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Final A Flashcards

1
Q

Pulmonic valve stenosis may lead to:

A

Systolic Murmer

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2
Q

Which of the following cardiac problems is a primary cause of cyanosis at birth?

A

Overriding aorta on both ventricles

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3
Q

Structural abnormalities of the chest is associated with?

A

TB

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4
Q

Patient presented with abdominal pain, nausea, vomiting and altered bowel habits. Upon examination pain was elicited in the right lower quadrant upon palpatioin of the left lower quadrant. Which of the following is the most likely diagnosis:

A

Appendicitis

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5
Q

Proper cleaning formula for cleaning a table after an HIV patient:

A

9:1 Bleach/H2O

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6
Q

When auscultating the abdomen, which finding might indicate peripheral vascular disease?

A

Iliac artery bruit

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7
Q

Which of the following would be associated with generalized abdominal pain upon manual rebound after applying pressure?

A

Periotonitis ( Generalized, = Bloomberg’s Sign)

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8
Q

Which of the following conditions may be associated with bleeding per rectum?

A

Hemorrhoids or Colorectal cancer

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9
Q

With respect to the chief complaint; the “O” stands for:

A

How did the condition occur? (Onset)

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10
Q

The sound that is normally heard over the periphery of the lung during auscultation of an asthmatic patient is:

A

Generalized wheezing

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11
Q

A 25 year old female veterinarian presents to the clinic for evaluation of flank pain, dsuria, nausea, and fever. A urine dipstick is positive for WBC’s. On physical examination, what would be the most likely sign expected?

A

Murphy’s Punch

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12
Q

A 40 year old flight attendant presents to your office for evaluation of abdominal pain. It is worse after eating, especially if she has a meal that is spicy or high in fat. She has tried OTC antacids, but they have not helped the pain. After examining her abdomen, you strongly suspect a condition that requires which sign of examination?

A

Murphy’s sign

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13
Q

All are true concerning the vital signs except:

A

Pulse pressure 60-90; avg 72

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14
Q

38 year old male presented with left sciatic pain shooting down the lateral aspect of the leg and the top of the foot with antalgic lean to the left. The initial diagnostic impression is sciatic pain that is caused by a lumbar disc protrusion. Which of the following reflexes is most accurate?

A

Somato-somatic reflex

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15
Q

Precordial heaving is a sign associated with which of the following?

A

Cor-Pulmonale

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16
Q

All of the following changes usually accompany emphysema except:

A

Spooning of the finger nails

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17
Q

Which of the following is associated with advanced liver cirrhosis?

A

Caput Medusa

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18
Q

Which of the following lesions is infectious in origin?

A

Shingles

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19
Q

While palpating the epigastric area you felt pulsations coming from superior to inferior. The patient may be suffering from which of the following?

A

Lung Consolidation

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20
Q

Which of the following may suggest weak abdominal muscles?

A

Diastasis Recti

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21
Q

Zollinger- Ellison tumor is associate with which of the following conditions?

A

Peptic Ulcer

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22
Q

Which of the following is the most common underlying factor for pancreatitis?

A

Hiatal hernia

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23
Q

The skin malignancy that associated with acquired immune deficiency syndrome is:

A

Kaposi Sarcoma

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24
Q

Ruptured spleen that is compensated by hypotension and tachycardia is categorized under which of the following reflexes?

A

Viscero-visceral reflex

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25
Q

A cluster headache patient will see an aura before onset.

A

False

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26
Q

The Erb’s point for cardiac auscultation is located in the:

A

3rd intercostal space to the left of the sternum.

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27
Q

In reference to HIV infection the term vertical transmission means:

A

Mother to Child

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28
Q

Blood screening for HIV started in which year?

A

1985

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29
Q

For central cyanosis to occur there must be a blood shunt in which of the following directions?

A

Right ventricle to left ventricle

30
Q

Al are true with regard to percussion except:

A

The normal lung note is hyperresonant

31
Q

Which of the following conditions may be associated with hematemesis and melena?

A

Peptic Ulcer

32
Q

Which of the following valvular lesions can cause drop attacks (blackouts)?

A

Aortic Stenosis

33
Q

Which of the following anatomical location is most painful regarding kidney stone?

34
Q

Which hand location may be used to palpate the spleen?

35
Q

Which of these signs is associated with acute hemorrhagic pancreatitis?

A

Grey Turner Sign

36
Q

Regarding Headaches:

A
  • Classic migraine is preceded by an aura
  • Tension headache has a hat band type pain
  • The muscle that is implicated in cervicogenic headache is the rectus capitus posterior minor.
  • Rhinorhea and lacrimation are associated with cluster headaches.
37
Q

Regarding ventricular septal defect:

A
  • It is the most common congenital heart deftect

- - 70% of the cases closes spontaneously within 2 years

38
Q

Regarding cardiac examination:

A
  • The apex beat is formed by left ventricular contraction

- The apex beat is normally located at the 5th intercostal space`

39
Q

Regarding abdominal exam:

A

ALL ARE FALSE

40
Q

Regarding HIV

A

ALL ARE TRUE

41
Q

Which of the following findings is associated with an endocrinal problem?

A

Purple Striae

42
Q

Which of the following finding is associated with an endocrinal problem?

A

Purple Striae

43
Q

Which of the following describes Cullen’s sign noted during inspection of a patient?

A

Blue appearance around umbilicus

44
Q

Which of these signs would describe generalized abdominal pain upon manual rebound after applying pressure?

A

Blumberg’s Sign (Peritonitis)

45
Q

Which of the following indicate nephritis?

A

Murphy’s Punch

46
Q

Which of the following is associated with hematemesis (vomiting blood)?

A

Peptic Ulcer

47
Q

Which of the following is more likely to occur due to ingestion of contaminated food?

A

Hepatitis A

48
Q

Which of the following presentations may be associated with peptic ulcer? (Besides Hematemesis)

A

Melena- presence of black tarry stool

49
Q

Patient presented with pain in the left lower quadrant, nausea, vomiting, and altered bowel habits. Upon examination rebound tenderness was present in the left lower quadrant. Which of the following is the most likely dianosis?

A

Meckel’s Diverticulitis ( )

50
Q

Which of the following may indicate intra-abdominal malignancy?

A

Sister Mary Joeseph nodules (lymph nodes around umbilicus)

51
Q

Which of the following is not performed at the midclavicular line?

A

Inspection for Caput Medusa ( distended veins around umbilicus)

52
Q

Patient presented with right shoulder and scapular pain, examination of the shoulder seems to be unrewarding, upon performing physical exam the doctor identified positive Murphy’s sign.

A

Cholecystitis ( enlarged gallbladder )

53
Q

What reflex is indicated with Cholecystitis?

A

Viscero-somatic

54
Q

Sciatic Radiculopathy (reflex):

A

Somatic-Somatic

55
Q

Acupuncture premise base (reflex):

A

Somato-Viscero

56
Q

The most common cause of bleeding from rectum is:

A

Hemorrhoids and Colorectal Cancer

57
Q

40 yr. old presents with abdominal pain that is worse after eating especially spicy meals. Antacids have not worked. What examination would you perform?

A

Murphy’s sign ( cholecystitis )

58
Q

15 yr old with 1 day history of nausea and anorexia. Generalized yesterda but today is has localized to the right lower quadrant. Palpate the left lower and pain is in the right lower:

A

Rovsing’s Sign ( Appendicitis )

59
Q

In liver disease there will be:

A

Decreased amounts of serum albumin

60
Q

Which of the following indicates weakness of the linea alba?

A

Diastasis Recti (splitting of the linea alba)

61
Q

Referred pain is categorized under which of the following reflexes?

A

Viscero-Somatic

62
Q

Cardiac Exam:
T/F
The apex beat is normally located at the mid axillary line?

A

False (mid-clavicular)

63
Q

Cardiac Exam
T/F
The apex beat is formed by left ventricular contraction?

64
Q

Cardiac Exam
T/F
Precordial heaving is associated with left ventricular contraction?

65
Q

Cardiac Exam
T/F
The apex beat is normal located at the fifth left intercostal space.

66
Q

Cardiac pain indicates:

67
Q

Pleurisy indicates:

A

Knife like (stabbing)

68
Q

VSD ( Ventricular Septal Defect ) =

A

Most common congenital heart problem

  • Hole in the heart btw ventricles
  • Blood goes from high to low pressure ventricle
  • Will close spontaneously within 2 years in most cases
69
Q

Headaches:

Classic Migraine

A

Will see Aura

70
Q

Headaches:

Common Migraine

A

Will not see Aura

Normal headache

71
Q

What is indicated by; staggering gait, dizziness and double vision? Blind spot on left visual field….

A

Multiple Sclerosis

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