EM No. 4

Question 1

what are the two most common sites for supernumarerary or extra nipples?

Answer 1

thorax and abdomen in the mammary line

Question 2

i say dull to percussion, bronchial breath sounds with crackles you say?

Answer 2

pneumonia

Question 3

what happens to voice sounds in pneumonia?

Answer 3

increase

Question 4

what is the percussion sound for pleural effusion?

Answer 4

dull to flat

Question 5

what is the percussion note in atelectasis?

Answer 5

dull

Question 6

which pulmonary disorder has normal voice and breath sounds and even has resonant percussion (normal) but has the presence of crackles and wheezing?

Answer 6

pulmonary edema

Question 7

which sense of taste diminishes the most with age?

Answer 7

sweet

Question 8

blanch or no blanch: spider angioma

Answer 8

blanch

Question 9

blanch or no blanch: venous star

Answer 9

no

Question 10

blanch or no blanch: petichiae

Answer 10

no

Question 11

carotid or jugular pulse: palpable

Answer 11

carotid

Question 12

carotid or jugular pulse: a, c, and v waves

Answer 12

jugular

Question 13

carotid or jugular pulse: decreases with inspiration

Answer 13

jugular

Question 14

carotid or jugular pulse: not affected by positioning

Answer 14

carotid

Question 15

carotid or jugular pulse: eliminated by light pressure

Answer 15

jugular

Question 16

i say split s1, s2 with varying intensity of s1. also no response to vagal stimulation, you say?

Answer 16

v tach

Question 17

T or F: sinus tach responds to vagal stimulation with smooth slowing

Answer 17

true

Question 18

what is the chief determinant of diastolic BP?

Answer 18

peripheral resistance

Question 19

when lung tissue is consolidated, what happens to whispered sounds? regular voice sounds?

Answer 19

they are increased (louder and clearer)

Question 20

what is the abnormal process by which “ee” sounds like “ay” when heard over abnormal lung tissue?

Answer 20

egophony

Question 21

what sounds are heard near the large airways in normal lungs?

Answer 21

bronchial sounds (high pitched and loud)

Question 22

which sound indicates the least dense surface: tympany or hyperresonance?

Answer 22

tympany

Question 23

i say draining finger nodule, you say?

Answer 23

gouty arthritis

Question 24

what are the two MAIN muscles used in respiration (normal)?

Answer 24

ITC and diaphragm

Question 25

for pts with orthostatic hypotension, what is the expected change in systolic, diastolic and pulse?

Answer 25

drop by 20 mmHg drop by 10 mmHg and increase by 20 bpm

Question 26

the medical term for the subjective symptom of dryness in the mouth

Answer 26

xerostomia