Exam 1a Flashcards
1
Q
A
- (D) abdominal girth
2
Q
A
- (A) Sitting Up
3
Q
A
- (A) Sitting up and leaning forward with arms braced
4
Q
A
- (B) He drank a cup of hot coffee just prior to having his temperature taken
5
Q
A
- (D) Umbilicus
6
Q
Patient presents with truncal fat
A
Cushing’s syndrome
7
Q
Patient presents with long limbs in proportion to trunk
A
Marfan’s syndrome
8
Q
Patient presents with generalized fat
A
obesity
9
Q
Patient presents with very short stature
A
Turner’s syndrome
10
Q
Patient presents with an exaggerated stare
A
Hyperthyroidism
11
Q
Patient presents with masked facies
A
Parkinson’s
12
Q
A
- (A) central cyanosis
13
Q
A
- (C) Jaundice
14
Q
A
- (A) Cool
15
Q
A
- (D) Diameter smaller than 6 mm
16
Q
A
- (A) basal cell carcinoma
17
Q
Patient presents with a small spot on the skin
A
macule
18
Q
Patient presents with a palpable mass on the skin. Mass is elevated, solid, and measures up to 0.5cm in diameter.
A
Papule
19
Q
Patient presents with a circumscribed superficial elevation of the skin, up to 0.5 cm in diameter. It is filled with serous fluid.
A
Vesicle
20
Q
Patient presents with an initially translucent nodule on the skin. The nodule has spread and leaves a depressed center with a firm, elevated border.
A
basal cell carcinoma
21
Q
Patient presents with a firm, red lesion on the skin. In addition, patient is presenting with actinic keratosis. Most likely, what is the lesion?
A
squamous cell carcinoma
22
Q
Patient is presenting with a fiery red; central body on the skin that is surrounded by erythema and radiating legs.
A
spider angioma
23
Q
A
- (A) fine texture
24
Q
- A 25 year-old swim instructor presents to your clinic complaining of an itchy scalp. You diagnose seborrheic dermatitis. What physical findings are most consistent with this diagnosis?
(A) Erythema of the scalp
(B) Pustules on the scalp
(C) Dry, flaking areas on the scalp
(D) Ecchymoses on the scalp
A
- (C) Dry, flaking areas on the scalp
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3. (C) coarsening of the facial features
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4. (B) Protrusion
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5. (D) Bitemporal hemianopsia
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6. (A) Absence of red reflex
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7. (B) Arteriovenous (AV) nicking
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8. (B) Anisocoria
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9. (A) Horner's syndrome
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10. (A) Umbo
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11. (A) Erythematous, bulging typanic membrane
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12. (D) Otitis externa
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13. A 15 year-old member of the high school marching band comes to your office for evaluation of hearing loss. He had multiple ear infections as an infant and toddler, and he had to have myringotomy tubes inserted in his ears. Additionally, he suffers from many allergies. His hearing is diminished in the right ear. When you place a vibrating tuning fork on the top of his head, the sound lateralizes to the right ear. The name of this test is:
(A) Weber's test
(B) Rinne's test
(C) Whisper test
(D) Romberg test
13. (A) Weber's test
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14. (B) Rinne's test
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15. (B) Pale to bluish boggy mucosa
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16. (B) White plaques
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17. (A) Exudates on the tonsils
40
A 28-year-old housewife presents to your office for a 6-week postpartum check-up. She complains of fatigue grater than expected and palpitations. Her hair is falling out as well. She denies sadness or depression symptoms. Before this, she had not had any medical problems. She is breast feeding her child and is not on any birth control. She had her first period since giving birth last week. A pregnancy test done in the office is negative. What is your most likely diagnosis?
(A) Thyroiditis
(B) Iron-deficiency anemia
(C) Addison's disease
(D) Sheehan's syndrome
18. (A) Thyroiditis
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19. (B) Place your index fingers above the cricoid cartilage
42
Name the cranial nerve association: Pupillary reaction to light
* CN II (optic)
* CN III (oculomotor)
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Name the cranial nerve association: Extraocular motion
* CN III (oculomotor)
* CN IV (trochlear)
* CN VI (abducens)
44
Patient presents in clinic and on the eye exam, it is found that there is pupillary inequality of less than 0.5 mm. How would you describe this?
Anisocoria
45
You are performing an eye exam. You hold an object 15 degrees temporal to the line of gaze. What do you expect?
Blind spot
46
Define normal visual acuity
20/20
47
Which test is the lateralization of sound with a tuning fork?
Weber's test
48
Which test compares air conduction to bone conduction. What is the expected ratio?
Rinne's test
Normally air conduction is 2x longer than bone conduction
49
You are examining a patient's ear. You have the patient's external ear pulled downward, backward, and slightly away from the head. What can you visualize?
Enables optimal examination of **_adult's_** tympanic membrane
50
You are examining a patient's nose. Which turbinates are visible on inspection?
1. Middle turbinate
2. Inferior turbinate
51
You are palpating a patient's sinuses. Which sinuses are palpable?
1. Maxillary sinus
2. Frontal sinus
52
Normal number of adult teeth
32
53
Name the cranial nerve association: Raises soft palate
CN X (vagus)
54
Name the cranial nerve association: enables tongue protrusion
CN XII (hypoglossal)
55
You are examining a patient. Where would you expect their trachea to be located? (Normal position of the trachea)
Midline
56
You are examining a patient. Where do you palpate for the thyroid gland?
Below the cricoid cartilage
57
You are palpating a patient's thyroid gland and the thyroid gland is enlarged.
Presence of a bruit
58
Name the **anterior triangle boundaries of the neck**
1. Mandible
2. Sternomastoid muscle
3. Midline of neck
59
Name the **posterior triangle boundaries of the neck**
1. Sternomastoid muslce
2. Trapezius muscle
3. Clavicle
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You are examining a patient. Where will you find the parotids?
(Salivary glands) Parotids: superficial to the mandible
71
You are examining a patient. You want to view the submandibular glands. How?
(Salivary glands): Deep to the mandible. Must lift tongue to see.
72
You are examining a patient and ask them to clench their jaw while your hands are over their temples. Which cranial nerve are you testing. Which muscle are you testing?
CN V Trigeminal
Temporal muscle
73
What are the 3 branches of the trigeminal nerve (CN V)?
(1) Opthalmic
(2) Maxillary
(3) Mandibular
74
You wish to assess CN V Trigeminal-Masseter muscle. What assessments do you perform?
(1) Have patient clench jaw, palpate masseter muscle
(2) Have patient open mouth and move jaw side/side
75
Which nerve innervates:
sensory of face and eye
How is it assessed?
CN V (trigeminal nerve)
Cotton ball bilaterally on forehead, cheekbones, mandible
76
A patient presents in clinic and is unable to taste salty, sweet, sour, or bitter on the anterior 2/3 of their tongue. What is the most likely diagnosis?
Lesion in CN VII (facial nerve)
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