CM Flashcards
1
Q
How should you address an older patient? Who should you address if they’re demented?
A
With honorifics.
The Patient
2
Q
In an older patient, which murmurs are unimportant? Which are not?
A
Benign: systolic (Ao sclerosis), S4 (LV thickening), arrythmias, displaced PMI
Malignant: diastolic murmurs and S3 gallops
3
Q
Adnexal mass in an elderly woman
A
ovaries are not palpable so it could be CA
4
Q
what is the most common cause of goiter?
A
iodine deficiency
5
Q
pemberton sign
A
large goiter obstructs venous return from face when arms are lifted, causing flushing
6
Q
How many lympathic levels are there in the neck? where do you first see nodal cancer involvement?
A
six levels. Level six is first followed by 3 and 4.
