NBCE part 3 Questions And Correct Answers, 100%

NBCE part 3 Questions And Correct Answers, 100% Decrease ADH posterior pituitary polydispia, polyuria Decreased insulin pancreas tail (DM) - need for exercise polydipsia, polyuria, polyphagia* (hungry) Dec Adenocorticoids adrenal cortex (hypo) addisons: weight loss, hypotension, bronze skin Increased adenocortocoids middle-aged ladies with burning hands and feet adrenal cortex (hyper) Cushings: weight gain, moon face, swollen, hypertension, infertility, hirsutism, thin extremities Face: chubby and swollen Decrease T3,T4, elevated TSH Middle ages women with burning hands and feet Secondary thyroid (anterior pituitary) Myxedema: weight gain, swollen, hypotension, dry skin, constipation, enophthalmos, lateral third eyebrow missing Face: swollen eyes swollen inside but dry outside Anasarca severe generalized edema something major is dying -kidney failure -heart failure Best question for head trauma memory -can they remember the accident, etc MS questions for history heat and humidity - does that make it worse Swollen, tingling feet w/ DM; what? vascular claudication "crud in the blood" Swollen, tingling feet with LBP; what? Neurogenic Claudication (central canal stenosis) Chronic cough for 2 mo. 60 year old smoker cancer Chronic cough - episodic 25 years old asthma or allergy Increased T3, T4, decreased TSH Secondary thyroid (anterior pit) Graves: sweaty, diarrhea, exophthalmos Clubbing nails dyspnea at night lung problem -CHF (left) Lymphadenopathy fever, swollen, history of illnesses (how often sick- immunodef) Organs needed to be evaluated: lymph nodes liver spleen tonsils thymus bone marrow fever and chills viral infection slow onset, fever at night (night sweats), during day comes back closer to normal bacterial infection Cancer that has fever Hodgkins, Ewings Apyrexia (no fever) - labeled itis osteoarthritis costochondritis cystitis and urethritis bursitis tendonitis osteitis deformans (may have warm shins) osteochondritis dissecans Bacterial infection inc fever inc neutrophils no lymphocyte inc inc leukocyte Viral infection up and down of fever dec neutrophils inc lymphocytes dec leukocytes 17,000 to 18,000 leukocytes shilling shift ER referral 2 week sequelae of strep - glomerulonephritis have you been to the dentist? confirmation - UA (RBC casts*) Carditis from strep Subacute bacterial endocarditis confirmation - blood culture Special studies for heart valves Echo Osler's nodes, with what finger nail change? splinter hemorrhage change (valve infection in heart) malignant hypetension typically due to kidneys Causes of secondary hypertension drugs (oral contraceptives), hormone therapy, DM, adrenals, obesity hemoptysis coughing up blood - lungs haematemesis vomiting blood - GI apoplexy stroke, cell death, with paralysis Thyroglobulin Thyroid Hashimotos Decreased Vit D Calcium Control Rickets: child Osteomalacia: Adult Inside eye anatomy cup - smaller disc - larger veins - larger than arteries medial side - disc and cup lateral side - macula and fovea (rods and cones, sensitive to light) Iritis inflammation of the iris red rim around pupil medical emergency of the eye chalazion small, hard, cystic mass (granuloma) on the eyelid pain-less hordeolum stye painful Ptyergium Triangular thickening of the bulbar conjunctiva that grows slowly to the outer surface of the cornea, usually from the nasal side, and may cover a portion of the cornea Pinguecula yellowish mass on the conjunctiva insignif Marginal Blepharitis "gunk" on your eyelid (palpebrum) Horners brachial plexus involvement is common anhydrosis miosis is present enophthalmos flushing of face is likely arm pain Pancoast syndrome pancoast tumor eats it way out lungs = mets -spine and lytic -horners syndrome -TOS Goes to the spine about 70% of the time Icterus Jaundice Intracranial pressure papilledema, enlarged and blurred Intraocular pressure glaucoma, small, tonometry Diabetic Retinopathy Waxy exudates and microaneurysms Hypertension flame hemorrhage, cotton wool Absent red light reflex glass eye, cataract, retinal detachment (flashing light) Addies pupil asymmetric pupil size (ANS damage) Glaucoma peripheral loss Macular degen central loss exophthalmos bilateral graves disease: hyperthyroid exophthalmos unilateral tumor in brain pushing eye - space occupying lesion, double vision Enophthalmosis (bilateral) hypothyroid: myxedema Enopthalmosis unilateral horners Lateral third of eyebrow missing Hypothyroidism apthous stomatitis yellow center, red hallo (canker sore) bilateral anhydrosis Sjogren's Mydriasis Has a d in it - Dilate Adies pupil and aniscoria? Dilated unilateral Argyl Robinson pupil bilateral both accommodate but don't react to light ass: syphilis or posterior column disease Leukoplakia white spot - cant pull off Koplik white spots on red base (rubeola) Red nose acute rhinitis and coryza Pale, gray, blue nose chronic infections and allergies