General DX (Binder)

Question 1

whispered pectoriloquy

Answer 1

lobar pneumonia

Question 2

chronic fatigue syndrome

Answer 2

insomnia

Question 3

hx of rectal pain with red blood in stool

Answer 3

internal hemorrhoids

Question 4

pain upon defication

Answer 4

fissure

Question 5

AHA best method to dx hypertension

Answer 5

3x high blood pressure

Question 6

presence of T wave indicates

Answer 6

ventricular repolarization

Question 7

deep q wave indicates

Answer 7

MI

Question 8

short non musical breath sounds

Answer 8

crackles

Question 9

vesicular sounds best heard

Answer 9

base (periphery)

Question 10

bitot’s spots sign of what vit deficiency

Answer 10

Vit A

Question 11

periodic unexplained fever and chills with splenomegaly

Answer 11

malaria

Question 12

lowest oral temp in day

Answer 12

early AM

Question 13

increased serum calcium

Answer 13

hyperthyroid

Question 14

black tarry stool dx of

Answer 14

peptic ulcer (guac test)

Question 15

what seems to be the problem

Answer 15

open ended question

Question 16

colon cancer - color of stool

Answer 16

bloody

Question 17

increased alkaline phosphatase

Answer 17

hyperbilirubinemia

Question 18

greatest increase in alkaline phosphatase

Answer 18

osteitis deformans (pagets)

Question 19

seafood meal

vomiting and diarrhea

Answer 19

staph aureus

Question 20

vitamin associated pellagra

Answer 20

B3 Niacin

Question 21

Vit C decreased associated with

Answer 21

scurvy

Question 22

Alkaline phos and BUN

Answer 22

liver

Question 23

case hx- pat own words

Answer 23

chief complaint

Question 24

1 cm swelling lateral and 1 cm inferior to pubic tubercle

Answer 24

femoral

Question 25

unilateral meiotic eye found where

Answer 25

pancost tumore

Question 26

cuff too high for BP

Answer 26

too narrow

Question 27

8 days old with meconium ileus

Answer 27

cystic fibrosis

Question 28

continuous murmur as osculated in forward flexion

Answer 28

ductus arteriosus

Question 29

headache over R eye

distended temporal atery

Answer 29

temporal arteritis

Question 30

headache in suboccipital region

Answer 30

cervicogenic

Question 31

headache and photophobia

Answer 31

migraine

Question 32

cannot smell cinnamon

Answer 32

Cranial N 1 - olfactory

Question 33

erosion of tooth enamel

Answer 33

bulimia nervosa

Question 34

IV drug user with

fatigue, malaise, splinter hemorrhages

Answer 34

infectious endocarditis

Question 35

Vit associated peripheral neuopathy

Answer 35

B1

Question 36

sudden onset of low grade fever malaise

Answer 36

mononucleosis

Question 37

RH lab test

Answer 37

ASO (anti-streptolysin titre)

Question 38

chronic persistent cough

thick green sputum

Answer 38

brochiectaisis

Question 39

8 yo

dry brassy cough and wheezes

Answer 39

Asthma

Question 40

chest pain

friction rub

Answer 40

pleurisy

Question 41

abdomen continuous noise

Answer 41

venous hum

Question 42

bilateral ecchymosis of flanks

Answer 42

pancreas

Question 43

headache made worse with alcohol ingestion

Answer 43

cluster headache

Question 44

rales lower edge of diagphram

Answer 44

chronic bronchitis

Question 45

laryngitis lymph nodes

Answer 45

posterior cervical chain

Question 46

mimics appendicitis

Answer 46

irritable bowel syndrome

Question 47

affect both kidneys

Answer 47

polycystic kidney disease

Question 48

medical emergency

Answer 48

ciliary infection of the eye (blindness)

Question 49

headache with facial pain

Answer 49

sinus

Question 50

parasitic infection in blood

Answer 50

eosinophils

Question 51

anaphylactic shock

Answer 51

IGE

Question 52

diabetes mellitus effects

Answer 52

foot and ankle

Question 53

least amount of bleeding

Answer 53

puncture

Question 54

white spots with upper molars and runny nose

Answer 54

rubeola

Kolik spots with measles

Question 55

erythema, wheals

Answer 55

anaphalxsis

Question 56

term for wheals

Answer 56

urticaria

Question 57

60 yo male
insidious low back pain
2 month
elevated ESR

Answer 57

multiple myeloma

Question 58

ear, cone of light diverges in which direction

Answer 58

anterior inferior

Question 59

artery empties into femoral a.

Answer 59

iliac artery

Question 60

Iron storage in body

Answer 60

ferritin

Question 61

rhinitis sore throat and cough

Answer 61

posterior cervical lymph

Question 62

fever 101 F

right lower abdominal pain

Answer 62

psoas sign

Question 63

first arise with fatigue, weight loss and fever

Answer 63

RA

Question 64

slit like beam aperture

Answer 64

concavities in the retina

Question 65

HPV mc effects

Answer 65

cervix

Question 66

hashimoto’s thyroiditis

Answer 66

thyroglobulin

Question 67

pat with vertigo, tinnitus and hearing loss

Answer 67

endolymphatic hydrops

Question 68

decreased vit in heavy smokers

Answer 68

vit C

Question 69

decreased vit in alcoholic with bleeding gums

Answer 69

ascorbic acid vit C

Question 70

cells that appear in chronic bacterial infection

Answer 70

monocytes

Question 71

increased glucose in a joint space with a red hot swollen joint

Answer 71

bacterial infection

Question 72

pat with splenomegaly,
leukocytosis,
lymphadenopathy

Answer 72

leukemia

Question 73

miliary nodules in lung MC found in

Answer 73

alveoli

Question 74

baby has muscles - hypotonic, startled

Answer 74

normal reflex

Question 75

pat acute pancreatitis - relief by

Answer 75

full body flex

Question 76

microcytosis involved with

Answer 76

decreased iron

Question 77

pat with chronic dysphagia, weight loss and vomiting

Answer 77

achalasia

Question 78

early symptom of acoustic neuroma

Answer 78

hearing loss with tinnitus

Question 79

periorbital edema and weight gain

Answer 79

thyroid

Question 80

auscultatory gap occurs

Answer 80

mid systole (between systolic and diastolic)

Question 81

68 yo pat

coughing, hemoptysis, dyspnea and right supraclavicular lymph node

Answer 81

bronchogenic carcinoma

Question 82

increased breathing with shallow breaths

Answer 82

tachypnea

Question 83

pat with idiopathic fever
intense pruritus
lymphadenopathy

Answer 83

hodgkin’s disease

Question 84

54 yo male
decreased force of urinary stream
symmetrically enlarged prostate

Answer 84

benign prostatic hypertrophy

Question 85

upon palpation of prostate

obliteration of median sulcus

Answer 85

benign prostatic hypertrophy

Question 86

64 yo fatigue
weight loss
back pain
CBC elevated HGB and HCT

Answer 86

spike in protein electrophoresis

Question 87

obstruction of common bile duct result

Answer 87

direct serum bilirubin increase

Question 88

palpation of anterior thorax

tenderness at the 7th intercostal space

Answer 88

costochondritis

Question 89

pat w/ hx of heavy smoking and drinking

dysphagia and drooling

Answer 89

esophageal varices

Question 90

child with joint pain,
murmur
elevated ERS

Answer 90

Rheumatic fever

Question 91

acute chest pain into left arm

Answer 91

MI

Question 92

pain from peptic ulcer

Answer 92

epigastric area

Question 93

avoid in palpation of cricoid area

Answer 93

carotid sinus

Question 94

female patient with thickened recto-vaginal septum indicates

Answer 94

uterine retroversion

Question 95

cells decrease with HIV

Answer 95

T cells

Question 96

test for alopecia and joint pain (SLE)

Answer 96

ANA test

Question 97

first arises by hx of fatigue, weight loss and fever

Answer 97

hyperthyroidism

Question 98

Meniere’s - hearing loss and tinnitus and_____

Answer 98

dizziness

Question 99

pain in arterial disease

Answer 99

aching or throbing

Question 100

firm painful, irregular hard lesion or the aurical

Answer 100

carcinoma

Question 101

type of segmented pain - poorly localized referred to body surface

Answer 101

deep somatic pain

Question 102

S/S is iliced in review of respiratory system

Answer 102

hemoptysis

Question 103

xanthenlasma indicated increaed

Answer 103

cholesterol

Question 104

eye reveals an extension of a triangular vascular membrane

Answer 104

pterygium

Question 105

nails reveal abnormal concavity and increased ridges

Answer 105

iron deficiency anemia

Question 106

radial pulses - symmetrical in

Answer 106

MI

Question 107

purple striae in abdomen

Answer 107

Cushing’s (hyperadrenal cortilosim)

Question 108

yellow conjunctiva

Answer 108

hemolysis

Question 109

cage questionnaire is used to

Answer 109

alcohol abuse

Question 110

cage questions - morning eye opener

Answer 110

alcoholism

Question 111

increased respiratory rate

Answer 111

increased body metabolism

Question 112

body temp indicates fever

Answer 112

99.0 axilary

Question 113

2 peaks for each systole

Answer 113

bisferious

Question 114

20 yo male
painful round ulcer
reddened bucal mucosa

Answer 114

aphthous ulcer (canker sore)

Question 115

left supraclavicular space enlarged

non tender node

Answer 115

gastric carcinoma

Question 116

harsh mid-systolic ejection murmur
heard at right intercostal space
accompanied by ejection click

Answer 116

aortic stenosis

Question 117

pole of kidney is normally palpable

Answer 117

lower right

Question 118

thoracic auscultation
murmur continuous systole and diastole
loudest in late systole - 2nd heart sound

Answer 118

patent ductus arteriosus

Question 119

inspiration/expiration ratio

Answer 119

2:1

Question 120

pulmonary hypertension results in

Answer 120

increased second heart sound intensity

Question 121

auscultation over area of lobar pneumonia

Answer 121

bronchophony

Question 122

increased fremitus noted during thoracic palpation

Answer 122

lobar pnemonia

Question 123

renal bruit can best auscultate

Answer 123

upper quadrant

Question 124

peritoneal friction rub in right upper quardant

Answer 124

acute peritonitis

Question 125

19 yo m

low grade fever

Answer 125

viral orchitis

Question 126

MC percussive node in abdomen

Answer 126

tympany

Question 127

gross irregularity of lower margin of liver

Answer 127

mets

Question 128

digital rectal exam and lab tests

Answer 128

PSA test

Question 129

abdominal venous hum suggests

Answer 129

portal hypertension

Question 130

non tender soft mass in scrotum - behind testicale at superior margin and cannot be palpated

Answer 130

hydrocele (transilluminated)