Nr 509 Midterm

Cause of saddle numbness and urinary retention - CORRECT ANS Cauda equina syndrome Presentation of retinal detachment - CORRECT ANS If sudden visual loss is unilateral and painless, Obtunded - CORRECT ANS patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are decreased. Cranial nerve for lateral gaze - CORRECT ANS CN6: Abducens Adult Illnesses - CORRECT ANS Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking sexual practices ■ Surgical: Dates, indications, and types of operations ■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function ■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments Present Illness - CORRECT ANS chronologic description of the problems prompting the patient's visit, including the onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated -meds, allergies, tobacco use, ETOH and drug use Absence of red reflex - CORRECT ANS an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex. S/S of seasonal allergies - CORRECT ANS Itching, watery eyes, sneezing, ear congestion, postnasal drainage Presentation of optic neuritis - CORRECT ANS Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the side, eye pain pityriasis rosea - CORRECT ANS Multiple round to oval scaling violaceous plaques on abdomen and back Acromion - CORRECT ANS tip of shoulder What to do for + finding on physical exam, but - workup - CORRECT ANS continue using test, but less lab and diagnostics Cause of falsely high BP - CORRECT ANS -too small of a BP cuff - if the brachial artery is below heart level - loose cuff - bladder that balloons outside the cuff