Exam Two - Think Tank Flashcards
criterion for myocarditis
endomyocardial biopsy
Grade 3 murmur is what level of loud ?
moderate
Pleural pain is precipitated by
breathing
symptoms of claudication where does pain derive from?
pain from muscle ischemia
Hairy tongue (black, yellow, brown) is caused by
antibiotics
Which S sound correlates to our carotid pulse?
S1
4 month old, normal expected findings of posterior fontanelles
closed
Importance and steps of Homan’s sign
Rules out DVT
flex knee, abruptly dorsiflex foot - there will be pain in the popliteal region
Cloudy and colored discharge from a Pedi pt will indicate
foreign object in the nose
Normal breathing pattern for a pregnant patient
more deep respirations but not more frequent
S/S Kawasaki’s disease
strawberry tongue
high fever
swollen lips/extremities
swollen, unilateral cervical lymph nodes
red, swollen tonsils
S/S tonsillitis
erythema & white exudate
Sinus arrythmias in a pedi pt are …..
expected/normal findings
Age-related heart murmur factors due to hypertension
sclerotic and fibrosed heart valves
Weber tests normal findings :
equally & bilaterally
Epstein Barre Virus (EBV) lymph nodes will present as
firm, tender & discrete (anterior/posterior cervical)
MI statistics men & women
men are 70% higher incidence
tempanic membrane color if blood is present in middle ear
bluish
Assessment findings in malignant hypertension
papilaedema
Normal findings in supraclavicular lymph nodes
not palpable
What should you expect in these findings “irregular, dry, brassy cough that won’t go away, 60-90 days”
tumor
Primary function of the lymphatic system
fat absorption and immunologic defense
What age/stage does lymphoid tissue in a child regress to adult size?
puberty
Which sinuses are accessible for physical exam?
frontal & maxillary
What is the most appropriate technique for tactile fremitus ?
Systematically palpate posterior chest with ulnar aspect of hand & have pt recite 99
mobile, tender lymph nodes indicate
inflammation
mild 2+ pitting edema should take how long to get back to normal ?
10-15 seconds
symptoms of otitis media
tympanic membrane will be bulging and erythematous. cone of light will be displaced.
pain, headache, fever, drainage
77 year old presents with flushed skin, c/o CP, high fever, productive cough for 2-3 days. Exam - crackles, rhonchi, lungs are dull to percussion. Nasal flairing.
Thinking should go straight towards pneumonia
Acute onset of moist cough
could be indicative of infection
Causes of otalgia when otoscope exam is negative
TMJ, tooth infections
How do we position pts arms when percussing posterior lung fields
crossed & leaned forward
Unilateral pitting edema is suspicious for
blood clot, DVT in major vein
9 y/o, high fever, sore throat x3 days, difficulty swallowing, R tonsil swelling, & exudate. Pushed uvula to 1 side.
peritonsillar abscess
How do we classify bronchovesicular breath sounds?
moderate in pitch and intensity and auscultated over major bronchi
Biot breathing pattern indicates
increased ICP
tachypnic respirations
foreign body aspiration
Ventricles of pregnant population – what are some cardiac changes to Left ventricle ?
hypertrophy, increased thickness
What practice in US causes oral cancer?
tobacco use
What test do you order if you find if throat is erythematous
throat culture and rapid strep antigen
Chronic sniffling, nasal congestion, mucosal scabs, nose bleeds, perforated septum
cocaine abuse
BOBBBBAAAAYYYYYY !!!!
Pulmonary symptoms that are strongest indicators for a cardiac work up
chest pain & dyspnea
Examining ears – when yawn, their ears crack
is indicative of serous otitis media
What is the most appropriate diagnostic to confirm oral candida?
Culture of Scraping, gram stain smear
3 y/o 100-120 HR
this is normal/expected
How is Peutz Jeghers syndrome manifested?
oral dark spots/ melanonin deposits around oral cavity.
