QUIZ(Questions & Answers) : SOUTH UNIVERSITY (New,
2024)
Rovsing sign - answer :RLQ pain with palpation of the LLQ- suggests peritoneal irritation in the RLQ
precipitated by palpation at a remote location
Obturator sign - answer :RLQ pain with internal and external rotation of flexed right hip- suggests
inflamed appendix is located deep in the right hemipelvis
Psoas sign - answer :RLQ pain with extension of right hip or with flexion of right hip against resistance-
inflamed appendix located along course of right psoas muscle
-(lifting extended right leg against resistance)
Murphy sign - answer :Increased tenderness with inspiration in RUQ- gallbladder
Tenderness at McBurney's point - answer :appendicitis
Negative HbsAg
Positive HbsAb
Negative HbcAB - answer :indicative of immunization
Synthroid dosage - answer :Kg x 1.6
Hypothyroid prevalence in countries - answer :prevalence in US is low compared to rest of world 0.3%
d/t iodine consumption
, S/sx hypothyroidism - answer :depression, forgetfulness, los of hair, weight gain, dry skin, infertility,
brady, goiter, brittle nails, cold skin, constipation, fullness in throat (hashimoto), jaundice, and
distention, muscle aches
Hypothyroidism physical findings - answer :decreased mentation, swelling hands and feet (non pitting),
periorbital puffiness, coarsening of voice, brady, inc DBP, reduced SBP, delayed relaxation of DTR
(achilles)
Most common etiology of cervicitis? - answer :Infection: STDs
-Chlamydia. trachomatis (number 1)and N.Gonorrhoeae
Choice of antibiotics for cervicitis? - answer :Azithromycin and doxy
DOC for tx of trich - answer :metronidazole or tinidazole
Tx of choice for epididymitis - answer :ceftriaxone plus doxycycline
Skin lesion fluoresces under a wood's lamp- what microscopic finding is consistent with this? - answer
:Spores
Conditions associated with atopic dermatitis? - answer :food allergy, asthma, allergic rhinitis "atopic
march"
Positive WB and ELISA with a tick bite and erythema migrans- how to treat - answer :Lyme disease
- 14-21 days tx
-Doxy, amoxicillin
Elderly and appendicitis? - answer :present late with atypical symptoms
-Half of pts are afebrile
half demonstrate no rebound or involuntary guarding