General Medicine Exam #1 with
Complete Solutions
Why general medicine?
- 5 reasons - correct answer-1. We see them first
2. Knowledge and recognition allows for proper referral
3. Disease may affect an athlete's ability to participate
4. disease may require certain precautions
5. chronic diseases may affect a current injury and its recovery time.
May need treatment modifications
Pathology - correct answer-study of biological causes, effects & processes of disease
Pathogenesis - correct answer-refers to the underlying cause of a disease or the actual
development of the disease
- actual development at the cellular level
- Day 1-3, 4-8 expect this
Etiology - correct answer-explains the underlying mechanism of disease (Cause/giving
a reason for)
- historical perspective
- numbers
Signs - correct answer-objective
- you can see it
- its measurable
- Ex: figure 8 for ankle
Symptoms - correct answer-subjective
- headache
- disease
- nausea
- cannot measure/ abnormal function or description
Clinical Dx vs. Differential Dx - correct answer-Clinical Dx: based on finding or
measurement taken in the clinic
Differential Dx: list of possible diagnosis that appear to present themselves
Medical Hx: Chief complaint
- Ex - correct answer-Ex: Cannot breathe, headache, dizziness
, Medical Hx: Present History
-Ex - correct answer-Ex: what allergies do you have?, what medications are you taking?
Medical Hx: Past History
- Ex - correct answer-Ex: history of stroke, cancer, headaches, surgical history, admitted
to the hospital
Medical Hx: Family History
- Ex - correct answer-Ex: anyone in your family who has high blood pressure, heart
attacks
Medical Hx: Social History
- Ex - correct answer-Ex: travel outside the country, smoking, drinking, other drugs,
stress levels, safe in environment, nutrition "food desert"
Medical Hx: Review of Systems - correct answer-Ex: 1 question per system
- Cardiac: shortness of breath
- Endocrine: fatigue/menstrual cycle
- Nuero: numbness/tingling
- GI: heartburn/bowel movement/ blood in urine
- Pulmonary: difficulty breathing
Seriousness of the condition
- 1-4 severe to less severe - correct answer-1. Vitals
- BP, Pulse, Respiratory rate
2. Brain stem function (CN)
- Facial Nerves, sensory. vision (H-Test)
3. Signs of endocrine/neurological disorder
- hormonal changes, hot sweats, fatigue, weight change 5% up or down
4. Daily function changes
- frequency of urination, decrease in appetite, sleep pattern changes, slower onset
RED FLAGS
- 15 - correct answer-Constant pain, palpitations/flutters,syncope, night pain/sweats,
dysphagia (difficulty eating or swallowing, visual problems, unexplained wt loss,
insomnia, incapacitating pain pulsing , severe dyspnea (painful breathing), recurrent
vomiting, dysuria, hematuria, severe/progression dizziness, malaise
Physical Examination: Inspection
- Ex - correct answer-Looking for classic signs
- pale
- depressed
- sick
- moles
- behavior (mood)
Complete Solutions
Why general medicine?
- 5 reasons - correct answer-1. We see them first
2. Knowledge and recognition allows for proper referral
3. Disease may affect an athlete's ability to participate
4. disease may require certain precautions
5. chronic diseases may affect a current injury and its recovery time.
May need treatment modifications
Pathology - correct answer-study of biological causes, effects & processes of disease
Pathogenesis - correct answer-refers to the underlying cause of a disease or the actual
development of the disease
- actual development at the cellular level
- Day 1-3, 4-8 expect this
Etiology - correct answer-explains the underlying mechanism of disease (Cause/giving
a reason for)
- historical perspective
- numbers
Signs - correct answer-objective
- you can see it
- its measurable
- Ex: figure 8 for ankle
Symptoms - correct answer-subjective
- headache
- disease
- nausea
- cannot measure/ abnormal function or description
Clinical Dx vs. Differential Dx - correct answer-Clinical Dx: based on finding or
measurement taken in the clinic
Differential Dx: list of possible diagnosis that appear to present themselves
Medical Hx: Chief complaint
- Ex - correct answer-Ex: Cannot breathe, headache, dizziness
, Medical Hx: Present History
-Ex - correct answer-Ex: what allergies do you have?, what medications are you taking?
Medical Hx: Past History
- Ex - correct answer-Ex: history of stroke, cancer, headaches, surgical history, admitted
to the hospital
Medical Hx: Family History
- Ex - correct answer-Ex: anyone in your family who has high blood pressure, heart
attacks
Medical Hx: Social History
- Ex - correct answer-Ex: travel outside the country, smoking, drinking, other drugs,
stress levels, safe in environment, nutrition "food desert"
Medical Hx: Review of Systems - correct answer-Ex: 1 question per system
- Cardiac: shortness of breath
- Endocrine: fatigue/menstrual cycle
- Nuero: numbness/tingling
- GI: heartburn/bowel movement/ blood in urine
- Pulmonary: difficulty breathing
Seriousness of the condition
- 1-4 severe to less severe - correct answer-1. Vitals
- BP, Pulse, Respiratory rate
2. Brain stem function (CN)
- Facial Nerves, sensory. vision (H-Test)
3. Signs of endocrine/neurological disorder
- hormonal changes, hot sweats, fatigue, weight change 5% up or down
4. Daily function changes
- frequency of urination, decrease in appetite, sleep pattern changes, slower onset
RED FLAGS
- 15 - correct answer-Constant pain, palpitations/flutters,syncope, night pain/sweats,
dysphagia (difficulty eating or swallowing, visual problems, unexplained wt loss,
insomnia, incapacitating pain pulsing , severe dyspnea (painful breathing), recurrent
vomiting, dysuria, hematuria, severe/progression dizziness, malaise
Physical Examination: Inspection
- Ex - correct answer-Looking for classic signs
- pale
- depressed
- sick
- moles
- behavior (mood)
