms. Diabetic retinopathy Flame hemorrhage, cotton wool spots in the eye, copper wire arterioles Hypertension "HTN- flame, copper wire and cotton wool eyes" Yellow deposits under the retina, the light-sensitive tissue at the back of the eye Drusen (normal) a hole in one of the structures of the eye, such as the iris, retina, choroid, or optic disc. Coloboma (normal) Crusty discharge of ear Otitis externa, swimmers ear Bulging tympanium Otitis media Retracted tympanum can be caused by? Altitude Redness from acute infection of ear Myringitis Ear infections can lead to this common complication Meningitis A rupture in the ear drum, causing a perforation, can have this appearance Black appearance What color is normal for eardrum? Pearly gray Which ear should you perform rhinne on? The ear that Weber lateralize to (The louder side) What tuning fork do you use for hearing tests? 512 tuning fork. Sensorineural hearing loss can be caused by Presbycusis Neuroma Meniere's "Sensitive Neural Pretty Neu Men" Conduction hearing loss can be caused by Infections, cerumen, otosclerosis A ___ nose is indicative of acute rhinitis Red ___ discharge from the nose can be caused by a foreign object Foul CSF discharge from the nose can be caused by ____ viral infection Non-mobile and non-tender lymph node Malignant Mobile and tender lymph node Benign Supraclavicular lymph node draining pattern. Right supraclavicular drains everything above the diaphragm on right. Left supraclavicular drains everything else. Pancreatitis can activate nociceptors in what level of spine? T10, or epigastric level. People with pancreatitis may be found in this position Fetal position Diabetes mellitus is caused by Pancreas failure to produce insulin Diabetes mellitis in a juvenile who is thin and insulin dependent, may be what type? Type I Diabetes mellitus in an obese person from receptor site malfunctions Type II Test that is positive for gall bladder dz Murphy's sign Risk factor for gallbladder Female, forty, flatulent, fat Multiparous, distension, right scapular pain, jaundice and steatorrhea Test to see if you are absorbing B12 properly Shillings Pain from appendicitis occurs where? Periumbilical region, Mcburneys Tests for appendicitis Blumbergs, rovsings. Rebound tenderness elicited doing blumberg can be either? Appendicitis or peritonitis "rebound ten blumberg Appe/Peri" Elderly person with outpouchings in their colon. High fiber diet helps. Diverticulosis Skip lesions, string sign, rectal bleeding, fistulas Crohn's Stress, bloody diarrhea, megacolon, Ulcerative colitis Characteritics of acute hepatitis and chronic hepatitis. Difference? Both swollen and boggy liver. Difference is acute is tender. Resonant percussion in the lungs may indicate? This is normal, but there could be viral pneumonia or laryngitis Flat percussion in the lungs may indicate? Solids, there could be atelectasis, tumor, or pneumononiosis Tympany percussed in the lungs may indicate? GI or air, can be Meganblase (gastric air bubble) or flatulence. Fremitis in atelectasis, tumors, or pneumoconiusis causing a flat percussion, will have what kind of fremitus? Decreased Dull percussion in the lungs may indicate?