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32 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Most accurate way to take an infants temperature? (Location and time)
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Rectum for 90 seconds
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Explain the scale of the amplitude of a pulse
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0 = ABSENT
1 = Decreased 2 = EXPECTED 3 = Increased 4 = BOUNDING |
Scaled from 0 to 4
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How much of the limb should the bladder of a BP cuff encircle?
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80%
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Describe the relationship between cuff size and BP inaccuracies.
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Too small -> Artificially high
Too big -> Artificially low |
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Noonan syndrome:
-Inheritance -Si/Sx? (2) -Normal findings |
Inheritance: AD
Si/Sx: Webbed neck, short stature, congenital heart disease: Normal: Gonads, karyotype. |
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Patient looks displays Si/Sx of Turner's syndrome, but has normal gonads and karyotype. Dx?
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Noonan's syndrome
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Early v. late septic shock
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Early=~normal blood pressure
Late = HYPOtensive, not corrected by crystalloid fluid replacement, w/ organ dysfunction (especially AMS) |
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Describe the degrees of sprain.
-Structural damage -Swelling -Weight-bearing |
1st: microtears, minimal swelling
2nd: partial ligament tear, more swelling, difficulty w/ wght 3rd: complete tear, swelling + bruising, unable to bear wght |
Three degrees
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Hip pain may be referred to what places? (4)
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Groin > Butt > Greater Trochanter > Knee
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Which part of the hand is most sensitive to vibration?
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Ulnar surface
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Which part of the hand is most sensitive to temperature?
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Radial surface
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The fingertips are NOT the most sensitive areas of the hand for what TWO sensory modalities?
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Vibration and Temperature
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What two cranial nerves mediate taste?
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CN7 and CN9
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What taste modalities does CNVII mediate?
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Sweet and salty
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What taste modalities does CNIX mediate?
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Sour and bitter
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Describe the grades of muscle strength.
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0 = no contractility
1 = contractility, no movement 2 = motion w/o gravity 3 = motion against gravity 4 = motion against gravity and resistance 5 = full strength |
Graded 0 to 5.
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Pitting edema scale
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1+ = 2mm deep, no distorion w/ finger release
2+ = 4mm deep, distortion for 10-15 seconds 3+ = 6mm deep, distortion for more than 1 minute 4+ = 8mm deep, distortion for 2-5 minutes |
1+ to 4+
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Patient has recurrent facial swelling WITHOUT uticaria. Several family members have a similar problem. Diagnosis? Molecule affected?
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Dx: Hereditary angioedema
Factor C1q deficiency |
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Physical exam findings of altitude sickness? (2)
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Retinal hemorrhages and crackles
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Teenage girl with LARGE PAROTIDS. BMI is low. Dx?
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Bulimia
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Normal BMI?
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18.5 to 25
Severe MN = <16 Mod MN = 16-17 Mild MN = 17-18.5 nml = 18.5-25 overweight = 25-30 obese = 30-40 morb obese = >40 |
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Overweight BMI?
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A: 25-30
Severe MN = <16 Mod MN = 16-17 Mild MN = 17-18.5 nml = 18.5-25 overweight = 25-30 obese = 30-40 morb obese = >40 |
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Obese BMI?
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A: 30-40
Severe MN = <16 Mod MN = 16-17 Mild MN = 17-18.5 nml = 18.5-25 overweight = 25-30 obese = 30-40 morb obese = >40 |
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Morbidly Obese BMI?
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A: >40
Severe MN = <16 Mod MN = 16-17 Mild MN = 17-18.5 nml = 18.5-25 overweight = 25-30 obese = 30-40 morb obese = >40 |
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How do you calculate how much of a burn patient's body is burned?
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RULE OF NINES
Each arm = 9% Head = 9% Each side of torso = 18% Each leg = 18% |
The Rule of Nines
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Normal time of capillary refill?
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<2 seconds
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Which arteries are affected in an epidural hematoma?
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Middle meningeal artery
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Which IC hemorrhages involve the middle meningeal artery?
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Epidural hematomas
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On CT scan, which IC hemorrhages are associated with a CONCAVE hyperdensity and which are associated with a CONVEX hemorrhage?
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ConvEx -> Epidural
Concave -> Subdural |
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Which hemorrhages are associated with a "lucid interval", where the patient is fine shortly after the traumatic incident but then rapidly deteriorates an hour or so later?
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Epidural hematoma
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What herniations are associated with "blown pupils"?
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Uncal herniations
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Which poison smells like garlic?
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Arsenic
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