Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Intro to Physical Exam - 2016 > Final Exam Review > Flashcards

Final Exam Review Flashcards

1
Q

Irregularly irregular heart rhythm indicates:

A

atrial fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ordinarily, the leg pulse should be as strong as the arm. If this is reversed or if the femoral pulsation is absent, what is suspected?

A

Coarctation of the aorta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When auscultated the arteries, sounds should be low-pitched and heart with what part of the stethoscope?

A

the bell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The primary cause of pulsus alternans is:

A

heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Two causes of pulsus bisferiens are:

A
  1. leaking aortic valve 2. hypertrophic obstructive cardiomyopathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

An unrecognized auscultatory gap may lead to:

A

serious underestimation of the systolic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are two causes of pulsus paradoxus?

A
  1. pericardial effusion 2. severe asthma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Deep breathing due to metabolic acidosis is:

A

Kussmaul breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Normal breathing rate is:

A

14-20 respirations per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tachypnea is defined as:

A

rapid, shallow breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hyperventilation, accompanied by rapid, deep breathing, is called what?

A

Hyperpnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Periods of deep breathing alternating with periods of no breathing is called:

A

Cheyne-Stokes Breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The iris should be examined for color and what other aspect?

A

Presence of arcus senilus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pupillary inequality of

A

anisocoria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pupillary constriction in the opposite eye is termed a _____ reaction.

A

consensual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fine, rhythmic oscillation of the eyes is called:

A

nystagmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

White surrounding the iris as the eyes look down is called:

A

lidlag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Absence of a red reflex suggests opacity of the lens, also called what?

A

A catarract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Absence of a red reflex can suggest vitreous, also called what?

A

blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Blurring of the disc outline suggests:

A

increased pressure on the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are two pieces of evidence for macular degeneration?

A
  1. Increased pigment 2. Increased yellow deposits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The _______ is viewed by askng the patient to look directly at the light.

A

macula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the center of the macula?

A

fovea

24
Q

Which type of ear infection will not have pain when the auricle is tugged on?

A

Middle ear infection

25
Q

In what type of hearing loss is the sound of the tuning fork heard in the impaired ear during the weber test?

A

Conductive loss

26
Q

In what type of hearing loss is the sound of the tuning fork heard in the good ear during the weber test?

A

Sensorineural

27
Q

During the Rinne test, what indicates conductive loss?

A

Sound is heard longer through bone

28
Q

During the Rinne test, what indicates sensorineural loss?

A

Air sound is heard longer than through bone

29
Q

A bulging, red eardrum indicates:

A

middle ear infection

30
Q

An amber eardrum indicates:

A

fluid/alleriges

31
Q

Which lymph nodes are found at the angle of the mandible?

A

Tonsillar nodes

32
Q

Rubbery lymph nodes suggest:

A

lymphoma

33
Q

Which cranial nerve is responsible for the eye closing?

A

Facial (VII)

34
Q

Which cranial nerve is responsible for lateral deviation of the eye?

A

Abducens (VI)

35
Q

Which cranial nerve is responsible for downward and inward eye movement?

A

Trochlear (IV)

36
Q

Which cranial nerve is responsible for the eye opening?

A

Occulomotor (III)

37
Q

Which cranial nerve is responsible for the visual acuity?

A

Optic (II)

38
Q

Increased resistance (spasticity) during the motor exam suggests what?

A

upper motor neuron disease

39
Q

In the Romberg test, what suggests cerebellar disease?

A

Patient sways when eyes are open and closed

40
Q

Pain and temperature are conveyed by the _____ (pathway).

A

spinothalamic tract

41
Q

Position and vibration are conveyed by the _____ (pathway).

A

posterior columns

42
Q

The plantar reflex is also known as the _____.

A

Babinski reflex

43
Q

A positive Babinski response indicates an:

A

upper motor neuron lesion

44
Q

What is shown here?

A

Lateral rectus palsy - right 6th cranial nerve

45
Q

What direction of eye movement does CN 4 control?

A

Inward and downward (superior oblique muscle)

46
Q

What is the difference between a peripheral and central 7th nerve palsy?

A

Peripheral 7th nerve palsy: forehead doesn’t work

Central 7th nerve plasy: forehead wrinkles

47
Q

Which of the following is a true statement about an upper motor neuron lesion?

A. Reflexes are increased

B. Muscles are floppy

C. Babinski is normal

D. There is never any sensory component

A

A - spasticity, increased muscle tone, upgoing Babinski. Lesion is in brain and spinal cord.

48
Q

Which is true regarding the jugular venous pulsation?

A. It is not palpable

B. A vigorous thrust w/single outward component

C. Pulsations are not eliminated by pressure

D. Level of pulsations does not change with position or respiration

A

A. All others are associated with arteries.

49
Q

Which cranial nerve(s) need to be intact to constrict the pupil?

A

Optic (2) - sense light

Occulomotor (3) - contriction

50
Q

Where would you be most likely to hear abnormal sounds if the patient had a RML pneumonia?

A

Under the axilla

51
Q

Which of the following is associated with increased fremitus?

A. Heart Failure

B. Fluid in pleural space

C. Asthma

D. Pneumonia

A

D

52
Q

How are “rails” characterized (during breathing)?

A

Discontinuous sounds, intermittent and brief; ONLY heard during inspiration

53
Q

What are RHONCHI?

A

low pitched continuous sounds; musical quality; snoring; seen in inspiration

54
Q

In a patient with a normal rate and rhythm - when listening to the heart - which of the following is true?

A. The interval between S1 and S2 is LONGER than the interval between S2 and S1

B. The interval between S1 and S2 is SHORTER than the interval between S2 and S1

C. The interval between S1 and S2 is the same as than the interval between S2 and S1

D. The interval does not change with position

A

B. Lub-dub…..lub dub….

55
Q

Which of the following is represented by jugular venous pressure?

A. Pressure in RA

B. Pressure in RV

C. Pressure in pulmonary artery

D. Pressure in pulmonary veins

A

A

56
Q
A

Intro to Physical Exam - 2016 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions