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Corr Clin Eval > CCEP Final > Flashcards

CCEP Final Flashcards

1
Q

What Grade Hypertension would 159/90 classify as?

A

Grade I Hypertension

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2
Q

Blood pressure differences, B/L, >15 mmHg? Causes?

A

Arterial blockage on the low side. (per Jarvis)

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3
Q

Recent onset of headaches and papilldema?

A

HTN, Increased Intercranial Pressure

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4
Q

What’s in the upper left quadrant?

A

Pancreas and Stomach

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5
Q

Solid mass during abdominal palpation in the left lower quadrant?

A

Ectopic pregnancy, ovarian cyst or fibroid (internet)

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6
Q

Rebound Tenderness?

A

Peritonitis

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7
Q

Cardinal Fields of Gaze tests for what?

A

elicits muscle weakness; Look for nystagmus. Remember (SO4LR6)3

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8
Q

Patient unable to look up and In?

A

Inferior Oblique, CN 3 Occulomotor

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9
Q

Patient unable to look laterally?

A

Lateral Rectus mm, Abducens N.

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10
Q

Direct and Consencual Reflex Tests CN ____?

A

CN 2 & 3

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11
Q

During ophthalmic exam, cant see Red Light Reflex normally, but appears brown/gray. what can be the cause?

A

Glaucoma, Cataracts, Detached Retina

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12
Q

What causes Papilledema?

A

Optic Disc swelling d/t Intracranial Pressure; Symptoms include headache and nausea with vomiting.

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13
Q

Weber’s Should?

A

Lateralize equally to both ears.

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14
Q

Patient has a sensory-neural deficit , so Rinne’s Test will?

A

Have an increase in A:B (Air:Bone) ratio.

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15
Q

Patient’s ear is infected and the tragus is T2P?

A

Otitis Externa

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16
Q

Swollen anterior auricular area indicates an infection where?

A

drain the lateral surface of the auricula and the skin of the adjacent part of the temporal region

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17
Q

Otoscopy, where does the tympanic membrane should reflect the light ? what does it look like?

A

Lower left quadrant, pearly grey cone of light

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18
Q

Otoscopy procedure?

A

Pull pinna up and back, in child = pull ear straight back

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19
Q

Otoscopy, swollen tympanic membrane with pus indicates?

A

Serous (Secretory) Otitis Media

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20
Q

Rhinoscopy procedure:

A

Pull nose up and back.

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21
Q

Rhinoscopy: Which turbinates cant you see?

A

Can: Middle/ Lower; Can’t: Upper

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22
Q

Tenderness to palpation of the maxillary and frontal sinus indicates?

A

Sinus Infection

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23
Q

Trans-illumination at the nasal maxillary junction will illuminate?

A

Maxillary sinus

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24
Q

Saying “Ah” test’s which nerve?

A

Vagus N (CN X) (Virrdet Rideau Phenomenon)

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25
A lesion of CN (X) causes the uvula to deviate?
Away from the lesion. (Note: Do not mistake uvular deviation with tonsillitis)
26
Motor testing of the levator palpebral tests which CN?
CN III, Occulomotor
27
CN that is motor to the masseter/ pterygoids?
CN 5, Trigeminal
28
Patient is unable to frown on one side?
Lesion of CN 7, facial N. ( Bell's Palsy)
29
Patient is unable to stand stable with their eyes closed. This indicates a lesion of the?
Posterior Columns.
30
During accommodation, there is?
Change in *focal length* of the lens by changing *curvature of the eye lens.*
31
Test where you push the tongue into the cheek, tests which CN?
Hypoglossal N, CN XII
32
Finger to nose to dr.'s hand is a test for?
Cerebellar dysfunction
33
resisted ROM test's?
Contractile tissue
34
Achilles Reflex Tests?
S1 Nerve Root
35
Inability to stand on toes?
S1
36
Malingering Test?
Waddel's Test. 3/5= fake.
37
Listen to the lungs with the?
Diagphram
38
Tricuspid valve is heard at the?
Left 5th parasternal area.
39
Palpation while patient says "Ah" tests?
Tactile Fremitus
40
Mitral valve is located at?
Left 5th midclavicular intercostal space
41
Order of abdominal Evaluation:
Inspection, Auscultation, Umbilical Reflex, General Percussion, Specific Percussion, Superficial Palpation, Deep Palpation, Specific Palpation, Lymph Nodes
42
The liver sounds?
Dull
43
Rosving's sign tests for? how?
Appendicitis ( McBurney's Point) *note: Rosving tests to left lower quadrant to provoke right low quadrant*
44
Mother of (2) complains of shoulder pain, this could be d/t?
Gall-bladder Referral Pattern (4F's)
45
Schepelman's Tests for?
Intercostal Neuritis
46
Difference between sign and symptom?
Sign: Physical manifestations.; Symptom: Subjective, not usually visible to others.
47
Yellow sclera of the eyes implies?
Liver dysfunction; jaundice.
48
Herpes Zoster is an infection of ____?
Infection of V1,V2,V3
49
Cranial Nerve 7 lesion causes:
Bell's Palsy
50
Blind Spot?
Scotoma
51
Consencual Response?
When Left consenscual response is tested, the right pupil constricts. Whatever eye you flash the light into is how you name the reflex.
52
Murmurs?
extra or unusual sound heard during a heartbeat.
53
pitting vs non-pitting Edema?
Non-Pitting= Lipodema; Pitting= Venous Congestion
54
Cranial Nerve 5, Trigeminal lesion?
Masseter atrophy, pterygoid action is to deviate the jaw.
55
Ishihara Test's?
Color- blindness
56
Strabismus tests?
Corneal Light Reflex
57
soft touch is the _____ tract
Spinothalamic
58
2 point discrim/ vibration is the ____ tract
Posterior Columns
59
Pain & Temp is the ___ tract
Lateral Spinothalamic
60
Sentinel nodes are worse when found?
Left supraclavicular area.
61
order of lymph node palpation
submental, submandibular, tonsils, pre-acicular, post-acicular, sub occipital, anteror/posterior chain (SCM), superclavicular
62
normal eye accommodation =
eye convergence, pupil restriction
63
visual angles for central/peripheral field
start at center, top = 50 degrees, inferior = 70 degrees, nasal = 60 degrees, temporal = 90 degree
64
how do you look into the eye?
start view at temporal angle 15 degrees -catch red reflex
65
what finger do you use to palpate the sinuses? what are you palpating for?
pad of thumb for PAIN
66
during the lung exam, why do we examine the face and hands??
cyanosis/blue around the nose and mouth
67
aortic valve is located...
right 2nd intercostal space
68
pulmonic valve is located...
left 2nd intercostal space
69
bicuspid valve is located...
left 3rd intercostal space
70
ectopic valve is located...
left midclavicular 3rd intercostal space
71
tricuspid valve is located...
left 5th intercostal space
72
mitral valve is located...
left midclavicular 5th intercostal space
73
eipgastric valve is located...
under the xyphoid
74
in the abdominal exam, first auscultate for _____ with the ____ part of the stethoscope, then auscultate for ____ with the ____ part.
1 - for bowel sounds with diaphragm; 2 - vascular with bell
75
what is a normal umbilical reflex?
twitch toward stimulus

Corr Clin Eval (4 decks)

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