asmana

Question 1

Rebound tenderness is one of the following: ✔
A. Tenderness and guarding in the right hypochondrium
exacerbated by inspiration
B. There is pain upon removal of pressure rather than application
of pressure to the abdomen.
C. Right low quadrant pain with extension of the right hip or with
flexion of the right hip against resistance
D. Pain felt in the right lower abdomen upon palpation of the left
side of the abdomen

Answer 1

There is pain upon removal of pressure rather than application
of pressure to the abdomen.

Question 2

A 45-year-old woman is referred for a murmur. Which finding on
physical examination would be suggestive of a diagnosis of
hypertropic obstructive cardiomyopathy? HURST’S THE HEART
A. A decrease in the intensity of the systolic murmur upon standing
B. A midsystolic click
C. A decrease in the systolic ejection murmur with inspiration
D. A palpable P2
E. An apical holosystolic murmur

Answer 2

C. A decrease in the systolic ejection murmur with inspiration

Question 3

Costovertebral angle tenderness is one of the following symptoms: ✔
A. Abdominal distension
B. Murphy’s sing
C. Pasternack’s Sign
D. Caput meduse

Answer 3

C. Pasternack’s Sign

Question 4

Landmark for thoracentesis with needle is? P.305
A. T2-T4 intercostal space
B. T5-T6 intercostal space
C. T6-T7 intercostal space
D. T7-T8 intercostal space

Answer 4

T7-T8 intercostal space

Question 5

A 18-year-old man notices occasional lightheadedness when standing up quickly. He also has difficulty playing sports because of easy fatigue and SOB. Examination shows normal heart sounds, but a loud systolic ejection murmur at the right sternalu border. The murmur decreases with elevating the legs and increases in the standing position. Your clinical diagnosis is hypertrophic cardiomyopathy (HOCM). SELECT ANSWER regarding to HOCM
A. Pulsus tardus
B. Pulsus paradoxus
C. Hyperkinetic pulse
D. Bisferiens pulse
E. Dicrotic pulse

Answer 5

D. Bisferiens pulse

Question 6

A 45-year-old woman has developed increasing SOB on exertion and
fatigue. She has a loud systolic ejection murmur heard best at the left
sternal border, and the murmur increases with standing. A double
apical impulse is also felt what could be the underlying disease? (FINAL)
A. Aortic stenosis
B. hypertrophic cardiomyopathy
C. Mitral regurgitation (chronic)
D. Tricuspid regurgitation
E. Mitral valve prolapse

Answer 6

B. HOCM

Question 7

Pain as a symptoms can be is one of the following types EXCEPT: P.453
A. Visceral
B. Parietal
C. Toxic
D. Referred

Answer 7

C. Toxic
reffered place to other
pArital around cover of organ skin
virceral Organ

Question 8

Polyuria is one of the following: ✔
A. The frequent passage of large volumes of urine – more than 3 liters a day
B. The patient has to wake at night one or more times for voiding
C. Painful urination
D. Urinary incontinence

Answer 8

A. The frequent passage of large volumes of urine – more than 3 liters a day

Question 9

An elderly patient presents with a diastolic murmur that gets louder
during inspiration. Which of the following are the most likely?
A. Aortic regurgitation or mitral stenosis
B. Aortic stenosis or mitral regurgitation
C. Pulmonic regurgitation or tricuspid stenosis
D. Pulmonic stenosis or tricuspid regurgitation

Answer 9

C. Pulmonic regurgitation or tricuspid stenosis

Question 10

. A 28-year-old woman has been told she has rheumatic heart disease, specifically mitral stenosis. Which of the following murmurs is most likely present?
A. Diastolic rumble at apex of the heart
B. Early diastolic decrescendo at right-upper sternal border
C. Holosystolic murmur at apex
D. Late-peaking systolic murmur at right-upper sternal border

Answer 10

A. Diastolic rumble at apex of the heart

Question 11

rovsing sign is

Answer 11

pain felt in RLQ upon palpitation on the left side of the abdomen

Question 12

The echocardiogram of a 22-year-old woman reveals mitral valve
prolapse. Which of the following is the most common physical finding
in this condition?
A. Late systolic murmur
B. Absent first heart sound
C. Aortic regurgitation
D. Diastolic click
E. Diastolic rumble

Answer 12

A. Late systolic murmur

Question 13

Nocturia is one of the following: ✔
A. The frequent passage of large volumes of urine – more than 3 liters a day
B. The patient has to wake at night one or more times for voiding
C. Painful urination
D. Urinary incontinence

Answer 13

B. The patient has to wake at night one or more times for voiding

Question 14

3. Wheezies are: P.325
   A. Intermittent, nonmusical, and Brief, Like dots in time
   B. Normal breath sounds
   C. Somewhat louder, lower in pitch (∼350 Hz), brief (15–30 ms)
   D. Relatively high-pitched (≥400 Hz) with hissing or shrill quality
   (>80 ms), Like dashes in time

Answer 14

D. Relatively high-pitched (≥400 Hz) with hissing or shrill quality
(>80 ms), Like dashes in time

Question 14

3. Wheezies are: P.325
   A. Intermittent, nonmusical, and Brief, Like dots in time
   B. Normal breath sounds
   C. Somewhat louder, lower in pitch (∼350 Hz), brief (15–30 ms)
   D. Relatively high-pitched (≥400 Hz) with hissing or shrill quality
   (>80 ms), Like dashes in time

Answer 14

D. Relatively high-pitched (≥400 Hz) with hissing or shrill quality
(>80 ms), Like dashes in time

Question 15

A 22-year-old woman with no past medical history is found to have a
systolic ejection murmur on routine physical examination. She has no
symptoms and feels well. The murmur is heard along the right and left
sternal borders and it decreases after rapid squating. What could be
the underlying disease? (Lang internal medicine)
A. Aortic stenosis
B. HOCM hypertrophic cardiomyopathy
C. Mitral regurgitation (chronic)
D. Tricuspid regurgitation
E. Mitral valve prolap

Answer 15

B. HOCM hypertrophic cardiomyopathy

Question 16

Each lung is divided roughly in half by:
A. T6-T7 intercostal space
B. In the hollow curve of the suprasternal notch
C. An minor fissure.
D. An oblique (major) fissure

Answer 16

D. An oblique (major) fissure