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103 Cards in this Set
- Front
- Back
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4th and 5th fingers are in contracted position, what is thickened
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LUMBRICALS
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Cotton wisp on eye ball, opposite eyelid shuts - what damaged
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IPSILATERAL PERIPHERAL FACIAL NERVE
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Patient with yellow palms and soles likes to eat a lot of veggies
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AKA CAROTENEMIA! VIT A TOXICITY ( excess Vit A: arthralgias, fatigue, headaches, skin changes, sore throat and alopecia)
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Patient when inhales abdomen goes in, what muscle prob resulting in this
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DIAPHRAGM
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Pic with dude with blisters on right side
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HERPES ZOSTER aka shingles caused by Varicella zoster
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Pregnant girl who is 15, what do you do
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TELL HER YOU WILL HELP HER TELL HER PARENTS
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Pt with mid epigastric pain radiating to back, has acute
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PANCREATITIS ( elevated amylase/lipase)
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Pt with loss of pain and temp in cape like fashion, has what
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SYRINGOMYELIA
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Black lady with probs
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SARCOIDOSIS (bilateral hilar lymphadenopathy, noncaseating granulomas)
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Pt with lump in breast, due to what
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STAPH AUREUS
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2 day old baby with meconium plug in ileocecal rgn, what is dx test
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MEASURE SWEAT Cl-
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Arthritis…."Chocolate agar"
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pick N.GONNORRHEA
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Lady with rash on nose and cheeks, what is dx
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SLE ( butterfly rash, hilar adenopathy, raynauds)
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Kid has jaundice, kids friend has it, and now dad got it
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HEP A ( Hep A and E spreads via fecal oral route, A and E are vowels and they spread via the bowels)
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Some random jaundice question
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GILBERT'S (asymptomatic jaundice due to def of glucuronosyl transferase)
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Some mass in right atrium, comes down on diastole
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MYXOMA ( ball valve obstruction of LA)
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Dude in church falls down when closes eyes to pray, where lesion
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Dorsal columns (Rhomberg sign)
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Chronic erythema migrans
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B.BURGDORFERI (Lyme disease))
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Lady doesn't quit smoking
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YOU ASK HER IF SHE WOULD LIKE TO STOP SMOKING!
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Dude who has angina symptoms upon exercise and then gets them even at sleep
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UNSTABLE ANGINA (chest pain even at rest)
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Guy who has difficulty initiating urine at night and stopping
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Benign PROSTATIC HYPERPLASIA
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Pen light shone in right eye = both eyes dilate, shine in left eye pupil constricts-' Lesion of
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RIGHT OPTIC NERVE
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Crescendo-decrescendo murmur, radiates to neck, paradoxical split S2
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AORTIC STENOSIS
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Pic asking you what LBBB would look like
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CHOICE 'A', THE P2 AND BEFORE A2
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Pt wit soft swollen calf
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DVT
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Lady with symmetrical nodules in hands and joint pains inc with workload
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OSTEOARTHERITIS
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How to tell if kid has coagulation factor deficit
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HEMARTHROSIS OF ELBOW
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Pedigree
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MITOCHONDRIAL INHERITANCE (female to all kids always, son never passes it!)
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Guy whose uncles died of intra-cerebral hemorrhages, what is missing
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FACTOR VIII (ANTIHEMOPHILIAC)
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Kid getting chemo doesn't want it, what do you do
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TELL PARENTS TO LISTEN BUT ADVISE TO MAKE THEIR OWN CHOICE!
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Pic of eye lesions asking, what causes double vision as day goes on
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Normal Vision (pt has MG, loss of muscle strength as the day goes on)
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What muscle is damaged if pt can't extend or abduct wrist
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EXTENSOR RADIALIS LONGUS CARPII
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Pt with adult PKD, what happened
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SACCULAR ANEURYSM (Berry's aneurysms are more common in ADPKD)
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Patient with pain radiating to back, then to costo-vertebral angle
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ACUTE AORTIC DISSECTION (tearing chest pain radiating to the back, may see widening of aortic shadow on radiograph)
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Basketball player collapses, right lung retarted, what does he have
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CHOICE 'D'…DEC EVERYTHING AND LEFT TRACHEAL DEVIATION (pt has hypertrophic cardiomyopathy)
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73 yr old man falls in tub and hits head, nothing on CT and then goes home and is unconscious 72 hrs later
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TEARING OF BRIDGING VEINS (Subdural hemorrhage)
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Little baby holds person finger, what month normal growth
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4 MONTHS (2-4 mos= lifts head, smiles in response to human face, coos or gurgles……….4-6 mos= turns over, sits unassisted, reaches for objects, grasps with entire hand, attachment with primary caregiver, recognizes familiar people, babbles….7-11 mos= crawls, pulls up to stand, picks up toys and food, stranger anxiety, peek-a-boo, waves Bye-Bye, responds to name and simple instruction………..12-15mos= walks unassisted, separation anxiety, first words, object permanence……….)
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Dude in jail with AIDS, need to do experiment, must preclude what
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I PUT PAST MAJOR DEPRESSIVE DISORDER….BUT NO IDEA
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Dude got teeth fixed from dentist 3 weeks ago and now has probs
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BACTERIAL ENDOCARDITIS (mulptiple dental surgeries)
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MC cause of death with MI rupture
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CARDIAC TAMPONADE ( arrhythmias= imp cause of death before reaching hospital after MI, rupture of ventricular free wall, IV septum, Papillary muscles (4-10 dys) can lead to cardiac tamponade, fibrinous pericarditis= cause of death 3-5 days post MI), dressler's syndrome= cause of death several wks post MI)
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Doc puts in subclavian vein catheter and pt gets breathing probs after
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chyloTHORAX (bc thoracic duct drains into subclavian vein)
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Cystic fibrosis pt with steatorrhea fatty stool and dry skin, which vitamin responsible
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I PUT VIT A (VIT A,D,E,K…. any fat soluble Vitamin)
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What kind of shock causes warm and flushing limbs
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SEPTIC SHOCK
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Pt taking loop diuretics feels palpitations, due to
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HYPOKALEMIA
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Dude who gets slow at shaving, buttoning clothes and falls and stuff, what NT dec
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DOPAMINE (I thought it was bradykinesia)
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BUZZWORD'Atypical lymphocytes'
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ENLARGED SPLEEN
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Patient with increased JVP
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PULSATILE LIVER, holosystolic murmur= tricuspid regurg
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Patient with irreg ireg pulse
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ATRIAL FIBRILLATION
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Dude with mass in periumbilical region, flank, what is it
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RUPTURED ATHEROSCLEROTIC ARTERY
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Dude with vertigo nausea and vomiting, NO TINNITUS, LIES DOWN and doesn't want to move what is it
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BENIGN POSITIONAL VERTIGO (BPV)-or simply vertigo-is a disorder of the inner ear. You feel a sudden sensation of movement or spinning when you move your head or hold it in a certain position.
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Lady with postpartum excessive bleeding, what is complication
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ACUTE PITUITARY NECROSIS
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Lady with post partum bleeding gets renal failure, what happened
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Underlying bleeding disorder
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Opening snap with end diastolic rumbling murmur, cause
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I PUT RHEUMATIC FEVER(mitral stenosis)
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Dude with cyst thingy behind ear
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SQUAMOUS CELL CARCINOMA
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Dude with ulcerated lesions in chin
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BASAL CELL CA
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Dude felt his foot 'give away', walks with limp, why
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I PUT LESIONS OF ACHILLES TENDON
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Patient with breathing probs and edema and stuff
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I put COR PULMONALE
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Diagram showing variable split, and says over left intercostals area
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I put PULMONIC INSUFFICIENY...if opposite then it is AORTIC STENOSIS ….so double check
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'rust coloured sputum'
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pneumococcal pneumonia
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Patient with hemoptysis, and bilateral apical lung calcifications
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MYCOBACTERIUM
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An adopted dude who doesn't know his history
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ASK FOR OCCUPATION EXPOSURES
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Small focal leisions in lung
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Seaman (asbestosis =Diffuse interstitial fibrosis mainly in lower lobes of lungs, common in shipyard workers, brake lining, insulation and construction)
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Dude with bloody poop fever and pain in LLQ
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DIVERTICULOSIS ( usually in older people)
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Baby taken off a respirator and then given first oral feed gets bloody poop
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Necrotizing enterocolitis
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Dude whose but starts hurting and has lowers pulse in LL, what prob
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COARCTATION OF AORTA (radio-femoral delay)
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Little girl with RBC casts in urine
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I HAD NO IDEA…first aid says; glom inflame, nephritic sx, ischemia or malig HTN…or bladder cancer…so pick one:S!
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Something to do with stones and how some family member had them too so what type
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CYSTEINE
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Lady with perianal pain and has seven painful vaginal ulcers
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I put herpes
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Recurrent mid lobe of lung gets pneumonia, so what test do you do
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I put ventilation/perfusion…
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Pressure volume curve of lung,
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I put pul emphysema since I thot vol inc…
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Pt is sitting 3 feet away from doc, and doc is sitting leaning forward and asks 2 open ended questions, which reason may give not a full rapport
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I put distance between doc & pt. ( BRS says that physical setting should be as private as possible, there should be no desk or obstacle btwn the doc and pt and should interact at eye level.)
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Some patient comes to the hospital thinks he has heart probs and he really doesn't, so what do u do now
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I said refer him to cardiologist
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Some patient with a billion random probs, what is it
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SOMATIZATION DISORDER ( somatization= 2 GI probs, 4 pain symptoms, one sexual symptom, one pseudonerological symptom, onset before 30 yrs age………conversion disorder= sudden loss of sensory or motor funx assoc with a stressful life event……….hypochondriasis= exaggerated concern with health and illness lasting atleast 6 mo, goes to many doctors, no actual findings)
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Some lady with back pain on work leave lies around all day while kids and husband work, what do u tell her
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I put she is using her prob and is gaining benefit from work and home
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Some lady who is very violent and hostile gives good clear report of her problem, other doc said she is mean…so how do u talk to her
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I put "oh you must have thought about it, what do you think is wrong
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Some dude who got diasnosed with leisions of cancer for the third time and is pissed, what do you do
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I put you tell him it is normal to be angry but right now we gotta deal with your lesion first and fix it
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What street drug causes person to hear colours and hallucinate
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(I think it might be LSD bc u can hear colors..) I put PCP, choices were LSD, alcohol, cocaine or PCP…look it up, couldn't find it in first aid9
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Old lady whose husband died of cancer 1 mnth ago, is dythemic, anhedonia, anorexic and lost weight
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Normal bereavement
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Thick curdy discharge from vagina, due to
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Candida albicans
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White plaque in mouth, not a fungus, so due to
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CIG SMOKING ( it is Leukoplakia)
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A pt with small calficiatin leision on apical part of ONE lung, and has confusion and neuro symptoms…what is prob
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I put metastatic small cell cancer…it was either that or TB…first said says TB if lymphocytes and protein increase in CSF, so look out for the CSF findings!
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Air under diaphragm
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Perforation of peptic ulcer
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Some dude has to randomly poop and cant control it, just got a promotion…
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I put IRRITABLE BOWEL SX
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Lady getting treatment with lithium, pt has all symptoms of hypothyroid induced by lithium, what do you do…insurance isn't paying for her test
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I put give her levothyroxine…I ws confused with by telling her company to reevaluate…but then her sx would get wrse so I wud give her meds first:S…lol…
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What do you feel anterior to the anterior fornix
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trigone of bladder, other choices were urogenital diaphragm or ischiorectal something….other didn't make sense
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Theres a dude with no left testes in scrotum, what is he at risk for
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I put inguinal hernia
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Theres a dude with a mass which is non tender in scrotum, transilumination test is negative, what is it
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I put testicular carcinoma
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Pt with pulsatile one sided headache and visions probs after her finals…..
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giant cell arteritis!
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Lady with ataxia and various eye probs, when looking right the left eye could not adduct, convergence was normal what does she have
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MULTIPLE SCLEROSIS (internuclear opthalmoplegia)
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Guy is a truck driver he puts his hand on the side ' what nerve
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' ulnar nerve
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Question about guy after MI and he had slurred speech what part of the brain is affected he could comprehend
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Brocas aphasia (Brocas= Broken Speech can comprehend, Wernickes= Wordy , babbles no comprehension)
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Pt had Horner's = ptosis, anhydrosis, meisos, where was the tumor
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' in lung ( apical lobe of the lung compressing sympathetic trunk superior cervical ganglion)
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married woman comes to you with bruises all over you are concerned of abuse what do you do
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Im concerned of abuse would you talk to our counselor
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description of CN defects like problems moving eyes so 3,4,6 are gone what is the highest brian function spared
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' Medulla (midbrain= 3 &4, pons= 5-8, medulla= 9-12)
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what is location of metastasis to lymphnodes for Squamous cell Ca where did it come from
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' skin
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Pt has periumbilical pain and has right lower quadrant pain
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' appendicitis
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7 yr old girl comes with infection and she has come before for same thing twice
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' sexual abuse
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Picture of this black guy with rash on his face on one side above the eye
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' shingles
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Pt had to get up and lean outta window to breath better
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' maybe pericardidts (patients usually lean forward to breath better, )
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Pt presents to doctor for regular checkup tongue deviates to right
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' lesion is right hypoglossal
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Picture of this black guy with rash on his face on one side above the eye?'
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shingles
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Pt had to get up and lean outta window to breath better?'
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maybe pericardidts (patients usually lean forward to breath better, )
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Pt presents to doctor for regular checkup tongue deviates to right? '
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lesion is right hypoglossal
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